Rehabilitation of the Pediatric ACL Reconstruction

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Step Status
Starts On: 7/1/2019: 12:00 AM
Ends On: 6/30/2020: 12:00 AM
Session Type: Internet Activity Enduring Material
Credits: 1


David Piskulic, PT, DPT, SCS, ATC
Sports Orthopedic Physical Therapist
St. Louis Children's Hospital Specialty Care Center
Financial Relationships: Speaker has nothing to disclose

Presenters should indicate if speaking off label. This activity originated as a presentation at the CME activity, 12th Annual Sports Medicine Update, March 29, 2019, which was supported in part by The St. Louis Children's Hospital Foundation and Young Athlete Center: Taylor Edelen Fund

Planning Committee

Kim M. Cordia, RN, BSN, MS, ONC
Pediatric Nurse Manager Children's Specialty Care Center
Financial Relationships: Nothing to disclose

Mark E. Halstead, MD
Associate Professor of Orthopedic Surgery
Departments of Pediatrics and Orthopedics
Director, Sports Concussion Program
Medical Director, Young Athlete Center
Medical Director, Progress West Clinic
Financial Relationships: Nothing to disclose

Objectives: The intended result of this activity is increased knowledge/competence, and upon completion of this course, participants should be able to:
  • Discuss differences between pediatric ACL reconstruction recovery and rehabilitation considerations based on graft type.
  • Discuss concepts of early mobilization with pediatric patients.
  • Discuss exercise modifications to improve exercise program compliance.
  • Review evidence based methods of return to sports testing and injury prevention programs with pediatric patients.
  • Identify current misconceptions regarding ACL reconstruction recovery and rehabilitation.
Additional Information:
Target Audience: This course is designed for pediatricians, primary care/family practice, sports medicine professionals, physical medicine & rehabilitation physicians, internists, orthopedic surgeons, neurologists, emergency medicine, psychologists, psychiatrists, chiropractors, nurse practitioners, physician assistants, physical therapists and athletic trainers.

Publication Date: July 1, 2019
Expiration Date: June 30, 2020

Accreditation Information:
In support of improving patient care, Washington University School of Medicine in St. Louis is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Credit Awarded for this Activity:
Credit Statement: American Medical Association (AMA Credit)
Washington University School of Medicine in St. Louis designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
American Nurses Credentialing Center (ANCC Credit)
Washington University School of Medicine in St. Louis designates this enduring material for a maximum of 1 ANCC contact hour.

  • Bates NA, Chialty ND, Nagelli CV, Krych AJ, Hewett TE. Validation of noncontact anterior cruciate ligament tears produced by a mechanical impact simulator against the clinical presentation of injury. Am J Sports med. 2018; 46(9): 2113-2121.
  • Burgi CR, Peters S, Ardern CL, Magill JR, Gomez CD, Sylvain J, Reiman MP. Which criteria are used to clear patients to return to sport after primarily ACL reconstruction? A scoping review. Br J Sports Med. 2019.
  • Cohen ZA, et al. Patellofemoral stresses during open and closed kinetic chain exercises: an analysis using computer simulation. Am J Sports Med. 2001; 29(4): 480-487.
  • Di Stasi S, Myer GD, Hewett TE. Neuromuscular training to target deficits associated with second anterior cruciate ligament injury. J Orthop Sports Phys Ther. 2013; 43(11): 777-A11.

DiStefano LJ, Blackburn JT, Marshall SW, Padua DA. Gluteal muscle activation during common therapeutic exercises. J Orthop Sports Phys Ther. 2009; 39(7): 532-540.
Engelman GH, Carry PM, Hitt KG. Comparison of allograft versus autograft anterior cruciate ligament reconstruction graft survival in an active adolescent cohort. Am J Sports Med. 2014; 42(10): 2311-2318.
Disclosure Information: It is the policy of Washington University School of Medicine in St. Louis, Continuing Medical Education, to ensure balance, independence, objectivity and scientific rigor in all its educational activities. All planners, faculty and other persons who may influence content of this CME activity have disclosed all relevant financial relationships with commercial interests. All disclosures have been reported and are indicated with their presentations. Any potential conflicts were addressed and resolved.

Presenters are also expected to openly disclose inclusion of discussion of any off-label, experimental, or investigational use of drugs or devices in their presentations.

Presentations are expected to be based on evidence that is accepted within the profession of medicine as adequate justification for their indication in the care of patients. All scientific research should conform to the generally accepted standards of experimental design, data collection and analysis. These presentations are not an endorsement of any commercial interests.

These presentations are the views and experiences of the presenters. The presenters' views do not represent the policy or position of Washington University School of Medicine in St. Louis. Washington University School of Medicine in St. Louis, Continuing Medical Education, is the provider for CME credits.
Categories: Orthopedic, Pediatric

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