The use of a multi-modal approach in the rehabilitation of a pre-operative grade 3 ACL tear in a world-level Poomsae athlete: a case report.

OBJECTIVE: This case is designed to aid practitioners in understanding the potential role of multi-modal care with vibration rehabilitative exercise for a complete ACL tear in a high-level Poomsae athlete. CASE
PRESENTATION: A 16-year-old male world-class Poomsae athlete presented with a right ACL rupture and LCL sprain. An extensive clinical examination and imaging confirmed a right grade 3 ACL tear. Due to the complete tear and impending participation in World Championships, a pre-operative rehabilitation strategy was implemented with treatment modalities aimed to accelerate return-to-play.
SUMMARY: An appropriate clinical history and physical examination of the knee is required when instability is present. Imaging is indicated when testing criteria are positive. Clinicians should be aware that multiple therapies can each serve a role in conservative care to better suit patient demands, especially at high levels of sport. In the article, the author proposes a tailored protocol using vibration rehabilitative exercise, bracing, vibration therapy, neuromuscular electrical stimulation, and laser to improve healing and sport-specific outcomes. © JCCA 2020.