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You are doing discharge testing for a ACLR patient , you noticed that his hop tests and isokinetic testing are 90% of that of the other leg, but he has severe dynamic valgus with landing and COD . Which of the following statements is true regarding this case1 pointDon't discharge , Continue to do NMT to correct dynamic valgus and re evaluate again after a few sessionsHop tests are 90% , Isokinetic values are 90%, hence can be discharged todayCheck running and then decideCan discharge today and tell patient not to play any sports

Question

You are doing discharge testing for a ACLR patient , you noticed that his hop tests and isokinetic testing are 90% of that of the other leg, but he has severe dynamic valgus with landing and COD . Which of the following statements is true regarding this case1 pointDon't discharge , Continue to do NMT to correct dynamic valgus and re evaluate again after a few sessionsHop tests are 90% , Isokinetic values are 90%, hence can be discharged todayCheck running and then decideCan discharge today and tell patient not to play any sports

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Solution

The correct statement regarding this case would be "Don't discharge, Continue to do NMT to correct dynamic valgus and re evaluate again after a few sessions". Despite the hop tests and isokinetic testing being 90% of the other leg, the presence of severe dynamic valgus with landing and change of direction (COD) indicates that there may still be instability or weakness in the knee. This could potentially lead to further injury if not addressed. Therefore, it would be best to continue with neuromuscular training (NMT) to correct the dynamic valgus and then re-evaluate the patient after a few sessions.

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