وَهُوَ الَّذِي مَدَّ الْأَرْضَ وَجَعَلَ فِيهَا رَوَاسِيَ وَأَنْهَارًا ۖ وَمِنْ كُلِّ الثَّمَرَاتِ جَعَلَ فِيهَا زَوْجَيْنِ اثْنَيْنِ ۖ يُغْشِي اللَّيْلَ النَّهَارَ ۚ إِنَّ فِي ذَٰلِكَ لَآيَاتٍ لِقَوْمٍ يَتَفَكَّرُونَ
Dan Dia lah yang menjadikan bumi terbentang luas, dan menjadikan padanya gunung-ganang (terdiri kukuh) serta sungai-sungai (yang mengalir). Dan dari tiap-tiap jenis buah-buahan, Ia jadikan padanya pasangan: dua-dua. Ia juga melindungi siang dengan malam silih berganti. Sesungguhnya semuanya itu mengandungi tanda-tanda kekuasaan Allah bagi kaum yang (mahu) berfikir.
Sura Ar-Ra'd, Ayah 3
Open or Closed Chain Exercise Following ACL Surgery? -
This 2012 commentary sheds some light on exercise selection for those patients who have undergone ACL surgery. The primary role of the ACL is to resist excessive anterior tibial translation (forward sliding of the shin bone) in relation to the femur (thigh bone). -
Common exercises seen following ACLR are designed to activate the quadriceps at various degrees of both knee flexion & extension. Unless there was a meniscus repair involved or other concomitant injuries to complicate the individual’s rehab, closed chain/weight-bearing exercise should also be included. It is imperative to understand protocols and other accompanying procedures so not to over-stress the surgically repaired ligament too soon. -
Why are weight-bearing exercises important? By approximating the lower extremity against a fixed object, you are forcing the surrounding muscles to produce a sufficient co-contraction in order to stabilize the joint. (Which is very important). -
What does this study suggest?
1️⃣ open chain/non-weight bearing exercises are safest to be performed from 90-45 degrees of knee flexion
2️⃣ closed-chain/weight-bearing exercises are safest to perform from 90-45 degrees of knee flexion
3️⃣ The rehab professional should take the surgical procedure & any accompanying injuries into account when forming a plan of care for each patient/client.
Escamilla, McLeod, Wilk, Paulos, Andrews. Anterior Cruciate Ligament Strain & Tensile Forces for Weight-Bearing & Non-Weight-Bearing Exercise: A Guide to Exercise Selection. J Orthop Phys Ther. 2012;42(3):208-220.
Fasilitas Mulai Berkurang, Ferry Paulus : Kami Sudah Tidak Punya Bus
TRIBUNJAKARTA.COM, JAKARTA - Klub kebanggan masyarakat Ibu Kota, Persija Jakarta dipastikan sudah tidak dapat menggunakan beberapa fasilitas di era kepemimpinan Gede Widiade.
Sejak Gede Widiade memutuskan mengundurkan diri dari jabatan Direktur Persija, beberapa fasilitas yang digunakan mulai ditarik keberadaannya dari skuat Macan Kemayoran.
Salah satu fasilitas yang tidak bisa digunakan skuat Macan Kemayoran dalam kegiatan sehari-hari adalah bus baru.
Seperti diketahui, bus baru berwarna oranye itu didapatkan dari hasil kerja sama dengan pihak ketiga pada saat dipimpin oleh Gede Widiade.
Namun, setelah Gede Widiade tak lagi menjabat sebagai Direktur Persija tentunya fasilitas tersebut harus ditarik dan melakukan negosiasi ulang.
Chief Executive Officer (CEO) Persija Jakarta, Ferry Paulus memastikan saat ini timnya sudah tidak bisa menggunakan bus yang lama di era kepemimpinan Gede Widiade.
Hal itu lantaran bus tersebut sudah ditarik kembali dan tidak bisa digunakan oleh timnya. "Kita sekarang sudah tidak punya bus. Bus yang kemarin katanya sudah diambil," kata Chief Executive Officer (CEO) Persija Jakarta, Ferry Paulus kepada TribunJakarta.
Untuk itu, manajemen baru Persija tengah mengupayakan mencari bus pengganti untuk menunjang segala aktifitas tim Persija Jakarta. "Kami sekarang lagi berupaya untuk mendatangkan bus yang baru," kata Ferry Paulus.
Media Partner :
So proud of @mjsmith2604. She tore her ACL 17 days ago, and she’s been in the gym training her upper body and core four times already, in addition to PT, and going to her club practices. Just because one joint is injured doesn’t mean you can’t train the rest of the body.
Bad things happen. How you respond to those things speaks volumes about your character. If I were a head coach, this is the kind of player I would want on my team.
Busted out 11 miles today for some pre-hab! Surgery is getting closer 😑 and really now I'm just so anxious to get it over with and start with rehab. I have a goal to bike 50 more miles before surgery... 😜💪 My piece of advice for #lifeisajourknee contest is to not compare your KNEE injury to others! This has been super hard for me, as my husband tore his ACL in 2017. Will I be as tough as him? Recover faster? Play soccer at the same level? But after my pre-op appt last week I know I just need to focus on MY knee and take it all at my own pace. 💪
• 23 days till surgery • trying to relax and enjoy some me time as much as possible before my operation, as I know i will become so dependent on my family and friends afterwards • I feel like my meniscus tear is holding my prehab back so much, everytime I try to increase my workload to work my muscles more, I'm in agony the next day and I know its not my ACL rupture causing the problem.
Any one have any advice or exercise that can help with this??? #aclrehab#aclsurgery#aclreconstruction#acltear#acl#pcl#pcltear#meniscussurgery#meniscusrehab#meniscustear
Last week I was honored to attend a conference for Orthopaedic Surgeons who care for professional, college, and elite high school athletes. *
The surgeons who operated on Tom Brady, Kobe Bryant, and Mike Trout lectured on the newest techniques for rotator cuff repairs, Tommy John ligament reconstruction, ACL reconstruction, meniscus repairs, Achilles repairs, amongst other injuries. *
I also got to speak with Stephania Bell, a physical therapist with a specialty in Orthopaedic injuries who works for ESPN and informs the public on sports injuries.*
If you or someone you know has a musculoskeletal injury or pain, call 248-489-4410 or email DrChrisCooke@gmail.com.
Top 3 Must Haves of a Quality Physical Therapist
I’ll prefect this by saying this is my own list of what I believe are must haves in a quality physical therapist. This list surely does beyond just three, but I’ll start with these for now. I also want to hear your thoughts so please comment below on whether you agree with me or what else you would add.
1️⃣ Active listening - I read something that said the average healthcare professional cuts a patient off within seven seconds. I’ve had patients tell me they appreciated the fact I took the time to listen and it’s something I’m very conscious of. Patients want to be heard!
2️⃣ Evidence-based - there is significant research out to help improve and guide treatments. Physical therapists should be reading literature to improve outcomes. For example, I try to regularly read research on ACL rehab which has significantly improved my ability to treat ACLs and give my patients the best chance to succeed.
3️⃣ Critical Thinking/Adaptability - I’m sort of cheating here but these two are very closely linked. Physical therapists need to think critically about what exactly is going on and what exercises to prescribe. There are times when an exercise I think will be beneficial ends up causing pain which means I need to adapt and try a different one to accomplish the goal. Treatment should be catered to each individual patient. Completely taking a break or giving up is not an option.
BONUS - Caring - all patients want to know that their physical therapist cares. They don’t want to be just another patient like in some factory type settings. ——
🤷🏼♂️What are your thoughts? What else would you add? Let me know your thoughts below!👇
🙌🏼 Tag someone who would like this message!
👍 Like and save if you found it helpful!
Day 10 - Such tremendous progress has happened this past week. I can move around so much easier, don’t need to take painkillers nearly as often, and had my first physio appointment, which went amazingly well! This photo is yesterday morning, having crepes with my dad and watching Friends before physio 🥰 As much as it sucks not working and be able to do very much, I can say that I love sleeping in 😴 my physio therapist showed me some variations in exercises for me to work on, and said that since my quad and hamstring activation is pretty advanced for this stage, I am ahead of the curve right now. He also said that the first 4-6 weeks set the course for the next 4-6 months, and being diligent is so crucial. I can bend my knee to 72° and straighten it to 29° (0° is full extension) so far. My piece of advice for anyone about to have surgery or have had knee trauma is to know what quad and hamstring activation is before your surgery. My same PT explained it when I was first injured, and it helped immensely at this stage. All in all, not a bad first week and a half 🤩 #acl#aclrecovery#aclinjury#meniscusrepair#aclrepair#meniscustear#meniscus#knee#surgery#roadtorecovery#kneerepair#soccerinjury#arthoscopy
Because I havent posted anything gym related in a while. Working on heavier weight with @gio_anthony_ -3 warm up sets at 135lbs for 10-12 reps
-3 sets at 275lbs for 3 reps. Currently at 285lbs for 3
-5 sets at 225lbs for 5 reps.
Working on my hip control with the heavier weight. Want to get used to low bar squat aswell.
Check out my neck veins tho lol.
Day 3 post-op. There is nothing like the first shower 🚿 after surgery! I am not ashamed to say I took advantage of a shower seat and soaked up the steam for as long as I could. Afterwards I migrated to the living room because as much as I love my bed I needed a change of scenery. Thankfully my pain levels are more manageable today.
Never would've thought it would happen to me... I tore my ACL but it's Gucci fam! I had my surgery today and you'll see the comeback will be for real. Ya can't slow me down for too long! Big thanks to Dr. Todd and staff for keeping me comfortable during the whole process, putting up with my jokes while I was waking up from anesthesia, and letting me sleep for like 3 hours post surgery. Lastly, bigger thanks to @enrique.k.pina for accompanying me through the 6 hour ordeal that started at 0500 on your day off!
Under a year ago Jonathan ruptured his ACL skiing with the boys. He had it repaired under the careful hands of Mr Niall Flynn. He then successfully and persistently completed his rehabilitation with one of our physiotherapist @zoebirch26 and now is pleased to be back on the slopes with great confidence and looking forward to more skiing this season. Well done Jonathon!⠀
If you have had a skiing injury, why not give us a call on 020 3422 6655 and we could help you get back to what you love.