Recent advances following anterior cruciate ligament reconstruction: rehabilitation perspectives

Abstract

Injuries to the anterior cruciate ligament are common. Surgical reconstruction is more prevalent than ever. This review article discusses treatment of the patient following surgical reconstruction of the anterior cruciate ligament. Various phases of rehabilitation are discussed with emphasis on early return of passive motion, early weight bearing, bracing, kinetic chain exercises, neuromuscular electrical stimulation and accelerated rehabilitation. Although evidence exists for the treatment of the surgically reconstructed cruciate ligament, more is needed to better define specific timeframes for advancement. Evidence exists that many of these young individuals are not fully returning to unlimited high level activities. This review article presents some of the latest evidence regarding anterior cruciate ligament rehabilitation in an attempt to help the busy clinician understand and relate basic and clinical research to rehabilitation of a patient following reconstruction.

Effects of Lumbar Core Stability Exercise Programme on Knee Pain, Range of Motion, and Function Post Anterior Cruciate Ligament Reconstruction

“…Manske et al 30 in a systemic review of the latest evidence regarding ACL rehabilitation, incorporated a phase-wise rehabilitation protocol starting from the immediate rehabilitation to more than 6 months postoperative rehabilitation and home-based rehabilitation as compared to the supervised therapy by physical therapist. The studies in the above systemic review suggested that home-based therapy may produce similar outcomes as clinicalbased programs.…”

Assessment of knee joint range of motion and the level of pain in patients after arthroscopic ACL reconstruction in the selected physiotherapy model

“…Do najbardziej spektakularnych następstw urazów stawu kolanowego zalicza się uszkodzenia w obrębie aparatu więzadło-wego, zwłaszcza więzadła krzyżowego przedniego (ACL). Całkowite zerwanie ACL w zdecydowanej większości przypadków wymaga specjalistycznego leczenia operacyjnego (rekonstrukcji ACL) [6][7][8][9][10][11][12][13][14][15][16][17].…”

Physical therapy to improve mobility following surgery for multiple ligament knee injuries: A case report

“…By the end of the first week (visit 4), he continued to report pain along patellar incision site with extension activities and weight bearing activities. Due to ACL autograft BTB reconstruction, it is expected that patient would have more patellofemoral complications due to scarring of these areas [27]. During visit 4, treatment was modified to include moist hot pack to reduce pain, increase circulation and improved tissue extensibility as a preparatory technique for manual techniques [28].…”