Supervised physiotherapy leads to a better return to physical activity after anterior cruciate ligament reconstruction

Przybylak, Katarzyna; Sibiński, Marcin; Domżalski, Marcin; Kwapisz, Adam; Momaya, Amit; Zielińska, Marzenna

doi:10.23736/s0022-4707.18.08692-9

Cited by 12 publications

(12 citation statements)

References 49 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The number of studies in each category were as follows; five studies used at least one hop test [30,33,36,40,46], eight studies used an isokinetic dynamometry strength measure [30,31,34,37,38,40,42,45] and 18 different patient-reported OMs were utilised in 12 different studies [30, 32-39, 43, 44, 46]. Eighteen different clinical-based assessments (pain, range of motion, atrophy, effusion, laxity, Lysholm knee score, Tegner activity scale and international knee documentation committee knee evaluation) were used in 15 studies [31-38, 40, 43-48] and 14 other OMs (RTS status/activity level, re-rupture, gait analysis, functional movement screen, surgery satisfaction, imaging and demographics) were utilised in 10 studies [38,39,[41][42][43][44][46][47][48][49]. Methodological quality refers to the outcome of the quality appraisal undertaken by the review not the authors of this study.…”

Section: Original Studiesmentioning

confidence: 99%

“…The intervention period was labelled according to the stages of rehabilitation the intervention spanned; early-stage (0-3 months), mid-stage (0-6 months) and late-stage (0-6 months+). Eight studies investigated through to the late phase [32,35,39,40,44,45,48,49], nine mid-stage [30, 31, 33, 36, 41-43, 46, 47] and two early-stage [37,38]. Only five studies had a follow-up assessment period longer than the intervention period [31,34,37,41,47].…”

Section: Original Studiesmentioning

confidence: 99%

“…Seven studies, all published in the last 4 years, showed an association between improved outcome and moderate or high-frequency supervised rehabilitation. Specifically, prospectively designed studies found associations between proprioception recovery [42], functional knee movement [42], higher return to preinjury level of sports [44] and better quality of life [44] in a highly supervised group than in a low supervision home-based group.…”

Section: Original Studiesmentioning

confidence: 99%

See 2 more Smart Citations

The Influence, Barriers to and Facilitators of Anterior Cruciate Ligament Rehabilitation Adherence and Participation: a Scoping Review

2020

View full text Add to dashboard Cite

Background: Outcomes following anterior cruciate ligament (ACL) reconstruction are considered poor. There are many factors which may influence patient outcomes. As such, the purpose of this review was to report on the influence, barriers to and facilitators of rehabilitation adherence and participation after ACL reconstruction, providing information to help clinicians and patients make quality decisions to facilitate successful rehabilitation. Methods: A systematic search of five electronic databases was undertaken in identifying studies from inception to 18 July 2019. The search included English language articles reporting on the influence, barriers to and facilitators of adherence and participation in rehabilitation of patients who have undergone ACL reconstruction. Data extraction and synthesis of included studies were undertaken. Results: Full text articles (n = 180) were assessed for eligibility following screening of titles and abstracts (n = 1967), yielding 71 studies for inclusion. Forty-four articles investigated 'rehabilitation prescription and participation' and 36 articles investigated 'rehabilitation barriers and facilitators'. The results indicate that a moderately or minimally supervised rehabilitation program is at least as effective as a fully supervised high-frequency rehabilitation program, although a longer duration of supervised rehabilitation is associated with improvement in a multitude of functional outcomes. A number of psychological factors associated with rehabilitation adherence were also identified. The most commonly investigated concepts were self-motivation, athletic identity and social support. Patients perceived the therapeutic relationship, interaction with family and friends, self-motivation, fear of reinjury, organisation/lack of time and interpersonal comparison as the most common barriers to and facilitators of rehabilitation. Conclusions: A longer duration of supervised rehabilitation is associated with an increased chance of meeting functional and return to sport criteria; however, the optimal supervised rehabilitation frequency is yet to be determined. Identification of the barriers to and facilitators of adherence and participation in ACL rehabilitation provides an opportunity for further research to be conducted to address personal, environmental and treatmentrelated factors, with the aim to improve rehabilitation outcomes.

show abstract

Section: Original Studiesmentioning

confidence: 99%

Section: Original Studiesmentioning

confidence: 99%

Section: Original Studiesmentioning

confidence: 99%

See 1 more Smart Citation

The Influence, Barriers to and Facilitators of Anterior Cruciate Ligament Rehabilitation Adherence and Participation: a Scoping Review

2020

View full text Add to dashboard Cite

show abstract

“…A successful rehabilitation program should benefit the patients to return to an active lifestyle and preinjury levels. Outcomes of the numerous rehabilitation programs such as standard, aggressive, accelerated, home-based, supervised, and intensive programs in the literature have been discussed [1–7].…”

Section: Introductionmentioning

confidence: 99%

“…Rehabilitation programs for anterior cruciate ligament reconstruction (ACL-R) include a lot of parameters such as regaining the early full passive knee extension, immediate range of motion (ROM), proprioception, quadriceps and hamstring strengthening, and fast return to normal daily living activities and sports [1–4].…”

Section: Introductionmentioning

confidence: 99%

Effects on Lower Extremity Neuromuscular Control Exercises on Knee Proprioception, Muscle Strength, and Functional Level in Patients with ACL Reconstruction

Kaya

Guney

Sayaca

et al. 2019

BioMed Research International

View full text Add to dashboard Cite

Objective The purpose of this study was to determine the effects of lower extremity motor control exercises on knee proprioception, muscle strength, and functional level in patients with anterior cruciate ligament reconstruction (ACL-R). Materials and Methods Thirty-two of the 57 patients with ACL-R using tibialis anterior allografts were divided into two groups. Group I: lower extremity motor control exercises were added to the standard rehabilitation program. Group II: standard rehabilitation program was applied. Effects of lower extremity motor control exercises on quadriceps and hamstring muscles strength, knee joint position sense, and hop test were evaluated. Results There were no differences in muscle strength and endurance of the quadriceps and hamstring between the operative and nonoperative sides in Group I (p > 0.05) while there were significant differences in strength of the quadriceps and hamstring between the operative and nonoperative sides in Group II (p < 0.05). There were significant differences in the endurance of the quadriceps and hamstring and knee joint position sense at 15°, 45°, and 75° between the operative sides of the patients in both groups (p < 0.05). Conclusions The neuromuscular control exercises program was found to be more effective in reducing the difference in strength while the standard program was found to be more effective in reducing the difference in endurance between the operated knee and the other knee. This study revealed that neuromuscular control exercises should also be used to improve knee proprioception sense following ACL-R.

show abstract

Time to Reflect on Return to Sport Timing Following ACL Reconstruction

Bodkin

2024

Sports Med

View full text Add to dashboard Cite

Supervised physiotherapy leads to a better return to physical activity after anterior cruciate ligament reconstruction

Cited by 12 publications

References 49 publications

The Influence, Barriers to and Facilitators of Anterior Cruciate Ligament Rehabilitation Adherence and Participation: a Scoping Review

The Influence, Barriers to and Facilitators of Anterior Cruciate Ligament Rehabilitation Adherence and Participation: a Scoping Review

Effects on Lower Extremity Neuromuscular Control Exercises on Knee Proprioception, Muscle Strength, and Functional Level in Patients with ACL Reconstruction

Time to Reflect on Return to Sport Timing Following ACL Reconstruction

Contact Info

Product

Resources

About