Pre and postoperative rehabilitation after ACL surgery
With a vast number of patients undergoing surgical anterior cruciate ligament (ACL) reconstruction (ACLR) after rupturing their ACL, evidence is limited to guide clinicians as to how to optimally combine surgery and rehabilitation to improve knee function. Therefore, the present study compared preoperative and 2-year postoperative patient reported outcomes (PROs) in patients undergoing progressive preoperative and postoperative rehabilitation compared with usual care.
84 patients undergoing progressive pre- and postoperative treatment were compared with the scores of 2960 control patients. Results revealed that the experimental group had significantly greater preoperative Knee Injury and Osteoarthritis Outcome Scores (KOOS), including that of the sub-domains of Pain, Activities of Daily Living, Sports and Quality of Life. Similar results were obtained at 2-years, specifically in the domains of Symptoms, Sports and Quality of Life.
ACLR patients who underwent progressive preoperative and postoperative active rehabilitation at the sports medicine clinic showed superior 2-year patient-reported outcomes compared with usual care.
> From: Grindem et al., Br J Sports Med (2014) (Epub ahead of print). All rights reserved to BMJ Publishing Group Ltd. Click here for the Pubmed summary.