Is reconstruction the best management strategy for anterior cruciate ligament rupture? A systematic review and meta-analysis comparing anterior cruciate ligament reconstruction versus non-operative treatment. Injuries and illnesses in the National basketball association: a 10-year perspective. Increasing rates of anterior cruciate ligament reconstruction in young Australians, 2000-2015. Moderate-certainty evidence indicates that several rehabilitation types can improve quadriceps strength, while brace use has no effect on knee function/laxity.Īnterior cruciate ligament exercise knee rehabilitation. The general level of evidence for rehabilitation after ACL or meniscal tear was low. There was very low-certainty evidence that: (1) protein-based supplements improve quadriceps size (2) blood flow restriction training improves quadriceps size (3) neuromuscular control exercises improve quadriceps and hamstring strength and self-reported function and (4) continuous passive motion has no effect on range of motion. There was low-certainty evidence that: (1) preoperative exercise therapy improves self-reported and physical function postoperatively (2) cryotherapy reduces pain and analgesic use (3) psychological interventions improve anxiety/fear and (4) whole body vibration improves quadriceps strength. Moderate-certainty evidence was observed for: (1) neuromuscular electrical stimulation to improve quadriceps strength (2) open versus closed kinetic chain exercises to be similarly effective for quadriceps strength and self-reported function (3) structured home-based versus structured in-person rehabilitation to be similarly effective for quadriceps and hamstring strength and self-reported function and (4) postoperative knee bracing being ineffective for physical function and laxity. We synthesised data from 16 reviews evaluating 12 different interventions. We included 22 systematic reviews (142 trials of mostly men) evaluating ACL-injured individuals and none evaluating isolated meniscal injuries. Systematic reviews of randomised controlled trials investigating rehabilitation interventions following ACL and/or meniscal tears in young adults. MEDLINE, EMBASE, CINAHL, SPORTDiscus and Cochrane Library. Overview of systematic reviews with Grading of Recommendations Assessment, Development and Evaluation certainty of evidence. Synthesise evidence for effectiveness of rehabilitation interventions following ACL and/or meniscal tear on symptomatic, functional, clinical, psychosocial, quality of life and reinjury outcomes. 7 Arthritis Research Canada, Vancouver, British Columbia, Canada.6 Department of Physical Therapy, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.5 The Research Unit PROgrez, Department of Physiotherapy and Occupational Therapy, Næstved-Slagelse-Ringsted Hospitals, Slagelse, Denmark.4 Department of Physiotherapy and Occupational Therapy, Copenhagen University Hospital, Copenhagen, Denmark.3 Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Funen, Denmark.1 La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Victoria, Australia 2 La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Victoria, Australia.
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