Current Concepts for Anterior Cruciate Ligament Reconstruction: A Criterion-Based Rehabilitation Progression

被引:383
作者
Adams, Douglas [1 ]
Logerstedt, David [2 ]
Hunter-Giordano, Airelle [3 ]
Axe, Michael J. [4 ]
Snyder-Mackler, Lynn [2 ]
机构
[1] Premier Phys Therapy & Sports Performance, Middletown, DE 19709 USA
[2] Univ Delaware, Dept Phys Therapy, Newark, DE USA
[3] Univ Delaware, Phys Therapy Clin, Newark, DE USA
[4] First State Orthopaed, Newark, DE USA
关键词
ACL; graft; surgery; MEDIAL COLLATERAL LIGAMENT; ARTICULAR-CARTILAGE REPAIR; QUADRICEPS FEMORIS MUSCLE; ACL RECONSTRUCTION; PATELLAR TENDON; KNEE FUNCTION; FOLLOW-UP; HOP TESTS; POSTOPERATIVE REHABILITATION; ACCELERATED REHABILITATION;
D O I
10.2519/jospt.2012.3871
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
100224 [整形外科学];
摘要
The management of patients after anterior cruciate ligament reconstruction should be evidence based. Since our original published guidelines in 1996, successful outcomes have been consistently achieved with the rehabilitation principles of early weight bearing, using a combination of weight-bearing and non-weight-bearing exercise focused on quadriceps and lower extremity strength, and meeting specific objective requirements for return to activity. As rehabilitative evidence and surgical technology and procedures have progressed, the original guidelines should be revisited to ensure that the most up-to-date evidence is guiding rehabilitative care. Emerging evidence on rehabilitative interventions and advancements in concomitant surgeries, including those addressing chondral and meniscal injuries, continues to grow and greatly affect the rehabilitative care of patients with anterior cruciate ligament reconstruction. The aim of this article is to update previously published rehabilitation guidelines, using the most recent research to reflect the most current evidence for management of patients after anterior cruciate ligament reconstruction. The focus will be on current concepts in rehabilitation interventions and modifications needed for concomitant surgery and pathology.
引用
收藏
页码:601 / 614
页数:14
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