Effect of Prehabilitation on the Outcome of Anterior Cruciate Ligament Reconstruction

@article{Shaarani2013EffectOP,
  title={Effect of Prehabilitation on the Outcome of Anterior Cruciate Ligament Reconstruction},
  author={Shahril R. Shaarani and Christopher O’Hare and Alison Quinn and Niall M. Moyna and Ray Moran and John M. O’byrne},
  journal={The American Journal of Sports Medicine},
  year={2013},
  volume={41},
  pages={2117 - 2127}
}
Background: Prehabilitation is defined as preparing an individual to withstand a stressful event through enhancement of functional capacity. [] Key Method Study Design: Randomized controlled clinical trial; Level of evidence, 1. Methods: Twenty volunteers awaiting ACLR were randomly assigned to a control or exercise intervention group. The exercise group completed a 6-week gym- and home-based exercise program.

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References

SHOWING 1-10 OF 46 REFERENCES
The effectiveness of a pre-operative home-based physiotherapy programme for chronic anterior cruciate ligament deficiency.
TLDR
It is left little doubt that pre-operative physiotherapy had a positive effect on motor function in ACLD subjects and should be prescribed routinely to maximize muscle stabilizing potential prior to reconstruction.
Return to the Preinjury Level of Competitive Sport After Anterior Cruciate Ligament Reconstruction Surgery
TLDR
People may require a longer postoperative rehabilitation period than that typically advocated to facilitate a successful return to competitive sport after ACL reconstruction surgery.
Proprioception enhancement for anterior cruciate ligament deficiency. A prospective randomised trial of two physiotherapy regimes.
TLDR
In both groups there was a positive correlation between improvement in RHCL and functional gain and there was no significant change in joint laxity after treatment in either group.
Hamstrings—an anterior cruciate ligament protagonist
TLDR
The squat exercise may be useful in the early stages of anterior cruciate ligament rehabilitation, as it seems likely that hamstrings muscle activity that has been observed in vivo during a squat probably functions synergistically with the anterior crucial ligament to provide anterior knee stability.
A progressive 5-week exercise therapy program leads to significant improvement in knee function early after anterior cruciate ligament injury.
TLDR
Short-term progressive exercise therapy programs are well tolerated and should be incorporated in early-stage ACL rehabilitation, either to improve knee function before ACL reconstruction or as a first step in further nonoperative management.
Validation of Functional Performance Tests after Anterior Cruciate Ligament Reconstruction
TLDR
The three FPTs showed correlations with the established methods for determining return to sports activities after ACL reconstruction and had high test-retest reliability, so it is believed the three F PTs can be useful methods to assess knee function in athletes after ACL reconstructing.
Return to sport following anterior cruciate ligament reconstruction surgery: a systematic review and meta-analysis of the state of play
TLDR
The relatively low rate of return to competitive sport despite the high rates of successful outcome in terms of knee impairment-based function suggests that other factors such as psychological factors may be contributing to return-to-sport outcomes.
Preoperative quadriceps strength is a significant predictor of knee function two years after anterior cruciate ligament reconstruction
TLDR
From the findings, ACL reconstruction should not be performed before quadriceps muscle strength deficits of the injured limb is less than 20% of the uninjured limb and meniscus injuries have significant negative consequences for the long-term functional outcome after ACL reconstruction.
Perturbation training prior to ACL reconstruction improves gait asymmetries in non‐copers
TLDR
Preoperative perturbation training would help anterior cruciate ligament (ACL) deficient individuals who complain of knee instability (“non‐copers”) regain quadriceps strength and walk normally after ACL reconstruction.
Hamstring Muscle Strength Prior to and Following ACL Reconstruction Surgery Using a Patellar Tendon Autograft
TLDR
There was no statistical difference in hamstring muscle strength, as measured by isometric peak torque, either preoperatively or postoperatively, and the time necessary to achieve hamstring strength equal to preoperative measures of the uninvolved extremity during postoperative rehabilitation was determined.
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