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Titre : | A structured accelerated versus control rehabilitation pathway after anterior cruciate ligament reconstruction using autologous hamstrings demonstrates earlier improvement in physical outcomes without increasing graft laxity: A randomized controlled trial (2022) |
Auteurs : | Jay R. Ebert ; Peter Edwards ; Brendan Joss ; Peter T. Annear |
Type de document : | Article |
Dans : | Physical therapy in sport (Vol. 55, May 2022) |
Article en page(s) : | p. 271-281 |
Note générale : | https://doi.org/10.1016/j.ptsp.2022.05.005 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Évaluation de résultat (soins) ; Genou ; Réadaptation ; Reconstruction du ligament croisé antérieur ; Retour au sport |
Résumé : |
Objectives
To investigate whether an accelerated rehabilitation pathway could enhance strength and functional symmetry after ACLR, without affecting laxity. Design Randomized Controlled Trial. Setting Private rehabilitation clinic. Participants 44 patients randomized to an Accelerated (n = 22) or Control (n = 22) rehabilitation intervention. Main outcome measures Graft laxity (primary outcome), isokinetic knee extensor and flexor strength, hop tests, surveys, sport participation, re-injuries and re-operations. Results No knee laxity differences (p > 0.05) were observed. A significantly greater (p = 0.006) percentage of Accelerated (77.3%) versus Control (59.1%) patients were participating in Level 1 or 2 pivoting sports at 12 months. Greater limb symmetry indices were observed in the Accelerated group for knee extensor strength at 6 (p Conclusions Accelerated rehabilitation produced earlier improvement in strength and hop LSIs, without increasing graft laxity. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S1466853X22000669#! |