The Use of a Weight-Bearing Biofeedback System as an Adjunct in Rehabilitation Following a Simultaneous Bilateral Anterior Cruciate Ligament Reconstruction: A Case Study Report

Abstract

Background: Despite the plethora of published articles relating to anterior cruciate ligament injuries, little evidence exists regarding the subject of simultaneous bilateral anterior cruciate ligament reconstruction (SBACLR) and its rehabilitation challenges. Case Report: This case study presents a 17-year-old female athlete who underwent a rare surgical procedure: a SBACLR and suturing of the medial collateral ligament of one knee. A relatively new innovative computerized air-insole auditory biofeedback system (Smartstep™) was used as an adjunct in the evaluation and promotion of weight-bearing in the early stages of rehabilitation. Results: Following intensive rehabilitation over a seven-week period, the athlete progressed in all functional activities of daily living, with a gradual bilateral improvement in weight-bearing abilities. After completion of her rehabilitation program, she returned symptom-free to all previous functional and sporting activities. Conclusions: This case study highlights the fact that although a SBACLR is still a relatively uncommon knee surgical procedure, the possibility exists for an athlete to return to full functional activities of daily living. The Smartstep™ system proved to be a useful objective and accurate adjunct during the rehabilitation process.