A Multimedia Package for Patient Understanding and Rehabilitation of Non-Contact Anterior Cruciate Ligament Injuries
International Journal of Medical Imaging
Volume 2, Issue 3, May 2014, Pages: 44-53
Received: Mar. 27, 2014;
Accepted: Apr. 9, 2014;
Published: Apr. 20, 2014
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Gordon Buchanan, Laboratory of Human Anatomy, School of Life Sciences, University of Glasgow, Glasgow, UK
Minhua Ma, Digital Design Studio, Glasgow School of Art, Glasgow, UK
Paul M. Rea, Laboratory of Human Anatomy, School of Life Sciences, University of Glasgow, Glasgow, UK
Non-contact anterior cruciate ligament (ACL) injury is one of the most common ligament injuries in the body. Many patients’ receive graft surgery to repair the damage, but have to undertake an extensive period of rehabilitation. However, non-compliance and lack of understanding of the injury, healing process and rehabilitation means patient’s return to activities before effective structural integrity of the graft has been reached. When clinicians educate the patient, to encourage compliance with treatment and rehabilitation, the only tools that are currently widely in use are static plastic models, line diagrams and pamphlets. As modern technology grows in use in anatomical education, we have developed a unique educational and training package for patient’s to use in gaining a better understanding of their injury and treatment plan. We have combined cadaveric dissections of the knee (and captured with high resolution digital images) with reconstructed 3D modules from the Visible Human dataset, computer generated animations, and images to produce a multimedia package, which can be used to educate the patient in their knee anatomy, the injury, the healing process and their rehabilitation, and how this links into key stages of improving graft integrity. It is hoped that this will improve patient compliance with their rehabilitation programme, and better long-term prognosis in returning to normal or near-normal activities. Feedback from healthcare professionals about this package has been positive and encouraging for its long-term use
Paul M. Rea,
A Multimedia Package for Patient Understanding and Rehabilitation of Non-Contact Anterior Cruciate Ligament Injuries, International Journal of Medical Imaging.
Vol. 2, No. 3,
2014, pp. 44-53.
DeMorat G, Weinhold P, Blackburn T, Chudik S, Garrett W. 2004. Aggressive quadriceps loading can induce noncontact anterior cruciate ligament injury. The American Journal of Sports Medicine 32:477-483.
Olsen OE, Myklebust G, Engebretsen L, Bahr R. 2004. Injury mechanisms for anterior cruciate ligament injuries in team handball a systematic video analysis. The American Journal of Sports Medicine 32:1002-1012.
Krosshaug T, Nakamae A, Boden BP, Engebretsen L, Smith G, Slauterbeck JR, Hewett TE, Bahr R. 2007. Mechanisms of anterior cruciate ligament injury in basketball video analysis of 39 cases. The American Journal of Sports Medicine 35: 359-367.
Yu, B., Garrett, W. E. 2007. Mechanisms of non-contact ACL injuries. British Journal of Sports Medicine, 41(suppl 1), i47-i51.
Spindler KP, Wright RW. 2008. Anterior cruciate ligament tear. New England Journal of Medicine, 359:2135-2142.
Levine JW, Kiapour AM, Quatman CE, Wordeman SC, Goel VK, Hewett TE, Demetropoulos CK. 2013. Clinically relevant injury patterns after an anterior cruciate ligament injury provide insight into injury mechanisms. The American Journal of Sports Medicine 41:385-395.
Siegel L, Vandenakker-Albanese C, Siegel D. 2012. Anterior cruciate ligament injuries: anatomy, physiology, biomechanics, and management. Clinical Journal of Sport Medicine 22:349-355.
Shelbourne KD, Rowdon GA. 1994. Anterior cruciate ligament injury. Sports Medicine 17:132-140.
Shelbourne KD, Nitz P. 1990. Accelerated rehabilitation after anterior cruciate ligament reconstruction. The American Journal of Sports Medicine 18:292-299.
Fisher AC, Mullins SA, Frye, P.A. 1993. Athletic trainers' attitudes and judgments of injured athletes' rehabilitation adherence. Journal of Athletic Training 28:43.
Taylor AH, May S. 1996. Threat and coping appraisal as determinants of compliance with sports injury rehabilitation: An application of protection motivation theory. Journal of Sports Sciences 14:471-482.
Brewer B W. 1998. Adherence to sport injury rehabilitation programs. Journal of Applied Sport Psychology 10:70-82.
Ganguly P. 2010. Teaching and Learning of Anatomy in the 21st Century: Direction and the Strategies. The Open Medical Education Journal 3:5-10.
Kluchova D, Bridger J, Parkin IG. 2000. Anatomy into the future. Bratisl Lek Listy. 101: 626-629
Turney BW. 2007. Anatomy in a modern medical curriculum. Ann R Coll Surg Engl. 89:104-107
Sugand K, Abrahams P. Khurana A. 2010. The anatomy of anatomy: A review for its modernization. Anatomical Sciences Educatio, 3:83-93.
Utting M, Willan P. 1995.. What future for dissection in courses of human topographical anatomy in universities in the UK. Clinical Anatomy 8:414-417.
Dangerfield P, Bradley P, Gibbs T. 2000. Learning gross anatomy in a clinical skills course. Clinical Anatomy 13:444-447.
Spitzer V, Ackerman A, Scherzinger A, Whitlock D. 1996. The Visible Human Male: A Technical Report. Journal of American Medical Informatics Association 3:118-130.
Anderson P, Chapman P, Ma M, Rea P. 2013. Real-time Medical Visualization of Human Head and Neck Anatomy and its Applications for Dental Training and Simulation. Current Medical Imaging Reviews. ISSN 1573-4056 (In Press).
Ackerman M. 1998. The Visible Human Project. Proceedings of the IEEE, 86:504-511.
Khaund R, Flynn S. 2005. Iliotibial Band Syndrome: A Common Source of Knee Pain. American Family Physician 71:1545-1550.
Beveridge E, Ma M, Rea, P., Bale K, and Anderson P. 2013. 3D visualisation for education, diagnosis and treatment of lliotibial band syndrome. In: 2013 International Conference on Computer Medical Applications (ICCMA), Sousse, Tunisia, 20-22 Jan 2013. IEEE, Sousse, Tunisia, pp. 1-6. ISBN 9781467352130
Treleaven P, Wells J. 2007. 3D Body Scanning and Healthcare Applications. IEEE Computer Society.