Impact of pre-rehabilitation on post-operative outcomes after anterior cruciate ligament reconstruction surgery: a systematic review

Details

Supervisors

Hanon, Jean-François ; Peters-Dickie, Jean-Louis

Faculty

Faculté des sciences de la motricité

Degree label

Master [60] en kinésithérapie et réadaptation

Abstract

Abstract Background: The aim of this systematic review is to evaluate the influence of preoperative programmes after ACL surgery on muscle function, balance, strength, endurance, composition and mobility of the knee joint. Method: The systematic review included available randomised controlled trials of subjects who underwent pre-operative programming prior to ACL reconstruction. Outcomes were compared with at least one group. The Prisma guidelines were used to provide an evidence base for our review. The PEDRO scale was used. Results: The search identified 1877 potentially eligible studies, of which 6 were included. Studies found increases in quadriceps and hamstring strength, with no significant difference between groups, although there was a significant decrease in maximal strength of the injured limb in the exercise group in two studies. Muscle function of the injured leg was tested using the simple jump test and functional tests where a significant increase was observed during the intervention. Muscle function was improved in most outcomes. Discussion: Preoperative muscle strength deficits have a significant negative impact on function and long-term outcome after ACL reconstruction. Quadriceps and hamstring strength recovery shows a significant difference in most studies. Results were influenced by the duration of the pre-operative programs. To conclude, it appears to have positive effects on outcomes, although the ideal program has not been established yet.