Rehabilitation of the Knee: Introducing Neurocognitive Reactive Testing for Return to Activity & Sports – George Davies

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Discover scientific and clinical rationale for the design of therapeutic exercise programs for knee injuries. Explore innovative interventions based on recent research and neuroplasticity for ACL rehabilitation.  You’ll also integrate a functional testing algorithm on the newest testing criteria that utilizes neuro-cognitive-mechanical reactive tests. Learn how to perform the tests to better simulate ecological validity of patients’ return to activities/sports.

Speaker

George J. Davies, DPT, MEd, PT, SCS, ATC, LAT, CSCS, PES, CES, CSMS, FAPTA, is an internationally known speaker who has presented hundreds of conferences throughout the world on sports physical therapy, athletic training, shoulder, knee, open and closed kinetic chain topics, orthopaedics, rehabilitation and Isokinetics. George is a clinician, educator, speaker, researcher, author, editor, patent holder for exercise equipment and consultant. He has been involved in the clinical practice of sports physical therapy/athletic training, since he was a student athletic trainer, for over 55 years. He has a passion for teaching and has been an educator for over 48 years in colleges and universities.

Dr. Davies has been involved in many research projects that have been presented at numerous national and international conferences and published in various journals. He has participated in hundreds of scientific conferences and workshops throughout the world in the last 45 years. He has published over 200 articles and research abstracts in various periodicals, has written several books and has contributed chapters to over 45 books. George was the original co-founder and co-editor of The Journal of Orthopaedic and Sports Physical Therapy for approximately 10 years. George was also one of the founders and original Associate Editors for Sports Health: A Multidisciplinary Approach for the past 10 years.

Speaker Disclosures:
Financial: Dr. George Davies has employment relationships with Georgia Southern University, Coastal Therapy, and Gundersen Health System. He receives a speaking honorarium and recording royalties from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Dr. George Davies is a member of the American Physical Therapy Association, the APTA Georgia Chapter, the APTA Wisconsin Chapter, National Athletic Trainers Association, the American Orthopedic Society Sports Medicine, and others.

Objectives

1. Evaluate the best current evidence for design of a therapeutic exercise program for rehabilitation of the knee. 
2. Appraise the criteria being used for return to activity/sports and why only approximately 50% are returning to the same level of performance with a 20-30% reinjury rate following ACL reconstructions.  
3. Create a functional testing algorithm, based on your equipment, experiences and patients, that has increased ecological validity for clinical reasoning and decision making for returning patients back to activity/sport  

Outline

Scientific and Clinical Design of Therapeutic Exercise Program for Patients with Knee Injuries.

• Introduction
• Quality of continuing Education Courses                            
• Consensus on Exercise Reporting Template (CERT) 
• Knowledge of Strength & Conditioning 
• Hierarchy of therapeutic exercises
• Soft Tissue Healing Constraints
• Multiple angle isometrics
• Short (limited ROM) Arc exercises  
• Full (ROM) Arc exercises 
• Elftman proposal for mode of exercise 
• Design of specific components of exercise programs (reps, sets, rest, frequency, duration, etc.)
• OMNI-RES Scale 
• Innovative interventions based on recent research and neuroplasticity for ACL rehabilitation
• Q&A

Functional Testing Algorithm for Return to Activity/Sport  

• Introduction
• Checklist of progression of a patient through the rehabilitation program to testing for discharge    
• Jump test
• Hop Test (single, triple, cross-over, timed) 
• Side hop tests
• Change of lateral direction tests (Variations)
• T-Drill Hop Tests (Variations)
• Lower Extremity Functional Test (LEFT)(Fatigue Factor)
• Agility Tests
• Neuro-cognitive-mechanical reactive tests (Missing Link)     
• Use of a reactive light system  
• Specificity Testing
• Fatigue Index Testing (Missing Link)
• Q&A

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