Rehabilitation following surgical reconstruction for anterior cruciate ligament insufficiency: What has changed since the 1960s?-State of the art

被引:36
作者
Piedade, Sergio R. [1 ,5 ]
Arruda, Bruno P. Leite [2 ]
de Vasconcelos, Rodrigo A. [2 ]
Parker, David A. [3 ]
Maffulli, Nicola [4 ]
机构
[1] Univ Estadual Campinas, Dept Orthoped Rheumatol & Traumatol, Exercise & Sports Med, UNICAMP, BR-13083887 Campinas, SP, Brazil
[2] Nucleo Estudos Inst Willson Mello, BR-13080650 Campinas, Brazil
[3] Sydney Orthopaed Res Inst, Chatswood, NSW 206, Australia
[4] Mile End Hosp, Ctr Sports & Exercise Med, Barts & London Sch Med & Dent, 275 Bancroft Rd, London E1 4DG, England
[5] Rua Severo Penteado 131,Apto 01, BR-13025050 Campinas, SP, Brazil
关键词
Anterior cruciate ligament injuries; Rehabilitation; Anterior cruciate ligament reconstruction; Physical functional performance; Return to play; Patient report outcome measures; KINETIC-CHAIN EXERCISES; PATELLAR TENDON GRAFT; NORMAL KNEE MOTION; ACL RECONSTRUCTION; RETURN; INJURY; INSTABILITY; STABILITY; SURGERY; MANAGEMENT;
D O I
10.1016/j.jisako.2022.10.001
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Anterior cruciate ligament (ACL) insufficiency can be disabling, given the physical and sports activity constraints that negatively impact the quality of life. Consequently, surgery is the main approach for most active patients. Nonetheless, ACL reconstruction (ACLR) cannot be successful without adequate preoperative and postoperative rehabilitation. Since the 1960s, post-ACLR rehabilitation has evolved, mainly from advances in surgery, coupled with a better understanding of the biological concepts of graft revascularization, maturation and integration, which have impacted ACL postoperative rehabilitation protocols. However, new technologies do involve a defi-nite learning curve which could affect rehabilitation programs and produce inconsistent results. The development of rehabilitation protocols cannot be defined without an accurate diagnosis of ACL injury and considering the patient's main physical demands and expectations. This article discusses how postoperative rehabilitation following ACLR has changed from the 1960s to now, focussing on surgical technique (type of tendon graft, fix-ation devices, and graft tensioning), biological concepts (graft maturation and integration), rehabilitation pro-tocols (prevention of ACL injuries, preoperative rehabilitation, postoperative rehabilitation), criteria to return to sports, patient's reported outcomes and outcome. Although rehabilitation plays an essential role in managing ACL injuries, it cannot be fully standardised preoperatively or postoperatively. Preoperative and postoperative reha-bilitation should be based on an accurate clinical diagnosis, patients' understanding of their injury, graft tissue biology and biomechanics, surgical technique, the patient's physical demands and expectations, geographical differences in ACL rehabilitation and future perspectives.
引用
收藏
页码:153 / 162
页数:10
相关论文
共 97 条
[1]   How should clinicians rehabilitate patients after ACL reconstruction? A systematic review of clinical practice guidelines (CPGs) with a focus on quality appraisal (AGREE II) [J].
Andrade, Renato ;
Pereira, Rogerio ;
van Cingel, Robert ;
Staal, J. Bart ;
Espregueira-Mendes, Joao .
BRITISH JOURNAL OF SPORTS MEDICINE, 2020, 54 (09) :512-+
[2]   PRP Augmentation for ACL Reconstruction [J].
Andriolo, Luca ;
Di Matteo, Berardo ;
Kon, Elizaveta ;
Filardo, Giuseppe ;
Venieri, Giulia ;
Marcacci, Maurilio .
BIOMED RESEARCH INTERNATIONAL, 2015, 2015
[3]   Fifty-five per cent return to competitive sport following anterior cruciate ligament reconstruction surgery: an updated systematic review and meta-analysis including aspects of physical functioning and contextual factors [J].
Ardern, Clare L. ;
Taylor, Nicholas F. ;
Feller, Julian A. ;
Webster, Kate E. .
BRITISH JOURNAL OF SPORTS MEDICINE, 2014, 48 (21) :1543-U46
[4]   Effects of neuromuscular training on knee proprioception in individuals with anterior cruciate ligament injury: a systematic review and GRADE evidence synthesis [J].
Arumugam, Ashokan ;
Bjorklund, Martin ;
Mikko, Sanna ;
Hager, Charlotte K. .
BMJ OPEN, 2021, 11 (05)
[5]   Exercise-Based Knee and Anterior Cruciate Ligament Injury Prevention [J].
Arundale, Amelia J. H. ;
Bizzini, Mario ;
Giordano, Airelle ;
Hewett, Timothy E. ;
Logerstedt, David S. ;
Mandelbaum, Bert ;
Scalzitti, David A. ;
Silvers-Granelli, Holly ;
Snyder-Mackler, Lynn .
JOURNAL OF ORTHOPAEDIC & SPORTS PHYSICAL THERAPY, 2018, 48 (09) :A1-A42
[6]   Return to Sport Tests' Prognostic Value for Reinjury Risk after Anterior Cruciate Ligament Reconstruction: A Systematic Review [J].
Ashigbi, Evans Yayra Kwaku ;
Banzer, Winfried ;
Niederer, Daniel .
MEDICINE & SCIENCE IN SPORTS & EXERCISE, 2020, 52 (06) :1263-1271
[7]   Young Athletes Who Return to Sport Before 9 Months After Anterior Cruciate Ligament Reconstruction Have a Rate of New Injury 7 Times That of Those Who Delay Return [J].
Beischer, Susanne ;
Gustavsson, Linnea ;
Senorski, Eric Hamrin ;
Karlsson, Jon ;
Thomee, Christoffer ;
Samuelsson, Kristian ;
Thomee, Roland .
JOURNAL OF ORTHOPAEDIC & SPORTS PHYSICAL THERAPY, 2020, 50 (02) :83-+
[8]  
Biggs Angie, 2009, N Am J Sports Phys Ther, V4, P2
[9]   Anterior cruciate ligament injury risk factors in football [J].
Bisciotti, Gian Nicola ;
Chamari, Karim ;
Cena, Emanuele ;
Bisciotti, Andrea ;
Bisciotti, Alessandro ;
Corsini, Alessandro ;
Volpi, Piero .
JOURNAL OF SPORTS MEDICINE AND PHYSICAL FITNESS, 2019, 59 (10) :1724-1738
[10]  
Bosworth DM, 1936, J BONE JOINT SURG, V18, P178