A prospective outcome study of rehabilitation programs and anterior cruciate ligament reconstruction

Schenck, Robert C.; Blaschak, M.J.; Lance, Eric D.; Turturro, Thomas C.; Holmes, Clayton

doi:10.1016/s0749-8063(97)90022-0

Cited by 72 publications

(74 citation statements)

References 9 publications

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“…Marsolais et al (2002), Davidson et al (2005) and Monk et al (2006), who noted that the rehabilitation in dogs undergoing extracapsular stabilization with the intention of improving joint amplitude and weight support must begin on the first postoperative day to reduce muscle spasms and prevent muscular atrophy. Schenck et al (1997) completed a study with the rupture of the anterior crucial ligament in humans who underwent rehabilitation and observed improvement in their quality of life. It is important to highlight that the current concern in veterinary medicine is animal well-being, which can be improved by physical therapy, since it is an important and indispensable adjuvant therapy in the postoperative recovery of orthopaedic patients.…”

Section: Resultsmentioning

confidence: 99%

Immediate physical therapy in dogs with rupture of the cranial cruciate ligament submitted to extracapsular surgical stabilization

Berté¹,

Mazzantí

Salbego³

et al. 2012

Arq. Bras. Med. Vet. Zootec.

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The study evaluated the influence of immediate physical therapy on the functional recovery of hind limbs of dogs with experimental cranial cruciate ligament rupture which underwent surgical extracapsular stabilization as well as to verify its interference in joint stability. Eight dogs were randomly divided into two groups: GI (control) (n=4) and GII (physical therapy) (n=4). The dogs in GII underwent the following therapeutic treatments in the postoperative period: cryotherapy, passive joint movement, massage, passive straightening, neuromuscular electrical stimulation, hydrotherapy (bath and aquatic mat) and therapeutic exercises. We performed evaluations of the thigh circumference, goniometry, X-ray, and knee stability (drawer test). Results did not demonstrate a significant difference between the groups nor between different post-operative times. Regarding gait analysis, we found that the 4 dogs in GI remained in degree 3 of lameness 45 and 90 days postoperatively. However, in GII, one dog remained in degree 3 45 and 90 days after surgery; one dog changed from degree 3 to 4 90 days after surgery and the other 2 dogs changed from degree 3 to 5 90 days after surgery. It is possible to conclude that dogs with CCL rupture that undergo immediate physical therapy demonstrate better results in regards to functional gait recovery. The therapeutic modalities used in the immediate postoperative period did not cause instability of the operated knee. Further studies are needed with a larger number of dogs to indicate the immediate physical therapy in dogs with CCL ligament rupture which underwent extracapsular stabilization.Keywords: dog, knee, surgery, physiotherapy, trauma RESUMO Avaliou-se a influência da fisioterapia imediata na recuperação funcional do membro pélvico de cães com ruptura experimental do ligamento cruzado cranial (LCC) submetidos à estabilização cirúrgica extracapsular e verificou-se sua interferência na estabilidade articular. Foram utilizados oito cães distribuídos, aleatoriamente, em GI ou controle (n=4) e GII ou fisioterapia (n=4). Nos cães do GII, as modalidades terapêuticas empregadas no pós-operatório foram crioterapia

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Section: Resultsmentioning

confidence: 99%

Immediate physical therapy in dogs with rupture of the cranial cruciate ligament submitted to extracapsular surgical stabilization

Berté¹,

Mazzantí

Salbego³

et al. 2012

Arq. Bras. Med. Vet. Zootec.

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“…Home-based activities are becoming increasingly important in ACL rehabilitation (Schenck, Blaschak, Lance, Turturro and Holmes, 1997), and it may be that attributions for recovery rate are especially influential in aspects of rehabilitation that occur away from the supervision of rehabilitation practitioners. Future research should address this possibility.…”

Section: Discussionmentioning

confidence: 99%

Attributions for recovery and adherence to rehabilitation following anterior cruciate ligament reconstruction: A prospective analysis

Brewer

Cornelius

Petitpas

et al. 2000

Psychology & Health

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“…18 Patienten erhielten postoperativ krankengymnastische Übungsbehandlung, 17 Patienten erweiterte ambulante Physiotherapie.Voroperationen am betroffenen Kniegelenk oder Frakturen waren Ausschlusskriterien.Grundlage für die Beurteilung des klinischen Ergebnisses waren die klinische Untersuchung, die Scores nach Lysholm und Tegner, das KT-1000, die Winkelreproduktionsfähigkeit nach Barrett (Propriozeption) und der Figure-of-eight-Sprungtest.…”

Section: Zusammenfassungunclassified

“…Über unterschiedliche Nachbehandlungskonzepte nach vorderer Kreuzbandersatzplastik existieren bereits eine Reihe von Studien [3,6,11,17,19,21]. Meistens wurde ein Nachbehandlungsprogramm verwendet, wobei eine Patientengruppe ein protokolliertes Übungsprogramm zu Hause durchführ-te und eine Kontrollgruppe sich in regelmäßigen Abständen zur Nachbehandlung bei einem Krankengymnasten vorstellte.…”

Section: Diskussionunclassified

Ist die erweiterte ambulante Physiotherapie (EAP) nach vorderer Kreuzbandersatzplastik indiziert?

Kh¹,

Habermann²,

Fuchs³

et al. 2001

Der Unfallchirurg

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Thirty-five patients were prospectively examined on average 5.9 and 11.1 months after reconstruction of the anterior cruciate ligament. Eighteen patients were treated postoperatively with a regular physiotherapy (PT) program 2-3 times per week for 30 min, 17 patients with a special, extended, and supervised rehabilitation program 3-5 times per week for 2.5 h. Criteria for exclusion from this study were previous operation or fractures of the affected knee. The bases for the evaluation of the clinical results were the clinical examination, the Lysholm and Tegner scores, KT 1000, angular reproducibility according to Barrett (proprioception), and the figure-of-eight hop test. It appeared that patients treated with extended ambulatory physiotherapy (EAP) gained a significantly higher degree of functionality in the Lysholm score after 5.9 months (p < 0.02) and the Tegner score after 11.1 months (p < 0.05) than patients treated with regular physiotherapy. Patients treated with EAP also displayed better results in the proprioceptive capability test with an angular deviation of 5.8 degrees after 5.9 months compared to 11 degrees in patients receiving regular PT. After 11.1 months, there were no differences in proprioceptive capability between the two groups. Although the EAP patients were faster in the figure-of-eight hop test (0.39 s difference compared to 0.58 s in the PT patients), the results were not statistically significant. In KT 1000 ventral tibial instability was on average 21% lower in the PT patients than in the EAP patients. After 11.1 months, both groups exhibited the same median value of 3 mm. Furthermore, EAP patients were able to return to work after 36.7 days on average, a 35% shorter period than in the case of PT patients (55 days), also of statistical significance (p < 0.02). To conclude, the primarily higher costs of this intensive rehabilitation program are justified by the better functional outcome linked with an earlier return to work.

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A prospective outcome study of rehabilitation programs and anterior cruciate ligament reconstruction

Cited by 72 publications

References 9 publications

Immediate physical therapy in dogs with rupture of the cranial cruciate ligament submitted to extracapsular surgical stabilization

Immediate physical therapy in dogs with rupture of the cranial cruciate ligament submitted to extracapsular surgical stabilization

Attributions for recovery and adherence to rehabilitation following anterior cruciate ligament reconstruction: A prospective analysis

Ist die erweiterte ambulante Physiotherapie (EAP) nach vorderer Kreuzbandersatzplastik indiziert?

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