An australian survey of in-patient protocols for quadriceps exercises following anterior cruciate ligament reconstruction

Shaw, Triston; McEvoy, Maureen P.; McClelland, Jodie A.

doi:10.1016/s1440-2440(02)80017-2

Cited by 5 publications

(7 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Quadriceps exercises, such as isometric quadriceps contractions and straight leg raises, are frequently prescribed by physiotherapists during the acute postoperative period following anterior cruciate ligament reconstruction (Shaw et al 2002). However, the rationale for the prescription of quadriceps exercises during postoperative recovery is often based on anecdotal rather than higher level evidence.…”

Section: Discussionmentioning

confidence: 99%

Do early quadriceps exercises affect the outcome of ACL reconstruction? A randomised controlled trial

Shaw

Williams

Chipchase

2005

Australian Journal of Physiotherapy

View full text Add to dashboard Cite

A prospective, blinded, randomised controlled trial investigated the effectiveness of quadriceps exercises following anterior cruciate ligament reconstruction. A treatment group (Quadriceps exercise group) performed straight leg raises and isometric quadriceps contractions throughout the first two postoperative weeks, and a second group (No quadriceps exercise group) did not. A battery of outcome measures assessed subjects postoperatively at day one, two weeks, and one, three and six months. A total of 103 patients (Quadriceps exercise n = 48, No quadriceps exercise n = 55) commenced the study with 91 subjects available at final follow up (Quadriceps exercise n = 47, No quadriceps exercise n = 44). Performance of quadriceps exercises significantly improved a number of knee flexion and extension range of motion measurements (p = 0.01 to 0.04). No significant differences were found between the two groups at any postoperative period for quadriceps lag (p = 0.36), functional hop testing (p = 0.49 to 0.51), isokinetic quadriceps strength (p = 0.70 to 0.72), the majority of numerical analogue scores (p = 0.1 to 0.94) and Cincinnati scores (p = 0.10 to 0.84). Subjects performing quadriceps exercises reported significantly higher pain scores with exercise on the first postoperative day (p = 0.02). At six months postoperatively, the Quadriceps exercise subjects reported significantly more favourable Cincinnati scores for symptoms (p = 0.005) and problems with sport (p = 0.05). While average knee laxity was not significantly different between treatment groups over time (p = 0.27 to 0.94), quadriceps exercise performance was associated with a significantly lower incidence of abnormal knee laxity. Isometric quadriceps exercises and straight leg raises can be safely prescribed during the first two postoperative weeks and confer advantages for faster recovery of knee range of motion and stability. It remains to be proven whether the magnitude of differences between groups is clinically significant.

show abstract

Section: Discussionmentioning

confidence: 99%

Do early quadriceps exercises affect the outcome of ACL reconstruction? A randomised controlled trial

Shaw

Williams

Chipchase

2005

Australian Journal of Physiotherapy

View full text Add to dashboard Cite

show abstract

“…The exercise interventions applied in the papers were mostly representative of usual clinical practice. 32 The findings of this review are therefore relevant to clinicians who prescribe similar exercise regimens as they provide insight into the effect on patient outcomes. Appropriate function of the quadriceps muscle group is important daily and sporting activities.…”

Section: Discussionmentioning

confidence: 99%

“…32,34,38 • ACL reconstruction: The surgical repair of the ACL after complete ACL rupture or recurrent ligament injury. 10 All types of grafts including bone-patellar tendon-bone, bone-tendonbone, semitendinosus-hamstring and semitendinosus-gracilis grafts were included in this review.…”

Section: Methodsmentioning

confidence: 99%

Effectiveness of early quadriceps exercises after anterior cruciate ligament reconstruction

Pumell¹

2008

S. Afr. j. sports med.

View full text Add to dashboard Cite

Objective. To systematically review the published information regarding the effectiveness and safety of early postoperative quadriceps muscle exercise training on pain, joint laxity, function and range of motion in postoperative anterior cruciate ligament (ACL) reconstruction adult patients. Data sources.Five databases (CINAHL, PEDro, Pubmed, Science Direct and the Cochrane Library) were searched for studies published from January 1990 to May 2007. Study selection.Publications describing research into the effectiveness of early quadriceps exercises after ACL reconstruction were included. A total of three eligible articles met the inclusion criteria. Data extraction.A review of the three eligible studies was undertaken to describe the key study components. The PEDro Scale was used to determine the methodological quality of the selected trials and the level of evidence of all the eligible studies was categorised according to the evidence hierarchy by Lloyd-Smith. 24 Relevant data were extracted by the two reviewer groups to reduce bias.Data synthesis. Due to study heterogeneity a meta-analysis could not be conducted. Effect sizes were calculated provided that sufficient data were provided. Outcome measures included range of motion (ROM), functional performance, pain CORRESPONDENCE:Quinette Division of Physiotherapy, Stellenbosch University, South Africa and knee laxity. The methodological quality of the studies did not vary considerably across the studies and the average PEDro score was 66%. Marginal significant differences were noted in knee ROM at 1 month postoperatively, pain day 1 postoperatively, knee laxity and subjective evaluation of function at 6 months postoperatively. Conclusion.Early quadriceps exercises can be performed safely in the first 2 postoperative weeks, but clinically significant gains in ROM, function, pain and knee laxity were not evident. Further research should include standardised interventions, measurement time frames and outcome measurement tools to allow for a meta-analysis to be conducted. research has been published on rehabilitation protocols after ACL reconstruction. 34 Published research in the 1980s focused on the effectiveness of electrical stimulation of the quadriceps muscle in the acute postoperative stage to decrease the effect of muscle atrophy and weakness. 28 More recently, the focus of published research has been on accelerated versus non-accelerated rehabilitation programmes, as well as open-kinematic chain versus closed-kinematic chain exercises in early rehabilitation after ACL reconstruction. 5,9 Anecdotally, it is proposed that accelerated rehabilitation programmes that allow early range of motion (ROM), immediate weight-bearing and early return to previous functional level should be advocated as best practice. However, these recommendations for best practice are often based on clinical opinion and not on research evidence. 9 Clinical decision-making regarding the most appropriate exercises should be based on research evidence. 9Appropriate neuromuscular fu...

show abstract

“…The study revealed that delayed ACL repair led to reduced motion loss following rehabilitation, fewer re-arthroscopies due to extension loss, and improved Lysholm ratings compared to early reconstruction [29]. Shaw et al's survey of Australian hospitals found a lack of standard practice regarding quadriceps strengthening exercises during the in-patient period after ACLR [30]. Static quadriceps contractions were prescribed by most hospitals surveyed, while inner-range quadriceps exercises were used less frequently [30].…”

Section: /10mentioning

confidence: 99%

Anterior Cruciate Ligament Reconstruction and Return to Sports: A Comprehensive Guide

Ahsan

2023

Ann Sports Med Res

View full text Add to dashboard Cite

The article also examines the factors that may affect an athlete’s ability to return to sports following ACL reconstruction. The factors contributing to this phenomenon include surgical intervention, common complications of ACL reconstruction, and rehabilitation. The article examines the significance of implementing a thorough rehabilitation program that encompasses activities aimed at enhancing strength, flexibility, and balance.

show abstract

An australian survey of in-patient protocols for quadriceps exercises following anterior cruciate ligament reconstruction

Cited by 5 publications

References 15 publications

Do early quadriceps exercises affect the outcome of ACL reconstruction? A randomised controlled trial

Do early quadriceps exercises affect the outcome of ACL reconstruction? A randomised controlled trial

Effectiveness of early quadriceps exercises after anterior cruciate ligament reconstruction

Anterior Cruciate Ligament Reconstruction and Return to Sports: A Comprehensive Guide

Contact Info

Product

Resources

About