{"id":3456,"date":"2024-06-11T08:46:45","date_gmt":"2024-06-11T08:46:45","guid":{"rendered":"https:\/\/integrativa.pt\/?p=3456"},"modified":"2025-10-14T12:15:45","modified_gmt":"2025-10-14T12:15:45","slug":"the-importance-of-pre-operative-physiotherapy-before-anterior-cruciate-ligament-lca-surgery","status":"publish","type":"post","link":"https:\/\/integrativa.pt\/en\/a-importancia-da-fisioterapia-pre-operatoria-antes-da-cirurgia-ao-ligamento-cruzado-anterior-lca\/","title":{"rendered":"The importance of preoperative physiotherapy before anterior cruciate ligament (ACL) surgery"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Anterior cruciate ligament (ACL) injuries are one of the most common and significant in sport, affecting both professional and amateur athletes. ACL reconstruction surgery is often necessary to regain knee stability and allow a return to physical activity. However, preparation for this surgery, especially through preoperative physiotherapy, plays a key role in successful postoperative recovery. This article explores the importance of physiotherapy before ACL surgery, highlighting its benefits and recommended practices.<\/p>\n<p><strong>Benefits of preoperative physiotherapy<\/strong><\/p>\n<ul>\n<li>Reducing pain and oedema: Pre-operative physiotherapy helps to control pain and reduce oedema (swelling) in the injured knee. Techniques such as manual therapy, cryotherapy and specific exercises are effective in this process.<\/li>\n<li>Improving range of motion: Maintaining or improving knee range of motion (ROM) is essential before surgery. Stretching and joint mobilisation exercises can prevent stiffness and facilitate post-operative recovery.<\/li>\n<li>Muscle strengthening: Strengthening the muscles around the knee, especially the quadriceps and hamstrings, is vital. Strong muscles provide additional support to the joint, helping to compensate for the instability caused by the ACL injury.<\/li>\n<li>Patient counselling and training: Pre-operative physiotherapy allows the patient to better understand the recovery process and learn exercises that will be needed after surgery. This prior training facilitates adherence to the post-operative rehabilitation programme.<\/li>\n<li>Improving physical function: Maintaining general physical capacity is important so that the patient is in the best possible shape before surgery. This can include low-impact aerobic exercise, such as cycling or swimming.<\/li>\n<\/ul>\n<p><strong>Recommended Practices in Preoperative Physiotherapy<\/strong><\/p>\n<ol>\n<li><strong>Detailed initial assessment:<\/strong> A full assessment of the patient's condition, including muscle strength, range of motion, joint stability and pain level, is essential to draw up a personalised treatment plan.<\/li>\n<li><strong>Muscle strengthening exercises:<\/strong> Focus on strengthening the quadriceps, hamstrings, glutes and leg muscles through specific exercises such as squats, straight leg raises and resistance band exercises.<\/li>\n<li><strong>Proprioception and balance training<\/strong>Proprioception exercises, such as the use of balance boards or unstable platforms, help to improve neuromuscular control and knee stability.<\/li>\n<li><strong>Joint mobilisation and stretching<\/strong>Mobilisation techniques to maintain joint mobility and stretches to prevent stiffness are crucial. Focus on gentle, progressive stretching of the knee and thigh.<\/li>\n<li><strong>Pain and oedema management<\/strong>Use of techniques such as massage and elevation of the limb to control pain and swelling.<\/li>\n<li><strong>Patient counselling<\/strong>: To explain what to expect during and after surgery, including the importance of adhering to the rehabilitation programme and the correct techniques for performing the exercises in the immediate post-operative period.<\/li>\n<\/ol>\n<p>A <a title=\"Musculoskeletal Physiotherapy\" href=\"https:\/\/integrativa.pt\/en\/specialities\/physiotherapy\/musculoskeletal-physiotherapy\/\">physiotherapy<\/a> physiotherapy plays an essential role in preparing patients for ACL reconstruction surgery. By reducing pain, improving range of motion, strengthening muscles and educating patients, physiotherapy not only optimises conditions for surgery, but also facilitates a faster and more efficient recovery. Therefore, the inclusion of a preoperative physiotherapy programme should be considered standard practice in the treatment of ACL injuries, aiming for the best possible outcome for the patient and an early return to physical activity.<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div><div class=\"vc_row wpb_row vc_row-fluid vc_custom_1680169461443\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_text_column wpb_content_element  vc_custom_1680169468507\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p><a title=\"Home\" href=\"https:\/\/integrativa.pt\/en\/\"><strong>Integrativa<\/strong><\/a> | Health and well-being as a lifestyle<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div><div class=\"vc_row wpb_row vc_row-fluid vc_custom_1680169461443\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_text_column wpb_content_element  vc_custom_1689951960351\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<h6>This website and its content are for information purposes only and are not a substitute for medical or health professional advice. Each person's treatment should be individualised and guided by health professionals. Do not make any changes to your treatment without contacting the doctor or health professional accompanying you.<\/h6>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div><div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner vc_custom_1678987635945\"><div class=\"wpb_wrapper\"><div class=\"vc_separator wpb_content_element vc_separator_align_center vc_sep_width_100 vc_sep_pos_align_center wpb_content_element vc_separator-has-text\" ><span class=\"vc_sep_holder vc_sep_holder_l\"><span style=\"border-color:#1b9193;\" class=\"vc_sep_line\"><\/span><\/span><h4>Related articles<\/h4><span class=\"vc_sep_holder vc_sep_holder_r\"><span style=\"border-color:#1b9193;\" class=\"vc_sep_line\"><\/span><\/span>\n<\/div><style type=\"text\/css\" data-type=\"the7_shortcodes-inline-css\">.blog-carousel-shortcode.blog-carousel-shortcode-id-a0ba4864a05cc6c0c7a29b069dd58121.dividers-on.classic-layout-list article {\n  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blog-carousel-shortcode dt-owl-carousel-call blog-carousel-shortcode-id-a0ba4864a05cc6c0c7a29b069dd58121 classic-layout-list scale-img dt-icon-bg-off dt-arrow-border-on dt-arrow-hover-border-on meta-info-off bullets-small-dot-stroke reposition-arrows arrows-bg-on disable-arrows-hover-bg arrows-hover-bg-on\" data-scroll-mode=\"1\" data-col-num=\"3\" data-wide-col-num=\"4\" data-laptop-col=\"3\" data-h-tablet-columns-num=\"3\" data-v-tablet-columns-num=\"2\" data-phone-columns-num=\"1\" data-auto-height=\"true\" data-col-gap=\"30\" data-stage-padding=\"0\" data-speed=\"600\" data-autoplay=\"false\" data-autoplay_speed=\"6000\" data-arrows=\"true\" data-bullet=\"false\" data-next-icon=\"icon-ar-017-r\" data-prev-icon=\"icon-ar-017-l\"><article class=\"post post-3005 type-post status-publish format-standard has-post-thumbnail hentry category-4-pilares-da-saude category-psiconeuroimunologia tag-fisioterapia tag-osteopatia tag-pilates-clinico category-35 category-48 description-off\" data-name=\"Luz solar, humor e felicidade numa perspetiva integrativa\" data-date=\"2024-02-06T17:03:14+00:00\">\n\n<div class=\"post-thumbnail-wrap\">\n\t<div class=\"post-thumbnail\">\n\t\t\n\t\t\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/luz-solar-humor-e-felicidade-numa-perspetiva-integrativa\/\" class=\"post-thumbnail-rollover layzr-bg\" ><img fetchpriority=\"high\" decoding=\"async\" class=\"preload-me owl-lazy-load aspect\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D&#39;http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg&#39;%20viewBox%3D&#39;0%200%20768%20512&#39;%2F%3E\" data-src=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2024\/02\/Apanhar-sol-vitamina-D-768x512.jpg\" data-srcset=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2024\/02\/Apanhar-sol-vitamina-D-768x512.jpg 768w, https:\/\/integrativa.pt\/wp-content\/uploads\/2024\/02\/Apanhar-sol-vitamina-D-1152x768.jpg 1152w\" loading=\"eager\" style=\"--ratio: 768 \/ 512\" sizes=\"(max-width: 768px) 100vw, 768px\" alt=\"\" title=\"Sunbathing vitamin D\" width=\"768\" height=\"512\"  \/><\/a>\t<\/div>\n<\/div>\n\n\n<div class=\"post-entry-content\">\n\n\t<h3 class=\"entry-title\">\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/luz-solar-humor-e-felicidade-numa-perspetiva-integrativa\/\" title=\"Sunlight, humour and happiness from an integrative perspective\" rel=\"bookmark\">Sunlight, humour and happiness from an integrative perspective<\/a>\n\t<\/h3>\n\n\t\n\t\n\t\n<a href=\"https:\/\/integrativa.pt\/en\/luz-solar-humor-e-felicidade-numa-perspetiva-integrativa\/\" class=\"post-details details-type-link\" aria-label=\"Read more about Luz solar, humor e felicidade numa perspetiva integrativa\">Read more<i class=\"dt-icon-the7-arrow-03\" aria-hidden=\"true\"><\/i><\/a>\n\n<\/div><\/article><article class=\"post post-3647 type-post status-publish format-standard has-post-thumbnail hentry category-nervo-vago category-osteopata-david-brandao category-osteopatia-integrativa category-osteopatia-visceral 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details-type-link\" aria-label=\"Read more about the role of the Vagus Nerve in brain-body communication and its influence on your health\">Read more<i class=\"dt-icon-the7-arrow-03\" aria-hidden=\"true\"><\/i><\/a>\n\n<\/div><\/article><article class=\"post post-5590 type-post status-publish format-standard has-post-thumbnail hentry category-uncategorized tag-fisioterapia tag-osteopatia tag-pilates-clinico category-1 description-off\" data-name=\"Como definir objetivos para 2026 com clareza, prop\u00f3sito e equil\u00edbrio\" data-date=\"2026-01-02T09:56:56+00:00\">\n\n<div class=\"post-thumbnail-wrap\">\n\t<div class=\"post-thumbnail\">\n\t\t\n\t\t\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/como-definir-objetivos-para-2026-com-clareza-proposito-e-equilibrio\/\" class=\"post-thumbnail-rollover layzr-bg\" ><img decoding=\"async\" class=\"preload-me owl-lazy-load aspect\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D&#39;http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg&#39;%20viewBox%3D&#39;0%200%20768%20512&#39;%2F%3E\" data-src=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2026\/01\/Objetivos-ano-novo-1-768x512.avif\" data-srcset=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2026\/01\/Objetivos-ano-novo-1-768x512.avif 768w, https:\/\/integrativa.pt\/wp-content\/uploads\/2026\/01\/Objetivos-ano-novo-1-1152x768.avif 1152w\" loading=\"eager\" style=\"--ratio: 768 \/ 512\" sizes=\"(max-width: 768px) 100vw, 768px\" alt=\"\" title=\"Objectives new year-1\" width=\"768\" height=\"512\"  \/><\/a>\t<\/div>\n<\/div>\n\n\n<div class=\"post-entry-content\">\n\n\t<h3 class=\"entry-title\">\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/como-definir-objetivos-para-2026-com-clareza-proposito-e-equilibrio\/\" title=\"How to set goals for 2026 with clarity, purpose and balance\" rel=\"bookmark\">How to set goals for 2026 with clarity, purpose and 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href=\"https:\/\/integrativa.pt\/en\/respiracao-consciente-um-recurso-na-regulacao-do-stress-e-do-equilibrio-fisiologico\/\" class=\"post-thumbnail-rollover layzr-bg\" ><img decoding=\"async\" class=\"preload-me owl-lazy-load aspect\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D&#39;http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg&#39;%20viewBox%3D&#39;0%200%20768%20512&#39;%2F%3E\" data-src=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/01\/Integrativa-768x512.webp\" data-srcset=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/01\/Integrativa-768x512.webp 768w, https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/01\/Integrativa-1152x768.webp 1152w\" loading=\"eager\" style=\"--ratio: 768 \/ 512\" sizes=\"(max-width: 768px) 100vw, 768px\" alt=\"\" title=\"Integrativa\" width=\"768\" height=\"512\"  \/><\/a>\t<\/div>\n<\/div>\n\n\n<div class=\"post-entry-content\">\n\n\t<h3 class=\"entry-title\">\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/respiracao-consciente-um-recurso-na-regulacao-do-stress-e-do-equilibrio-fisiologico\/\" title=\"Conscious breathing: a resource for regulating stress and physiological balance\" rel=\"bookmark\">Conscious breathing: a resource for regulating stress and physiological balance<\/a>\n\t<\/h3>\n\n\t\n\t\n\t\n<a href=\"https:\/\/integrativa.pt\/en\/respiracao-consciente-um-recurso-na-regulacao-do-stress-e-do-equilibrio-fisiologico\/\" class=\"post-details details-type-link\" aria-label=\"Read more about Respira\u00e7\u00e3o consciente: um recurso na regula\u00e7\u00e3o do stress e do equil\u00edbrio fisiol\u00f3gico\">Read more<i class=\"dt-icon-the7-arrow-03\" aria-hidden=\"true\"><\/i><\/a>\n\n<\/div><\/article><article class=\"post post-1846 type-post status-publish format-standard has-post-thumbnail hentry category-osteopatia category-osteopata-david-brandao category-osteopatia-integrativa category-osteopatia-integrativa-osteopatia 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aria-label=\"Read more about Gut Microbiota: its importance for health and how to keep it balanced\">Read more<i class=\"dt-icon-the7-arrow-03\" aria-hidden=\"true\"><\/i><\/a>\n\n<\/div><\/article><article class=\"post post-1629 type-post status-publish format-standard has-post-thumbnail hentry category-4-pilares-da-saude category-osteopata-david-brandao category-osteopatia-integrativa category-osteopatia-integrativa-osteopatia category-psiconeuroimunologia category-sono category-sono-4-pilares-da-saude tag-fisioterapia tag-osteopatia tag-pilates-clinico category-35 category-33 category-32 category-34 category-48 category-36 category-37 description-off\" data-name=\"A import\u00e2ncia de uma boa noite de sono na regula\u00e7\u00e3o do organismo\" data-date=\"2023-01-16T16:03:49+00:00\">\n\n<div class=\"post-thumbnail-wrap\">\n\t<div class=\"post-thumbnail\">\n\t\t\n\t\t\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/a-importancia-de-uma-boa-noite-de-sono-na-regulacao-do-organismo\/\" class=\"post-thumbnail-rollover layzr-bg\" ><img decoding=\"async\" class=\"preload-me owl-lazy-load aspect\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D&#39;http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg&#39;%20viewBox%3D&#39;0%200%20768%20512&#39;%2F%3E\" data-src=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2023\/01\/Consulta-Sono-Integrativa-768x512.webp\" data-srcset=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2023\/01\/Consulta-Sono-Integrativa-768x512.webp 768w, https:\/\/integrativa.pt\/wp-content\/uploads\/2023\/01\/Consulta-Sono-Integrativa-1152x768.webp 1152w\" loading=\"eager\" style=\"--ratio: 768 \/ 512\" sizes=\"(max-width: 768px) 100vw, 768px\" alt=\"\" title=\"Integrative Sleep Consultation\" width=\"768\" height=\"512\"  \/><\/a>\t<\/div>\n<\/div>\n\n\n<div class=\"post-entry-content\">\n\n\t<h3 class=\"entry-title\">\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/a-importancia-de-uma-boa-noite-de-sono-na-regulacao-do-organismo\/\" title=\"The importance of a good night&#039;s sleep in regulating the body\" rel=\"bookmark\">The importance of a good night's sleep in regulating the body<\/a>\n\t<\/h3>\n\n\t\n\t\n\t\n<a href=\"https:\/\/integrativa.pt\/en\/a-importancia-de-uma-boa-noite-de-sono-na-regulacao-do-organismo\/\" class=\"post-details details-type-link\" aria-label=\"Read more about A import\u00e2ncia de uma boa noite de sono na regula\u00e7\u00e3o do organismo\">Read more<i class=\"dt-icon-the7-arrow-03\" aria-hidden=\"true\"><\/i><\/a>\n\n<\/div><\/article><\/div><\/div><\/div><\/div><\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Anterior cruciate ligament (ACL) injuries are one of the most common and significant in sport, affecting both professional and amateur athletes. ACL reconstruction surgery is often necessary to regain knee stability and allow a return to physical activity. However, preparation for this surgery, especially through preoperative physiotherapy,...<\/p>","protected":false},"author":1,"featured_media":4385,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[6,55,54],"tags":[4,27,8],"class_list":["post-3456","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-fisioterapia","category-fisioterapia-desportiva","category-fisioterapia-musculo-esqueletica","tag-fisioterapia","tag-osteopatia","tag-pilates-clinico","category-6","category-55","category-54","description-off"],"_links":{"self":[{"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/posts\/3456","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/comments?post=3456"}],"version-history":[{"count":0,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/posts\/3456\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/media\/4385"}],"wp:attachment":[{"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/media?parent=3456"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/categories?post=3456"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/tags?post=3456"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}