Postoperative rehabilitation after anterior cruciate ligament reconstruction

被引：2
作者：
Muench, E. -O. [1 ]
机构：
[1] OCM, Steinerstr 6, D-81369 Munich, Germany
来源：
ARTHROSKOPIE | 2010年 / 23卷 / 01期
关键词：
Anterior cruciate ligament (ACL); Knee function; Rehabilitation; Physical therapy; Physiotherapy;
D O I：
10.1007/s00142-009-0542-y
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Most surgeons agree that postoperative rehabilitation is an important part of the final outcome after anterior cruciate ligament (ACL) reconstruction. With the aim of a full return of knee function in terms of stability, strength, range of motion and neuromuscular control different methods of rehabilitation are performed in different phases of graft healing. A review of the literature of prospective and randomized studies revealed the following information for the rehabilitation after ACL reconstruction with a bone-patellar tendon-bone (BPTB) autograft: a brace is not required. Full weight bearing reduces an terior knee pain and has no negative effect. Neuromuscular electrical stimulation increases muscle strength and improves kinematics. Cold therapy has no positive effect. Early joint motion can avoid the negative effect of immobilization. The literature on rehabilitation after ACL reconstruction with hamstrings is not sufficient for a consensus opinion.
引用
收藏
页码：23 / 29
页数：7
相关论文
共 21 条
[1]   Treatment of Anterior Cruciate Ligament Injuries With Special Reference to Surgical Technique and Rehabilitation: An Assessment of Randomized Controlled Trials [J].
Andersson, Daniel ;
Samuelsson, Kristian ;
Karlsson, Jon .
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, 2009, 25 (06) :653-685
[2]   Evaluation of knee joint laxity and the structural properties of the anterior cruciate ligament graft in the human - A case report [J].
Beynnon, BD ;
Risberg, MA ;
Tjomsland, O ;
Ekeland, A ;
Fleming, BC ;
Peura, GD ;
Johnson, RJ .
AMERICAN JOURNAL OF SPORTS MEDICINE, 1997, 25 (02) :203-206
[3]   ANTERIOR CRUCIATE LIGAMENT STRAIN BEHAVIOR DURING REHABILITATION EXERCISES IN-VIVO [J].
BEYNNON, BD ;
FLEMING, BC ;
JOHNSON, RJ ;
NICHOLS, CE ;
RENSTROM, PA ;
POPE, MH .
AMERICAN JOURNAL OF SPORTS MEDICINE, 1995, 23 (01) :24-34
[4]   Rehabilitation after anterior cruciate ligament reconstruction - A prospective, randomized, double-blind comparison of programs administered over 2 different time intervals [J].
Beynnon, BD ;
Uh, BS ;
Johnson, RJ ;
Abate, JA ;
Nichols, CE ;
Fleming, BC ;
Poole, AR ;
Roos, H .
AMERICAN JOURNAL OF SPORTS MEDICINE, 2005, 33 (03) :347-359
[5]   Treatment of anterior cruciate ligament injuries, part 2 [J].
Beynnon, BD ;
Johnson, RJ ;
Abate, JA ;
Fleming, BC ;
Nichols, CE .
AMERICAN JOURNAL OF SPORTS MEDICINE, 2005, 33 (11) :1751-1767
[6]   A randomized controlled trial comparing the effectiveness of functional knee brace and neoprene sleeve use after anterior cruciate ligament reconstruction [J].
Birmingham, Trevor B. ;
Bryant, Dianne M. ;
Giffin, J. Robert ;
Litchfield, Robert B. ;
Kramer, John F. ;
Donner, Allan ;
Fowler, Peter J. .
AMERICAN JOURNAL OF SPORTS MEDICINE, 2008, 36 (04) :648-655
[7]   OPEN VERSUS CLOSED CHAIN KINETIC EXERCISES AFTER ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION - A PROSPECTIVE RANDOMIZED STUDY [J].
BYNUM, EB ;
BARRACK, RL ;
ALEXANDER, AH .
AMERICAN JOURNAL OF SPORTS MEDICINE, 1995, 23 (04) :401-406
[8]   THE EFFECT OF COLD THERAPY ON PAIN, SWELLING, AND RANGE OF MOTION AFTER ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTIVE SURGERY [J].
DANIEL, DM ;
STONE, ML ;
ARENDT, DL .
ARTHROSCOPY, 1994, 10 (05) :530-533
[9]   Range of motion training in brace vs. plaster immobilization after oanterior cruciate ligament reconstruction: a prospective randomized comparison with a 2-year follow-up [J].
Henriksson, M ;
Rockborn, P ;
Good, L .
SCANDINAVIAN JOURNAL OF MEDICINE & SCIENCE IN SPORTS, 2002, 12 (02) :73-80
[10]   Open and closed kinetic chain exercises in the early period after anterior cruciate ligament reconstruction - Improvements in level walking, stair ascent, and stair descent [J].
Hooper, DM ;
Morrissey, MC ;
Drechsler, W ;
Morrissey, D ;
King, J .
AMERICAN JOURNAL OF SPORTS MEDICINE, 2001, 29 (02) :167-174
123