| Titre : | Physical prognostic factors predicting outcome following anterior cruciate ligament reconstruction : a systematic review and narrative synthesis (2022) |
| Auteurs : | Andrew Middlebrook ; Nicola Middlebrook ; Sheree Bekker ; Alison Rushton |
| Type de document : | Article |
| Dans : | Physical therapy in sport (Vol. 53, January 2022) |
| Article en page(s) : | p. 115-142 |
| Note générale : | https://doi.org/10.1016/j.ptsp.2021.11.007 |
| Langues: | Français |
| Descripteurs : |
HE Vinci Etudes prospectives ; Humains ; Ligament croisé antérieur ; Muscle quadriceps fémoral ; Pronostic ; Réadaptation ; Reconstruction du ligament croisé antérieur |
| Mots-clés: | ACL ; Knee joint ; Surgery ; Injury |
| Résumé : | Background Anterior cruciate ligament (ACL) injuries are common. Many patients undergo ACL reconstruction (ACLR), with rehabilitation key to successful outcome. Understanding physical prognostic factors is integral to clinical decision-making, but factors predicting outcome are inadequately defined. The objective was to establish physical prognostic factors predicting outcome following ACLR. Methods A systematic review following a published protocol (CRD42019127732) searched MEDLINE, CINAHL, EMBASE, key journals and grey literature to November 28, 2020. Prospective cohort studies, participants ?16 years of age who had undergone ACLR were included, with multi-ligament and/or ACL repair surgery, and studies not published in English excluded. Two independent reviewers conducted searches, extracted data, assessed risk of bias (QUIPS) and overall quality of evidence (GRADE). Meta-analysis was not possible, therefore narrative synthesis was performed. Results 13 studies (16 articles) were included (1 low, 12 high risk of bias). Low-level evidence supports postoperative degenerative changes and poor lower-limb strength predicting poorer outcome long term (KOOS). Very low-level evidence supports greater postoperative quadriceps strength predicting improved functional performance medium term; with lower body mass index predicting improvement of multiple outcome measures. Conclusion Limited evidence of low or very low-level indicates multiple prognostic factors predicting outcome following ACLR. A high-quality prognostic study is required. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S1466853X21001905 |
Bibliothèques HE Vinci
