Athlete Recovery: How Physical Therapy Helps Overcome Arthrogenic Muscle Inhibition in ACL Rehab

January 31st, 2025
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Arthrogenic muscle inhibition (AMI) is a phenomenon that often occurs after an anterior cruciate ligament (ACL) injury or surgery, where the body’s muscles around the injured joint become inhibited or unable to activate fully due to pain, swelling, and joint instability. This inhibition is a protective response that can lead to muscle weakness, atrophy, and impaired movement. In the context of ACL recovery, AMI can significantly hinder rehabilitation progress and delay the return to normal function. It’s important to seek medical assistance because untreated AMI can result in long-term deficits in muscle strength, joint stability, and overall mobility, increasing the risk of reinjury or developing compensatory movement patterns. A healthcare professional can assess the extent of AMI and design a tailored rehabilitation program, including physical therapy. Addressing AMI early with professional guidance is essential for restoring full function, enhancing muscle activation, and reducing the risk of future complications.

Physical therapy plays a critical role in addressing arthrogenic muscle inhibition (AMI) during ACL surgery recovery by focusing on restoring normal muscle function, strength, and joint stability. One of the primary goals of physical therapy is to overcome the inhibition of muscle activation around the knee, due to pain, swelling, and joint dysfunction after surgery. A physical therapist will typically use a combination of techniques to counteract AMI, such as progressive strengthening exercises are employed to rebuild the quadriceps and other key muscles around the knee, improving their strength and coordination. Additionally, modalities like neuromuscular electrical stimulation (NMES) can be used to stimulate muscle contractions, further overcoming the inhibitory effects of AMI. Proprioceptive and balance training are also essential components, as they help improve joint awareness and stability. By systematically addressing AMI, physical therapy not only promotes recovery from the ACL injury itself but also reduces the risk of long-term deficits, reinjury, and compensatory movement patterns.

If you experience post ACL surgery concurrent with AMI, physical therapy can help reduce your pain and improve your functional abilities. Call Respire Physical Therapy at the Falls Church Location (703-671-1871) or Annandale Location (571-369-6728) to schedule an appointment with one of our skilled Physical Therapists today! Click here to request an appointment online and we will contact you as soon as possible. 

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