Rehabilitation after Anterior Cruciate Ligament Reconstruction: A Prospective, Randomized, Double-Blind Comparison of Programs Administered over 2 Different Time Intervals

Beynnon, Bruce D.; Uh, Benjamin S.; Johnson, Robert J.; Abate, Joseph A.; Nichols, Claude E.; Fleming, Braden C.; Poole, A R; Roos, Harald

doi:10.1177/0363546504268406

Cited by 233 publications

(166 citation statements)

References 41 publications

Supporting

Mentioning

151

Contrasting

Unclassified

Order By: Relevance

“…They observed that patients who were non-compliant with earlier restrictive rehabilitation protocols, and who progressed as they felt comfortable, did in fact progress more rapidly, and regained their function more quickly, without any deleterious effects. In a subsequent randomised controlled trial, Beynnon et al compared accelerated and non-accelerated rehabilitation protocols, again in patients who had undergone ACL reconstruction with a patellar tendon graft [7]. Although they did not investigate return to sport per se, Tegner activity levels did not differ between the two groups and no deleterious effects of the accelerated protocol were identified.…”

Section: Discussionmentioning

confidence: 99%

Return to sport following anterior cruciate ligament reconstruction

Feller

Webster

2012

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Return to sport following anterior cruciate ligament reconstruction

Feller

Webster

2012

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

“…Some authors recommended patients need 4 to 6 months of rehabilitation before returning to sport activities after ACL reconstruction surgery and 6 to 9 months before returning to vigorous cutting and pivoting activities [5,12,15]. Although the majority of injured athletes are able to return to preinjury competition levels after rehabilitation, their performances may be adversely affected [7].…”

Section: Introductionmentioning

confidence: 99%

Effects of a Knee Extension Constraint Brace on Lower Extremity Movements after ACL Reconstruction

Stanley

Creighton

Gross

et al. 2011

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

Background Patients have high reinjury rates after ACL reconstruction. Small knee flexion angles and large peak posterior ground reaction forces in landing tasks increase ACL loading. Questions/purposes We determined the effects of a knee extension constraint brace on knee flexion angle, peak posterior ground reaction force, and movement speed in functional activities of patients after ACL reconstruction. Patients and Methods Six male and six female patients 3.5 to 6.5 months after ACL reconstruction participated in the study. Three-dimensional videographic and force plate data were collected while patients performed level walking, jogging, and stair descent wearing a knee extension constraint brace, wearing a nonconstraint brace, and not wearing a knee brace. Knee flexion angle at initial foot contact with the ground, peak posterior ground reaction force, and movement speed were compared across brace conditions and between genders. Results Wearing the knee extension constraint brace increased the knee flexion angle at initial foot contact for each activity when compared with the other two brace conditions. Wearing the knee extension constraint brace also decreased peak posterior ground reaction force during walking but not during jogging and stair descent. Conclusions Although the knee extension constraint brace did not consistently reduce the peak posterior ground reaction force in all functional activities, it consistently increased knee flexion angle and should reduce ACL loading as suggested by previous studies. These results suggest the knee extension constraint brace has potential as a rehabilitation tool to alter lower extremity movement patterns of patients after ACL reconstruction to address high reinjury rates. Level of Evidence Level II, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.

show abstract

“…Presently, active early rehabilitation is believed to be the standard postoperative protocol. 4 The primary objective of rehabilitation following ACL reconstruction surgery is to restore knee function by increasing neuromuscular control. Currently, however, there is debate over various aspects of the most beneficial type of postoperative ACL rehabilitation program.…”

Section: Introductionmentioning

confidence: 99%

Chiropractic management of a postoperative complete anterior cruciate ligament rupture using a multimodal approach: a case report

Solecki

Herbst

2011

Journal of Chiropractic Medicine

View full text Add to dashboard Cite

Objective: The purpose of this case report is to describe the chiropractic management of a patient who had postoperative reconstructive surgery for an anterior cruciate ligament (ACL) tear. Clinical Features: A 25-year-old man experienced a rupture of his left ACL, as well as a bucket-handle tear of the medial meniscus and full-thickness tear within the posterior horn of the lateral meniscus, following direct-contact trauma while playing basketball. Intervention and Outcome: Postoperative care included a 12-week functional chiropractic rehabilitation program along with Active Release Technique, Graston Technique, and Kinesio Taping. Following treatment, the patient recorded a 0/10 on the Numeric Pain Scale, recorded improvement on the Patient Specific Functional and Pain Scales, returned to play with no complications, and had complete restoration of range of motion and lower extremity muscle strength. At 1-year follow-up, the patient reported no pain and was fully functional. Conclusion: A multimodal approach to the treatment of a postsurgical ACL repair was successful in restoring functional ability, as well as complete subjective pain relief. Chiropractic care may be a beneficial addition to the care of postoperative patients.

show abstract

Rehabilitation after Anterior Cruciate Ligament Reconstruction: A Prospective, Randomized, Double-Blind Comparison of Programs Administered over 2 Different Time Intervals

Cited by 233 publications

References 41 publications

Return to sport following anterior cruciate ligament reconstruction

Return to sport following anterior cruciate ligament reconstruction

Effects of a Knee Extension Constraint Brace on Lower Extremity Movements after ACL Reconstruction

Chiropractic management of a postoperative complete anterior cruciate ligament rupture using a multimodal approach: a case report

Contact Info

Product

Resources

About