Documentation of strength training for research purposes after ACL reconstruction

Augustsson, Jesper

doi:10.1007/s00167-012-2167-3

Cited by 20 publications

(15 citation statements)

References 48 publications

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“…However, the level A1 systematic review of Augustsson71 concluded that the strength training programmes after ACLR should be further developed because it is still unclear what is the best way to train the quadriceps. To optimise outcome after rehabilitation, neuromuscular training should be added to strength training according to Gokeler et al 72 and Kruse et al 73.…”

Section: Resultsmentioning

confidence: 99%

Evidence-based clinical practice update: practice guidelines for anterior cruciate ligament rehabilitation based on a systematic review and multidisciplinary consensus

Melick

Cingel

Brooijmans³

et al. 2016

Br J Sports Med

586

572

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AimThe Royal Dutch Society for Physical Therapy (KNGF) instructed a multidisciplinary group of Dutch anterior cruciate ligament (ACL) experts to develop an evidence statement for rehabilitation after ACL reconstruction.DesignClinical practice guideline underpinned by systematic review and expert consensus.Data sourcesA multidisciplinary working group and steering group systematically reviewed the literature and wrote the guideline. MEDLINE and the Cochrane Library were searched for meta-analyses, systematic reviews, randomised controlled trials and prospective cohort studies published between January 1990 and June 2015.Eligibility criteria for selecting studiesIncluded literature must have addressed 1 of 9 predetermined clinical topics: (1) preoperative predictors for postoperative outcome, (2) effectiveness of physical therapy, (3) open and closed kinetic chain quadriceps exercises, (4) strength and neuromuscular training, (5) electrostimulation and electromyographic feedback, (6) cryotherapy, (7) measurements of functional performance, (8) return to play and (9) risk for reinjury.SummaryNinety studies were included as the basis for the evidence statement. Rehabilitation after ACL injury should include a prehabilitation phase and 3 criterion-based postoperative phases: (1) impairment-based, (2) sport-specific training and (3) return to play. A battery of strength and hop tests, quality of movement and psychological tests should be used to guide progression from one rehabilitation stage to the next. Postoperative rehabilitation should continue for 9–12 months. To assess readiness to return to play and the risk for reinjury, a test battery, including strength tests, hop tests and measurement of movement quality, should be used.

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Section: Resultsmentioning

confidence: 99%

Evidence-based clinical practice update: practice guidelines for anterior cruciate ligament rehabilitation based on a systematic review and multidisciplinary consensus

Melick

Cingel

Brooijmans³

et al. 2016

Br J Sports Med

586

572

View full text Add to dashboard Cite

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“…Augustsson 11 systematically reviewed 6 studies that documented strength training protocols after ACL reconstruction, and it was found that only 2 studies clearly documented the postoperative strength training protocol used in their study, suggesting a need for more accurate reporting of strength training protocols. Kristensen and Franklyn-Miller 101 reviewed the efficacy of resistance training for various musculoskeletal conditions, including ACL reconstruction.…”

Section: Resultsmentioning

confidence: 99%

A Systematic Summary of Systematic Reviews on the Topic of the Anterior Cruciate Ligament

Anderson

Browning

Urband

et al. 2016

Orthopaedic Journal of Sports Medicine

160

133

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Background:There has been a substantial increase in the amount of systematic reviews and meta-analyses published on the anterior cruciate ligament (ACL).Purpose:To quantify the number of systematic reviews and meta-analyses published on the ACL in the past decade and to provide an overall summary of this literature.Study Design:Systematic review; Level of evidence, 4.Methods:A systematic review of all ACL-related systematic reviews and meta-analyses published between January 2004 and September 2014 was performed using PubMed, MEDLINE, and the Cochrane Database. Narrative reviews and non-English articles were excluded.Results:A total of 1031 articles were found, of which 240 met the inclusion criteria. Included articles were summarized and divided into 17 topics: anatomy, epidemiology, prevention, associated injuries, diagnosis, operative versus nonoperative management, graft choice, surgical technique, fixation methods, computer-assisted surgery, platelet-rich plasma, rehabilitation, return to play, outcomes assessment, arthritis, complications, and miscellaneous.Conclusion:A summary of systematic reviews on the ACL can supply the surgeon with a single source for the most up-to-date synthesis of the literature.

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“…Despite the perceived value of exercise therapy following ACL injury and reconstruction, there is little certainty regarding its effectiveness and no clarity concerning specific therapeutic dosage and delivery. This stems from most trials after ACL injury not individualising interventions (ie, same programme for all patients) and failing to adequately document exercise frequency, intensity, volume and progression 51. Such a problem is not unique to the ACL field—it similarly affects implementation of rehabilitation for other musculoskeletal conditions 52.…”

Section: Discussionmentioning

confidence: 99%

Rehabilitation after anterior cruciate ligament and meniscal injuries: a best-evidence synthesis of systematic reviews for the OPTIKNEE consensus

et al. 2022

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ObjectiveSynthesise evidence for effectiveness of rehabilitation interventions following ACL and/or meniscal tear on symptomatic, functional, clinical, psychosocial, quality of life and reinjury outcomes.DesignOverview of systematic reviews with Grading of Recommendations Assessment, Development and Evaluation certainty of evidence.Data sourcesMEDLINE, EMBASE, CINAHL, SPORTDiscus and Cochrane Library.Eligibility criteriaSystematic reviews of randomised controlled trials investigating rehabilitation interventions following ACL and/or meniscal tears in young adults.ResultsWe included 22 systematic reviews (142 trials of mostly men) evaluating ACL-injured individuals and none evaluating isolated meniscal injuries. We synthesised data from 16 reviews evaluating 12 different interventions. Moderate-certainty evidence was observed for: (1) neuromuscular electrical stimulation to improve quadriceps strength; (2) open versus closed kinetic chain exercises to be similarly effective for quadriceps strength and self-reported function; (3) structured home-based versus structured in-person rehabilitation to be similarly effective for quadriceps and hamstring strength and self-reported function; and (4) postoperative knee bracing being ineffective for physical function and laxity. There was low-certainty evidence that: (1) preoperative exercise therapy improves self-reported and physical function postoperatively; (2) cryotherapy reduces pain and analgesic use; (3) psychological interventions improve anxiety/fear; and (4) whole body vibration improves quadriceps strength. There was very low-certainty evidence that: (1) protein-based supplements improve quadriceps size; (2) blood flow restriction training improves quadriceps size; (3) neuromuscular control exercises improve quadriceps and hamstring strength and self-reported function; and (4) continuous passive motion has no effect on range of motion.ConclusionThe general level of evidence for rehabilitation after ACL or meniscal tear was low. Moderate-certainty evidence indicates that several rehabilitation types can improve quadriceps strength, while brace use has no effect on knee function/laxity.

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Documentation of strength training for research purposes after ACL reconstruction

Abstract: IV.

Cited by 20 publications

References 48 publications

Evidence-based clinical practice update: practice guidelines for anterior cruciate ligament rehabilitation based on a systematic review and multidisciplinary consensus

Evidence-based clinical practice update: practice guidelines for anterior cruciate ligament rehabilitation based on a systematic review and multidisciplinary consensus

A Systematic Summary of Systematic Reviews on the Topic of the Anterior Cruciate Ligament

Rehabilitation after anterior cruciate ligament and meniscal injuries: a best-evidence synthesis of systematic reviews for the OPTIKNEE consensus

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