Open versus Closed Kinetic Chain Exercises following an Anterior Cruciate Ligament Reconstruction: A Systematic Review and Meta-Analysis

Jewiss, Daniel; Ostman, Cecilia; Smart, Neil A.

doi:10.1155/2017/4721548

Cited by 37 publications

(33 citation statements)

References 31 publications

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“…61,62 Therefore, enhancements observed in the perception of knee joint position sense in the current study could be applicable both as a prophylaxis 58,63 and a rehabilitation strategy for many knee disorders, such as a meniscal tear, cruciate ligament injuries, knee arthroplasty, and patellofemoral pain syndrome. 58,[64][65][66][67] Finally, a plausible explanation for our findings can be the auditory system's high-resolution capability of pitch differences and temporal features. Higher auditory resolution could have trained the comparably lower resolution proprioceptive system in both domains via intermodal referencing.…”

Section: Figure 2 Absolute Mean and Standard Error Of Repositioning mentioning

confidence: 97%

Training proprioception with sound: effects of real‐time auditory feedback on intermodal learning

Ghai

Schmitz

Hwang

et al. 2018

Annals of the New York Academy of Sciences

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Our study analyzed the effects of real-time auditory feedback on intermodal learning during a bilateral knee repositioning task. Thirty healthy participants were randomly allocated to control and experimental groups. Participants performed an active knee joint repositioning task for the four target angles (20°, 40°, 60°, and 80°) bilaterally, with or without additional real-time auditory feedback. Here, the frequency of auditory feedback was mapped to the knee's angle range (0-90°). Retention measurements were performed on the same four angles, without auditory feedback, after 15 min and 24 hours. A generalized knee proprioception test was performed after the 24-h retention measurement on three untrained knee angles (15°, 35°, and 55°). Statistical analysis revealed a significant enhancement of knee proprioception, shown as a lower knee repositioning error with auditory feedback. This enhancement of proprioception also persisted in tests performed between the 5th and 6th auditory-motor training blocks (without auditory feedback). Enhancement in proprioception also remained stable during retention measurements (after 15 min and 24 h). Similarly, enhancement in the generalized proprioception on untrained knee angles was evident in the experimental group. This study extends our previous findings and demonstrates the beneficial effects of real-time auditory feedback to facilitate intermodal learning by enhancing knee proprioception in a persisting and generalized manner.

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Section: Figure 2 Absolute Mean and Standard Error Of Repositioning mentioning

confidence: 97%

Training proprioception with sound: effects of real‐time auditory feedback on intermodal learning

Ghai

Schmitz

Hwang

et al. 2018

Annals of the New York Academy of Sciences

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“…Th e general tendency is to prefer the CKCE due to the fact that they are predominantly focused on increasing muscle strengh on the quadriceps, and improving coordination. Th erefor CKCE are considered to be safer because they do not increase the tensile strain on the ACL and so, reduce the risk of tibial displacement, while using open chain kinetic exercises for ACL rehabilitation might increase the anterior shear of the knee 21,22 . Tagesson et al (2008) express signifi cant results for open chain kinetic exercises only in terms of muscle strengh on the quadriceps compared to CKCE, while functional outcome is similar in both cases 23 .…”

Section: Resultsmentioning

confidence: 99%

Update on Rehabilitation Protocol Following ACL Reconstruction

Gheorghievici¹,

Nica²,

Mitoiu³

et al. 2018

Rev. Med. Mod.

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Anterior cruciate ligament lessions represent one of the most frequently met injuries of the knee, determining pain and instability and having a decisive impact over the patients functional level and quality of life. Regardless whether or not the decision of surgical intervention is made, patients with ACL tear are at higher risk of developing osteoarthritis, long term disability and an increased risk of additional meniscus tear. Literature data, although it offers a suffi cient amount of information on the subject, still presents debates on the advantages of one rehabilitation program over another. Achieving maximal range of motion as soon as possible is a main objective in ACL injuries, restrictions of mobility leading to prolonged rehabilitation periods. The are also discussions on the benefi ts of using open versus closed kinetic chain exercises, and also to what extend can the rehabititation program be accelerated in order to return the knee to the pre-injury state. The rehabilitation program must contain a multimodal approach composed of not only adapted kinetotherapy programs, but also associated modalities such as cryotherapy, neuromuscular stimulation, use of braces or hydrokinetotherapy in order to reduce pain and effusion and increase range of motion. The purpose of the present material is to analysis the existing data on the subject, and to evaluate the therapeutic benefi t of the rehabilitation modalities used in ACL injuries.

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“…Los tres artículos llegan a la misma conclusión: los ejercicios en cadena cinética abierta se pueden realizar con total seguridad y misma eficacia que los ejercicios en cadena cinética cerrada en fases tempranas posintervención. Si se extrapolan los resultados obtenidos y se comparan con la literatura más actual (Jewiss, Ostman, y Smart, 2017), se llega a la misma conclusión: si bien los ejercicios CCA y CCC pueden ser beneficiosos durante la rehabilitación quirúrgica del LCA, no hay pruebas suficientes para sugerir que uno sea superior a otro.…”

Section: Discussionunclassified

Ejercicio activo en la fase aguda posquirúrgica de una reconstrucción del ligamento cruzado anterior: revisión sistemática

et al. 2020

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La rotura del ligamento cruzado anterior (LCA) es una de las lesiones más comunes, que constituyen casi el 50% del total de las lesiones ligamentosas de rodilla. A lo largo de los años se han creado diversas guías prácticas y protocolos para su tratamiento. Sin embargo, aunque varios estudios confirman los beneficios que aporta una rehabilitación precoz, no existe consenso sobre qué ejercicios activos se deberían realizar en fases tempranas. Por ello, en este estudio se ha llevado a cabo una revisión sistemática con el objetivo de analizar ensayos clínicos aleatorizados que han aplicado ejercicios en la rehabilitación precoz de una reconstrucción del LCA. Este estudio pretende determinar si el ejercicio activo en fase aguda posquirúrgica reporta beneficios y acorta el tiempo de tratamiento. Los resultados mostraron diferencias significativas en las diferentes variables (fuerza, dolor, rango de movimiento, laxitud ligamentaria y circunferencia del miembro inferior) en comparación con la valoración inicial de los respectivos protocolos. Por lo tanto, el ejercicio activo parece ser efectivo para favorecer la recuperación en fases tempranas posquirúrgicas, destacando el trabajo de potenciación de cuádriceps en fase precoz para la ganancia de rango de movimiento y disminución de la sintomatología. Actualmente no existen suficientes estudios realizados durante las dos primeras semanas posquirúrgicas para confirmar los beneficios del ejercicio activo.

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Open versus Closed Kinetic Chain Exercises following an Anterior Cruciate Ligament Reconstruction: A Systematic Review and Meta-Analysis

Cited by 37 publications

References 31 publications

Training proprioception with sound: effects of real‐time auditory feedback on intermodal learning

Training proprioception with sound: effects of real‐time auditory feedback on intermodal learning

Update on Rehabilitation Protocol Following ACL Reconstruction

Ejercicio activo en la fase aguda posquirúrgica de una reconstrucción del ligamento cruzado anterior: revisión sistemática

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