The effectiveness of pre-operative exercise physiotherapy rehabilitation on the outcomes of treatment following anterior cruciate ligament injury: a systematic review

Alshewaier, Shady Abdullah; Yeowell, Gillian; Fatoye, Francis

doi:10.1177/0269215516628617

Cited by 51 publications

(37 citation statements)

References 27 publications

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“…In addition, strength and clinical WOMAC scores correlated significantly. Also other studies reported, that muscle weakness may be a risk factor for OA and that improving muscle strength improves the outcome after ACL reconstruction [10, 11, 59]. In our study, the influence of muscle characteristics on OA progression was not significant; only minor differences were depicted (Tables 2 and 4).…”

Section: Discussionsupporting

confidence: 47%

Degeneration in ACL Injured Knees with and without Reconstruction in Relation to Muscle Size and Fat Content—Data from the Osteoarthritis Initiative

Jungmann¹,

Baum²,

Nevitt

et al. 2016

PLoS ONE

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BackgroundAnterior cruciate ligaments (ACL) injuries represent a major risk factor for early osteoarthritis (OA).PurposeTo evaluate the prevalence and 4-year progression of knee OA measured with 3T MR-imaging in individuals with ruptured, reconstructed or normal ACL and to assess the impact of thigh muscle characteristics.MethodsA total of 54 knees (23/54 male, 31/54 female) were recruited from the Osteoarthritis Initiative (OAI). At baseline, 15/54 subjects had prevalent ACL ruptures and 15/54 subjects had prevalent ACL reconstruction (24/54 normal ACL). Western Ontario and McMasters Universities Arthritis Index (WOMAC) scores, Physical Activity Scores of the Elderly (PASE) and thigh muscle characteristics including strength, fat infiltration (Goutallier score) and thigh muscle cross-sectional area (CSA) MR measurements were obtained at baseline. Whole-organ MR-imaging Scores (WORMS) were obtained at baseline and at a 4-year follow-up time-point. Multivariate regression models, adjusting for covariates (age, gender, body mass index), were used for statistical analysis.ResultsAt baseline, subjects with prevalent ACL ruptures had worse WORMS total scores (mean±SEM, 44.1±3.5) than subjects with ACL reconstruction (30.8±4.0; P = 0.015) and worse than subjects with normal ACL (21.3±3.0; P<0.001). Cartilage scores were worse in both femorotibial compartments in ACL injured knees than in knees with normal ACL (P<0.05). Knees with ACL reconstruction showed an increased degeneration of the medial meniscus (P = 0.036), cartilage degeneration at the medial femoral condyle (P = 0.011). In a multivariate regression model, including both ACL groups and total muscle characteristics as influence parameters, high thigh muscle CSA, high muscle/ fat ratio and low Goutallier scores were associated with less degenerative changes at the knee, independent of ACL status. Knees with ACL reconstruction showed an increased progression of cartilage degeneration at the medial tibia compared to the normal ACL group (P = 0.027).ConclusionsHigh thigh muscle CSA is associated with less degenerative changes at the knee, independent of the ACL status and may potentially be advantageous in the prevention of early OA.

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Section: Discussionsupporting

confidence: 47%

Degeneration in ACL Injured Knees with and without Reconstruction in Relation to Muscle Size and Fat Content—Data from the Osteoarthritis Initiative

Jungmann¹,

Baum²,

Nevitt

et al. 2016

PLoS ONE

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“…Nonetheless, the patient can't hold off the surgery for a long time, as the muscular, articular, and proprioceptive deficits and weakness may take place quickly. Pre and Post-Operative sessions in relation to functional outcomes: One systemic review on the effects of pre-operative rehabilitation in individuals with anterior cruciate ligament rupture has shown a changing and improvement for the intervention group vs the control group regarding the muscular strength, function, and quality of life after treatment [22]. Kim et al have noted that a pre-operative muscular deficit that is more than 20% in the quadriceps may result in a persistent muscular deficit for 2 years [23].…”

Section: Injury-surgery Period and Functional Resultsmentioning

confidence: 99%

Evaluation of Rehabilitation Parameters After Anterior Cruciate Ligament Reconstruction

Atwi¹,

Abbes²,

Mansour³

et al. 2017

IJPR

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Introduction: The purpose of this study is to find out the ideal number of pre and post-operative physical therapy sessions, the importance of age, the training after the reeducation visits, the optimal time of evaluation after surgery, and the impact of the period between the time of injury and surgery on the post-operative functional outcomes of the knee. Materials and Methods:We have selected 50 patients among 539 individuals who have had ACL reconstruction surgeries (from six months and more) using the Kenneth Jones technic (KJ), aged between 18 and 50 years, and have gone through the same reeducation protocol. They had to complete the IKDC score to evaluate and analyze the outcomes across the 6 variables cited above.Results and Discussion: The student's t-test has validated the results for the age (P<0.05). As a matter fact, the age above 35 years in not an obstacle any more to have good functional outcomes in the knee. The results of the surgery in relation with the period of time between the date of injury and the surgery may negatively or positively affect the outcomes. Therefore, the optimal period is at 1 to 1,5 months after the injury. The number of postoperative sessions ((P=0.75)>0.05) as well as the number of post-reeducation training days ((P=0.44>0.05) did not show significant impact on the functional outcomes of the knee. Conclusion:The results of the surgery in relation with the number of visits following the operation have indicated a minimum of 15 sessions (79.3%) and a maximum of 20 to 25 sessions. Finally, there has not been a relevant relation between the date of evaluation and the functional outcomes of the knee.

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“…Physiotherapists consider pre-operative rehabilitation to have an important influence on post-operative outcomes (Ebert, Webster, Edwards, Joss, D'Alessandro, et al, 2018). A structured physiotherapy-led pre-ACLR rehabilitation programme of up to 27 sessions has been shown to be effective and safe, and to improve outcomes two years after ACLR (Alshewaier, Yeowell, & Fatoye, 2017;Eitzen et al, 2010;Eitzen et al, 2009;Failla et al, 2016;Logerstedt et al, 2013). Our research found that 24% of people did not receive physiotherapy treatment prior to ACLR, which suggests the post-operative outcomes for almost a quarter of people in our sample may have been sub-optimal.…”

Section: Duration and Quantity Of Physiotherapy Treatmentmentioning

confidence: 99%

Untitled

2019

NZJP

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The effectiveness of pre-operative exercise physiotherapy rehabilitation on the outcomes of treatment following anterior cruciate ligament injury: a systematic review

Abstract: There is evidence to suggest that pre-operative physiotherapy rehabilitation is beneficial to patients with anterior cruciate ligament injury.

Cited by 51 publications

References 27 publications

Degeneration in ACL Injured Knees with and without Reconstruction in Relation to Muscle Size and Fat Content—Data from the Osteoarthritis Initiative

Degeneration in ACL Injured Knees with and without Reconstruction in Relation to Muscle Size and Fat Content—Data from the Osteoarthritis Initiative

Evaluation of Rehabilitation Parameters After Anterior Cruciate Ligament Reconstruction

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