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CC BY 4.0 · Rev Bras Ortop (Sao Paulo) 2024; 59(02): e172-e179
DOI: 10.1055/s-0044-1779327
Revisão Sistemática e Metanálise
Joelho

Functional Outcome of ACL Reconstruction Following Pre-reconstruction Rehabilitation vs. None Rehabilitation: A Systematic Review and Meta-analysis

Article in several languages: português | English
I Gusti Ngurah Wien Aryana 
1   Departamento de Ortopedia e Traumatologia, Hospital Geral Prof Ngoerah, Faculdade de Medicina, Universidade Udayana, Bali, Indonésia
,
Febyan Febyan 
1   Departamento de Ortopedia e Traumatologia, Hospital Geral Prof Ngoerah, Faculdade de Medicina, Universidade Udayana, Bali, Indonésia
,
Dominicus Dimitri 
1   Departamento de Ortopedia e Traumatologia, Hospital Geral Prof Ngoerah, Faculdade de Medicina, Universidade Udayana, Bali, Indonésia
,
Shianita Limena 
1   Departamento de Ortopedia e Traumatologia, Hospital Geral Prof Ngoerah, Faculdade de Medicina, Universidade Udayana, Bali, Indonésia
,
Leonardus William Kuswara 
1   Departamento de Ortopedia e Traumatologia, Hospital Geral Prof Ngoerah, Faculdade de Medicina, Universidade Udayana, Bali, Indonésia
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Financial Support The present study received no financial support from either public, commercial, or not-for-profit sources.
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Abstract

Objective The aim of this study is to analyse the needs for pre-operative rehabilitation in patients undergoing ACL reconstruction.

Methods The database reports were searched within 2018 to 2023, using PubMed, Cochrane library database, Medline, and other published trials. A statistical analysis was made from Review Manager.

Results Pre-operative rehabilitation group shows significantly higher 2 years post-operative KOOS score in all subscore and the total mean of the score, pain (p < 0. 0001), symptoms (p < 0. 0001), ADL (p < 0. 0001), sports and recreations (p < 0. 0001), QoL (p < 0. 0001), and the total mean of the KOOS score (p < 0.0001). In contrary, pre-operative rehabilitation group shows insignificantly higher score on 3 months post-operative Lysholm score (p = 0.12).

Conclusion This meta-analysis conclude pre-operative rehabilitation may provide better long-term post-operative outcome, however it may not provide much of a short-term outcome. It is recommended to add pre-operative rehabilitation as a guideline for ACL injury management to improve long-term outcome of patients with ACL injury undergoing ACL reconstruction procedure.

Keywords

anterior cruciate ligament injuries - anterior cruciate ligament reconstruction - pre-operative rehabilitation

Work developed at the Department of Orthopaedic & Traumatology, Prof Ngoerah General Hospital, Faculty of Medicine, Udayana University, Bali, Indonesia.




Publication History

Received: 10 May 2023

Accepted: 26 June 2023

Article published online:
10 April 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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  • Referências

  • 1 Herzog MM, Marshall SW, Lund JL, Pate V, Mack CD, Spang JT. Trends in incidence of ACL reconstruction and concomitant procedures among commercially insured individuals in the United States, 2002-2014. Sports Health 2018; 10 (06) 523-531
    CrossrefPubMedSearch in Google Scholar
  • 2 Longo UG, Nagai K, Salvatore G. et al. Epidemiology of anterior cruciate ligament reconstruction surgery in Italy: A 15-year nationwide registry study. J Clin Med 2021; 10 (02) 223
    CrossrefPubMedSearch in Google Scholar
  • 3 Sanders TL, Maradit Kremers H, Bryan AJ. et al. Incidence of anterior cruciate ligament tears and reconstruction: A 21-year population-based study. Am J Sports Med 2016; 44 (06) 1502-1507
    CrossrefPubMedSearch in Google Scholar
  • 4 Mall NA, Chalmers PN, Moric M. et al. Incidence and trends of anterior cruciate ligament reconstruction in the United States. Am J Sports Med 2014; 42 (10) 2363-2370
    CrossrefPubMedSearch in Google Scholar
  • 5 Failla MJ, Logerstedt DS, Grindem H. et al. Does Extended Preoperative Rehabilitation Influence Outcomes 2 Years After ACL Reconstruction? A Comparative Effectiveness Study Between the MOON and Delaware-Oslo ACL Cohorts. [published correction appears in Am J Sports Med 2017 Apr;45(5):NP9] Am J Sports Med 2016; 44 (10) 2608-2614
    CrossrefPubMedSearch in Google Scholar
  • 6 Shaarani SR, O'Hare C, Quinn A, Moyna N, Moran R, O'Byrne JM. Effect of prehabilitation on the outcome of anterior cruciate ligament reconstruction. Am J Sports Med 2013; 41 (09) 2117-2127
    CrossrefPubMedSearch in Google Scholar
  • 7 Eitzen I, Holm I, Risberg MA. Preoperative quadriceps strength is a significant predictor of knee function two years after anterior cruciate ligament reconstruction. Br J Sports Med 2009; 43 (05) 371-376
    CrossrefPubMedSearch in Google Scholar
  • 8 Andersson D, Samuelsson K, Karlsson J. Treatment of anterior cruciate ligament injuries with special reference to surgical technique and rehabilitation: an assessment of randomized controlled trials. Arthroscopy 2009; 25 (06) 653-685
    CrossrefPubMedSearch in Google Scholar
  • 9 Grindem H, Granan LP, Risberg MA, Engebretsen L, Snyder-Mackler L, Eitzen I. How does a combined preoperative and postoperative rehabilitation programme influence the outcome of ACL reconstruction 2 years after surgery? A comparison between patients in the Delaware-Oslo ACL Cohort and the Norwegian National Knee Ligament Registry. Br J Sports Med 2015; 49 (06) 385-389
    CrossrefPubMedSearch in Google Scholar
  • 10 Amaravati R, Sekaran P. Does preoperative exercise influence the outcome of ACL reconstruction?. Arthroscopy 2013; 29 (10) e182-e183
    CrossrefSearch in Google Scholar
  • 11 Reddy D, Kamath S, Annappa R, Krishnamurthy S, Kamath K, Mallya S. Does preoperative rehabilitation give better short term results in anterior cruciate ligament reconstruction?. Ambul Surg 2020; 26 (02) 40-43
    Search in Google Scholar
  • 12 Aiyanna K, Bijarniya S, Sharma A. The effect of preoperative rehabilitation on the outcome of ACL reconstruction. Int J Recent Sci Res 2022; 13 (04) 1012-1016
    Search in Google Scholar
  • 13 Carter HM, Littlewood C, Webster KE, Smith BE. The effectiveness of preoperative rehabilitation programmes on postoperative outcomes following anterior cruciate ligament (ACL) reconstruction: a systematic review. BMC Musculoskelet Disord 2020; 21 (01) 647
    CrossrefPubMedSearch in Google Scholar
  • 14 Ficek K, Gołaś A, Pietraszewski P, Strózik M, Krzysztofik M. The effects of a combined pre- and post-operative anterior cruciate ligament reconstruction rehabilitation program on lower extremity muscle imbalance. Appl Sci (Basel) 2022; 12 (15) 7411
    CrossrefSearch in Google Scholar
  • 15 Kim DK, Hwang JH, Park WH. Effects of 4 weeks preoperative exercise on knee extensor strength after anterior cruciate ligament reconstruction. J Phys Ther Sci 2015; 27 (09) 2693-2696
    CrossrefPubMedSearch in Google Scholar
  • 16 Logerstedt D, Lynch A, Axe MJ, Snyder-Mackler L. Pre-operative quadriceps strength predicts IKDC2000 scores 6 months after anterior cruciate ligament reconstruction. Knee 2013; 20 (03) 208-212
    CrossrefPubMedSearch in Google Scholar