Allyane, a new treatment option for complications of ligamentous knee surgery

Possible complications following cruciate knee ligament surgery

Following knee ligament surgery, complications may arise, leading to walking difficulties. The most frequently described knee pathologies are as follows:

- pain,

- hydarthrosis,

- hemarthrosis,

- infection,

- phlebitis,

- algoneurodystrophy,

- patellar syndrome,

- skin complications,

- stiffness,

- quadriceps sideration

- patellofemoral syndrome

- flessum

cruciate knee ligament rehabilitation

The question of flessum's origin

It is surprising to find in many publications that quadriceps weakness creates an extension deficit and therefore flessum. There is little mention of neuromotor inhibition and, in particular, of the permanent hamstring contracture that protects a painful knee. But we could look at the problem from two angles: do we have flessum because the knee is painful, or do we have a painful knee because the knee is in flessum?

I fully agree with Gray Cook, my American counterpart, who believes that the main vector is motor skills, not pain. Movement is the key to recovery , and that key is our brain. Reprogramming our brain to liberate our motor skills is the first step towards the essentials of joint function: living for movement and through movement.

Care with the Allyane method

A method based on movement and action

Allyane is a new concept in neuromotor reprogramming based on neuroscience, which enables patients to reproduce motor skills that focus on function rather than protection.

If overprotection kills talent in sport, the same applies to rehabilitation : movement therapy is the basis of our action.

A method based on a tripod

Allyane is a method based on hearing low-frequency sounds, mental imagery and proprioceptive sensations.

Low-frequency sounds have a dual role: they activate motor areas and enable the patient to move into alpha mode of cerebral activity. Alpha mode corresponds to a state of consciousness that favors neuro-sensoriality and, above all, enables it to be encoded at the level of the emotional motor pathway, i.e. the reticulated, multi-sensorial pathway. It is at this level that a high-performance, long-lasting triumvirate is created: low-frequency sounds, motor imagery and proprioceptive sensations.

How does it work?

After isolating the proprioceptive information corresponding to correct knee movement, the patient lies down, therefore out of action, with a headset generating sequences of precise, specific low-frequency sounds emitted by a medical device: the Alphabox. The patient first deprograms the lameness or muscular insufficiency by producing a mental image of this functional incompetence, and erases the deficient motor pattern, anchoring this image with sound. He then reprograms, producing amental image of perfect motor function, based on the sensations worked on at the start of the session, mirrored in relation to the healthy limb.

Low-frequency sounds enable any patient, whatever their level of neurosensory competence, to enter alpha mode. Deprogramming will neutralize the specific motor pathway, allowing the patient to function only on the sensory motor pathway where the new information is stored.

Les résultats sont parfois surprenants car l’on peut modifier une boiterie de plusieurs mois, gagner des amplitudes articulaires, réactiver< un quadriceps ou réduire un flessum, le plus souvent en une séance.

Ligament knee rehabilitation protocols have been in place for a very long time, and it now seems appropriate to integrate the contribution of neuroscience to better understand and rehabilitate ligament knee complications.