Exercise for treating anterior cruciate ligament injuries in combination with collateral ligament and meniscal damage of the knee in adults

Trees, Amanda H; Howe, Tracey; Grant, Margaret; Gray, Heather

doi:10.1002/14651858.cd005961.pub2

Cited by 16 publications

(10 citation statements)

References 37 publications

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“…[41][42][43][44][45][46][47] Alternatif yaklaşımlardan kuru iğneleme ve akupunkturun ağrıyı azaltmada kullanılabileceği konusunda pek çok çalışma vardır. 48,49 Çalışmaya katılan fzt'lerin bu yöntemleri seçim yüzdeleri çok yüksek olmamakla birlikte, %12,9'u kuru iğneleme, %3,2'si akupunktur uygulamasını tercih etmiştir.…”

Section: Bulgularunclassified

Treatment Preferences of Physiotherapists' for Acute Pain in Anterior Cruciate Ligament Injury

Altuğ¹,

Kabul²,

Aslan³

et al. 2017

Turkiye Klinikleri J Health Sci

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enç ve aktif kişilerde akut ön çapraz bağ (ÖÇB) rüptürü yaygın olarak görülen ciddi bir diz yaralanmasıdır.1 ÖÇB rüptürünün en sık rastlanan sebebi spor yaralanmalarıdır.2 Dizde instabiliteye neden 23Fizyoterapistlerin Ön Çapraz Bağ Yaralanmasında Akut Ağrıya Yönelik Tedavi Tercihleri Ö ÖZ ZE ET T A Am ma aç ç: : Ön çapraz bağ yaralanması, sportif aktivitelere katılan genç kişilerde sıklıkla görülen ortopedik bir problemdir. Ön çapraz bağ yırtıklarında ilk altı hafta akut dönem olarak kabul edilir. Bu dönemdeki temel amaç; öncelikle dizdeki akut ağrı ve inflamasyonun kontrol altına alınması-dır. Bu çalışmanın amacı, ön çapraz bağ yaralanmasında fizyoterapistlerin akut ağrıya yönelik tercih ettikleri tedavi yöntemlerini belirlemektir. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Çalışmada 1 yıl ve daha uzun süredir çalışan ve araştırmaya katılmayı kabul eden toplam doksan üç fizyoterapist çalışma kapsamına alındı. Çalışmaya katılan fizyoterapistlerin yaş ortalamaları 28,52±6,53 yıl ve çalışma yıl ortalamaları 8,03±6,33 yıl idi. Fizyoterapistlere, ön çapraz bağ yaralanmasına ilişkin hayali bir senaryo (futbol oynarken parsiyel ön çapraz bağ rüptürü oluşan 21 yaşındaki erkek) verildi. Bu senaryo göz önüne alınarak; ağrıyı tedavi etmede hangi yöntemleri tercih ettiklerine dair açık uçlu sorular soruldu. B Bu ul lg gu ul la ar r: : Senaryoya göre fizyoterapistler tarafından tercih edilen tedavi yöntemlerinin dağılımı; ağrı ve şişlik için elektro-fiziksel ajanlar %97,8; soğuk uygulama %89,2; manuel tedavi teknikleri %78,5; dizin korunması ve stabilizasyon %53,8; kas performansı ve eklem hareket açık-lığının korunması için egzersiz %49,5 ve alternatif metotlar %12,9 şeklinde idi. S So on nu uç ç: : Parsiyel ön çapraz bağ yaralanmasında akut ağrının tedavisinde fizyoterapistler tarafından en çok tercih edilen yöntemler sırasıyla elektrofiziksel ajanlar, soğuk uygulama, manuel tedavi teknikleri, eklem koruma ve eklem stabilizasyon yöntemleridir.A An na ah ht ta ar r K Ke el li im me el le er r: : Fizik tedavi modaliteleri; akut ağrı; ön çapraz bağ

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Section: Bulgularunclassified

Treatment Preferences of Physiotherapists' for Acute Pain in Anterior Cruciate Ligament Injury

Altuğ¹,

Kabul²,

Aslan³

et al. 2017

Turkiye Klinikleri J Health Sci

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Section: Physeal Sparing Reconstructionmentioning

confidence: 99%

“…101 Despite the amount of published literature concerning different aspects of rehabilitation after ACL injury and reconstruction, there is no consensus on the type or number of exercises to include in rehabilitation programs. 101 A Cochrane review of exercise therapy after isolated ACL injuries and 2 systematic reviews of ACL rehabilitation identified only 8 studies that evaluated different aspects of nonoperative management. 24,89 None of the 8 studies included rehabilitation of skeletally immature individuals, and no RCTs of different rehabilitation programs for skeletally immature patients with ACL injuries have been published to our knowledge.…”

Section: Physeal Sparing Reconstructionmentioning

confidence: 99%

Management of Anterior Cruciate Ligament Injuries in Skeletally Immature Individuals

Moksnes

Engebretsen²,

Risberg³

2012

Journal of Orthopaedic & Sports Physical Therapy

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Synopsis Anterior cruciate ligament (ACL) injuries in skeletally immature individuals remain a challenge for the child, the parents, orthopaedic surgeons, and physical therapists. The main challenges are the potential risk of recurrent instability, secondary injuries following nonoperative treatment, and the risks involved with surgical treatment due to the vulnerability of the epiphyseal growth plates. We first present the physiological background for considerations that must be made when advising on treatment alternatives for skeletally immature individuals after ACL injury. The implications of continuous musculoskeletal development for treatment decisions are emphasized. No randomized controlled trials have been performed to investigate outcomes of different treatment algorithms. There is no consensus in the literature on clinical treatment decision criteria for whether a skeletally immature child should undergo transphyseal ACL reconstruction, physeal sparing ACL reconstruction, or nonoperative treatment. Additionally, well-described rehabilitation programs designed for either nonoperative treatment or postoperative rehabilitation have not been published. Based on the currently available evidence, we propose a treatment algorithm for the management of ACL injuries in skeletally immature individuals. Finally, we suggest directions for future prospective studies, which should include development of valid and reliable outcome measures and specific rehabilitation programs. J Orthop Sports Phys Ther 2012;42(3):172-183, Epub 4 September 2011. doi:10.2519/jospt.2012.3608

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“…While exercise and neuromuscular training are theoretically beneficial and common treatment for knee injury, their efficacy in treating knee injury and preventing OA and the superiority of one form of exercise intervention over another are not supported by high quality trials [95,96]. Several observational studies have investigated conservative exercise-based management of ACL injury, or compared it to reconstructive surgery for longer term outcomes [14,22,80].…”

Section: Primary Prevention Of Injury-related Knee Osteoarthritismentioning

confidence: 99%

New developments in osteoarthritis. Prevention of injury-related knee osteoarthritis: opportunities for the primary and secondary prevention of knee osteoarthritis

Ratzlaff

Liang

2010

Arthritis Res Ther

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Where risk factors have been identified in knee and hip osteoarthritis (OA), with few exceptions, no prevention strategies have proven beneficial. The major risk factors for knee OA are advanced age, injury and obesity. However, there is limited or no evidence that they are modifiable or to what degree modifying them is effective in preventing development of knee OA or in preventing symptoms and progressive disease in persons with early OA. The notable exception is the growing epidemic of (sports) injury related knee OA. This review details the biological and clinical data indicating the efficacy of interventions targeting neuromuscular and biomechanical factors that make this subset of OA an attractive public health target, and highlights research opportunities for the future.

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Exercise for treating anterior cruciate ligament injuries in combination with collateral ligament and meniscal damage of the knee in adults

Cited by 16 publications

References 37 publications

Treatment Preferences of Physiotherapists' for Acute Pain in Anterior Cruciate Ligament Injury

Treatment Preferences of Physiotherapists' for Acute Pain in Anterior Cruciate Ligament Injury

Management of Anterior Cruciate Ligament Injuries in Skeletally Immature Individuals

New developments in osteoarthritis. Prevention of injury-related knee osteoarthritis: opportunities for the primary and secondary prevention of knee osteoarthritis

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