Quadriceps function following ACL reconstruction and rehabilitation: implications for optimisation of current practices

Gokeler, Alli; Bisschop, Marsha; Benjaminse, Anne; Myer, Gregory D.; Eppinga, Peter; Otten, Egbert

doi:10.1007/s00167-013-2577-x

Cited by 67 publications

(60 citation statements)

References 52 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Systematic reviews of Gokeler et al 72 (level A1) and Kruse et al 73 (level A1) concluded that eccentric quadriceps training can be safely incorporated 3 weeks after ACLR and may be the most effective way of restoring quadriceps strength. 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.…”

Section: Resultsmentioning

confidence: 99%

“…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. Neuromuscular training is defined as training enhancing unconscious motor responses by stimulating afferent signals and central mechanisms responsible for dynamic joint control 92.…”

Section: Resultsmentioning

confidence: 99%

“…The main conclusions were as follows: Level 1 : starting eccentric quadriceps training (in CKC) from 3 weeks after ACLR is safe and contributes to a bigger improvement in quadriceps strength than concentric training 72 73 76 81 84

Level 1 : neuromuscular training should be added to strength training to optimise self-reported outcome measurements 72 73 75 79

…”

Section: Resultsmentioning

confidence: 99%

“…Level 1 : starting eccentric quadriceps training (in CKC) from 3 weeks after ACLR is safe and contributes to a bigger improvement in quadriceps strength than concentric training 72 73 76 81 84…”

Section: Resultsmentioning

confidence: 99%

“…Level 1 : neuromuscular training should be added to strength training to optimise self-reported outcome measurements 72 73 75 79…”

Section: Resultsmentioning

confidence: 99%

See 4 more Smart Citations

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

551

572

View full text Add to dashboard Cite

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.

show abstract

Section: Resultsmentioning

confidence: 99%