A Systematic Review of Anterior Cruciate Ligament Reconstruction Rehabilitation –<i>Part II: Open Versus Closed Kinetic Chain Exercises, Neuromuscular Electrical Stimulation, Accelerated Rehabilitation, and Miscellaneous Topics</i>

Wright, Rick W.; Preston, Emily; Fleming, Braden C.; Amendola, Annunziato; Andrish, Jack T.; Bergfeld, John A.; Dunn, Warren R.; Kaeding, Chris; Kuhn, John E.; Marx, Robert G.; McCarty, Eric C.; Parker, Richard C.; Spindler, Kurt P.; Wolcott, Michelle; Wolf, Brian; Williams, Glenn N.

doi:10.1055/s-0030-1247823

Cited by 138 publications

(123 citation statements)

References 33 publications

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“…Patients with concomitant knee surgical procedures are often delayed in the recovery of knee flexion motion. In a systematic review by Wright et al [16], they found no substantial advantage for the use of a continuous passive motion device in the early post-operative phase based on six randomized controlled trials.…”

Section: Early Post-operative Complicationsmentioning

confidence: 99%

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Prevention and Management of Post-operative Complications Following ACL Reconstruction

Eckenrode

Carey

Sennett

et al. 2017

Curr Rev Musculoskelet Med

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Purpose of Review The goal of this paper is to review the current management and prevention of post-operative complications after anterior cruciate ligament (ACL) reconstruction. Trends in rehabilitation techniques will be presented, in addition to suggestions for interventions and expected milestones in ACL reconstruction recovery. Recent Findings ACL reconstruction protocols have evolved to more of a criterion-based progression rather than a tissuehealing time frame. Given the evolution of ACL surgical reconstruction techniques and rehabilitation protocols, the risk of post-operative complications can arise both early and late in the recovery process. This paper will discuss the role of preventative measures as it applies to the post-operative patient with ACL reconstruction. Summary Short-term complications following ACL reconstruction include infection and deficits to knee motion and strength, whereas long-term complications include secondary ACL injury to either the involved or contralateral knee and lack of ability to return to high-level sports following this procedure. Future research should continue to address the multifactorial causes of secondary ACL injury and limited ability of patients to return to high level activities.

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Section: Early Post-operative Complicationsmentioning

confidence: 99%

“…Stimulation can be performed in full knee extension for patients with bone-patella-bone grafts and at 60°isometrically for patients with allografts or hamstring autografts. NMES is recommended to be applied at a high-intensity for it to be successful in improving quadriceps strength [16].…”

Section: Early Post-operative Complicationsmentioning

confidence: 99%

Prevention and Management of Post-operative Complications Following ACL Reconstruction

Eckenrode

Carey

Sennett

et al. 2017

Curr Rev Musculoskelet Med

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“…Although the prior systematic reviews identified a paucity of studies on accelerated rehabilitation 1 , Beynnon et al demonstrated that it is unlikely to be harmful 5 . Recently, numerous additional randomized clinical trials have evaluated the timing and safety of strengthening in accelerated compared with standard rehabilitation (Table III) 6-11 .…”

Section: Postoperative Bracingmentioning

confidence: 99%

“…Four studies included in the previous systematic reviews had evaluated home-based compared with outpatient physical therapy for rehabilitation after ACL reconstruction 1,2 . Despite flaws in reporting and study design that resulted in biases, the studies indicated that a motivated patient could obtain reasonable results with minimally supervised home-based rehabilitation.…”

Section: Home-based Rehabilitationmentioning

confidence: 99%

Rehabilitation After Anterior Cruciate Ligament Reconstruction

Kruse

Gray

Wright

2012

Journal of Bone and Joint Surgery

259

216

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“…In general, these programs are designed to maximize function by restoring range of motion (ROM), strength, and neuromuscular coordination, (5,6) and typically commence during the acute in-patient period. Early rehabilitation objectives include restoration of knee ROM, pain management, reduction of swelling, early ambulation, and initial recovery of muscle strength.…”

Section: Introductionmentioning

confidence: 99%

Ön Çapraz Bağ Tamir Operasyonu Sonrası Gülhane Ön Çapraz Bağ Rehabilitasyon Protokolü

Tuğcu¹,

Tok²,

Yılmaz³

et al. 2013

Tftr

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Objective: A well-planned post-operative rehabilitation protocol is as important to the final outcome after anterior cruciate ligament (ACL) reconstruction as the surgery itself. The aim of the present study was to investigate whether a comprehensive approach to acute post-operative rehabilitation -the Gulhane ACL Rehabilitation Protocol-significantly affected post-operative outcome in ACL reconstruction cases over a 13-week period. Materials and Methods: This prospective clinical trial included 58 male patients who underwent unilateral, arthroscopically assisted ACL reconstruction with a bone-patellar tendon-bone graft. A KAT (Kinesthetic Ability Trainer) 2000 balance system was used to quantify balance performance of the lower extremities 2 days before surgery and 13 weeks post-surgery. Additionally, isokinetic tests were performed at the same time points, and knee and thigh (5 cm, 10 cm, and 15 cm above the patella) circle measurements were obtained in both legs 1, 6, and 13 weeks post-surgery. Results: The mean age of the patients was 26.63 years. In all, 31 patients had right and 27 patients had left ACL reconstruction. There was significant improvement in dynamic balance scores from pre-op to post-op (p<0.05). There were significant decreases in extensor peak torque scores at 60°s-1 and 180°s-1 in the operated legs (p=0.042 and p=0.007, respectively). There were significant decreases in the thigh circle 5 cm and 10 cm above the patella 6 weeks post-surgery and significant increases at 10 cm and 15 cm above the patella 13 weeks post-surgery in the operated legs (p<0.016). Conclusion:The Gulhane ACL Rehabilitation Protocol could be used following ACL reconstruction. Turk J Phys Med Rehab 2013;59:117-22. Key Words: Anterior cruciate ligament, rehabilitation, protocol Özet Amaç: İyi planlanmış bir rehabilitasyon protokolü ön çapraz bağ (ÖÇB) tamir operasyonunun kendisi kadar önemlidir. Bu çalışmanın amacı postoperatif akut dönemde uygulanan kapsamlı bir rehabilitasyonun -Gülhane Ön Çapraz Bağ Rehabilitasyon Protokolü-13 haftalık süre sonunda ÖÇB tamiri uygulanmış bireylerde etkin olup olmadığını ortaya koymaktır. Gereç ve Yöntem: Bu prospektif klinik çalışmaya unilateral artroskopik ACL tamir cerrahisi uygulanmış ve kemik-patellar tendon-kemik grefti uygulanmış 58 erkek hasta alındı. Hastaların alt ekstremite denge performansları cerrahiden 2 gün önce ve cerrahiden 13 hafta sonra KAT (Kinesthetic Ability Trainer) 2000 denge sistemi ile ölçüldü. Ayrıca aynı günlerde izokinetik test uygulandı. Buna ilaveten cerrahiden 1, 6 ve 13 hafta sonra hastaların diz ve uyluk çevresi (patella üzeri, patella üstü 5 cm, 10 cm ve 15 cm) ölçüldü. Bulgular: Hastaların ortalama yaşı 26,63 idi. 31 hasta sağ, 27 hasta sol ÖÇB tamiri görmüş idi. Hastaların postoperatif dönem dinamik denge skoru cerrahi öncesine göre belirgin olarak gelişmiş idi (p<0,05). Opere olan bacakta ekstansör pik tork skorları 60°s-1 ve 180°s-1 'lik açısal hızlarda belirgin olarak azalmış idi (p=0,042 ve p=0,007, sırasıyla). Cerrahi olan bacakta 6. haftada pa...

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A Systematic Review of Anterior Cruciate Ligament Reconstruction Rehabilitation –Part II: Open Versus Closed Kinetic Chain Exercises, Neuromuscular Electrical Stimulation, Accelerated Rehabilitation, and Miscellaneous Topics

Cited by 138 publications

References 33 publications

Prevention and Management of Post-operative Complications Following ACL Reconstruction

Prevention and Management of Post-operative Complications Following ACL Reconstruction

Rehabilitation After Anterior Cruciate Ligament Reconstruction

Ön Çapraz Bağ Tamir Operasyonu Sonrası Gülhane Ön Çapraz Bağ Rehabilitasyon Protokolü

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