The Effectiveness of Preoperative Exercises on the Outcomes After Anterior Cruciate Ligament Reconstruction: A Systematic Review
Objective: Quadriceps weakness is common after Anterior Cruciate Ligament (ACL) injury and subsequent surgery. Preoperative defects affect postoperative outcomes. The purpose of this review study was to investigate whether preoperative exercises can affect the postoperative outcomes after ACL recons...
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| Format: | Article |
| Language: | English |
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Islamic Azad University, Hamedan Branch
2019-12-01
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| Series: | Biyumikānīk-i varzishī |
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| Online Access: | http://biomechanics.iauh.ac.ir/article-1-197-en.html |
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| author | Ali Yalfani Ahmad Ebrahimi Atri Maedeh Taghizadeh Kermani |
| author_facet | Ali Yalfani Ahmad Ebrahimi Atri Maedeh Taghizadeh Kermani |
| author_sort | Ali Yalfani |
| collection | DOAJ |
| description | Objective: Quadriceps weakness is common after Anterior Cruciate Ligament (ACL) injury and subsequent surgery. Preoperative defects affect postoperative outcomes. The purpose of this review study was to investigate whether preoperative exercises can affect the postoperative outcomes after ACL reconstruction.
Methods: The searching for papers was conducted in the PubMed database among the studies from 1990 to 2019 using following keywords: ACL preoperative exercise, prehabilitation ACL, and preoperative protocol. The initial search yielded 442 papers. Then, based on the inclusion and exclusion criteria, 10 papers were selected for the final review. Methodological quality of the studies was assessed by using the Physiotherapy Evidence Database (PEDro) scale and the Critical Appraisal Skills Program (CASP).
Results: Some preoperative exercises (traditional, strength, and neuromuscular) can significantly increase the knee extensor strength and knee function in men and women after surgery in the short and long periods. The mean PEDro score for 8 randomized controlled trials was 6, indicating their moderate methodological quality. Moreover, the CASP score for 2 cohort studies was 10 and 11 out of 12.
Conclusion: Preoperative rehabilitation consisting of neuromuscular and strength exercises followed by a criterion-based postoperative rehabilitation program cause greater functional outcomes and faster recovery of the knee extensor strength after ACL reconstruction. Preoperative rehabilitation should be considered as a standard treatment to maximize functional outcomes after ACL reconstruction. |
| format | Article |
| id | doaj-art-1c88e75a05ae45e5b9f1cbc6d9fe670a |
| institution | Matheson Library |
| issn | 2476-4906 2476-5937 |
| language | English |
| publishDate | 2019-12-01 |
| publisher | Islamic Azad University, Hamedan Branch |
| record_format | Article |
| series | Biyumikānīk-i varzishī |
| spelling | doaj-art-1c88e75a05ae45e5b9f1cbc6d9fe670a2025-07-02T03:24:12ZengIslamic Azad University, Hamedan BranchBiyumikānīk-i varzishī2476-49062476-59372019-12-0153188199The Effectiveness of Preoperative Exercises on the Outcomes After Anterior Cruciate Ligament Reconstruction: A Systematic ReviewAli Yalfani0Ahmad Ebrahimi Atri1Maedeh Taghizadeh Kermani2 Department of Corrective Exercise and Sport Injury, Faculty of Physical Education and Sport Sciences, Bu Ali Sina University, Hamedan, Iran. Department of Sport Physiology, Faculty of Sport Sciences, Ferdowsi University, Mashhad, Iran. Department of Corrective Exercise and Sport Injury, Faculty of Physical Education and Sport Sciences, Bu Ali Sina University, Hamedan, Iran. Objective: Quadriceps weakness is common after Anterior Cruciate Ligament (ACL) injury and subsequent surgery. Preoperative defects affect postoperative outcomes. The purpose of this review study was to investigate whether preoperative exercises can affect the postoperative outcomes after ACL reconstruction. Methods: The searching for papers was conducted in the PubMed database among the studies from 1990 to 2019 using following keywords: ACL preoperative exercise, prehabilitation ACL, and preoperative protocol. The initial search yielded 442 papers. Then, based on the inclusion and exclusion criteria, 10 papers were selected for the final review. Methodological quality of the studies was assessed by using the Physiotherapy Evidence Database (PEDro) scale and the Critical Appraisal Skills Program (CASP). Results: Some preoperative exercises (traditional, strength, and neuromuscular) can significantly increase the knee extensor strength and knee function in men and women after surgery in the short and long periods. The mean PEDro score for 8 randomized controlled trials was 6, indicating their moderate methodological quality. Moreover, the CASP score for 2 cohort studies was 10 and 11 out of 12. Conclusion: Preoperative rehabilitation consisting of neuromuscular and strength exercises followed by a criterion-based postoperative rehabilitation program cause greater functional outcomes and faster recovery of the knee extensor strength after ACL reconstruction. Preoperative rehabilitation should be considered as a standard treatment to maximize functional outcomes after ACL reconstruction.http://biomechanics.iauh.ac.ir/article-1-197-en.htmlpreoperative exercisesanterior cruciate ligament injuryknee extensor strengthknee function |
| spellingShingle | Ali Yalfani Ahmad Ebrahimi Atri Maedeh Taghizadeh Kermani The Effectiveness of Preoperative Exercises on the Outcomes After Anterior Cruciate Ligament Reconstruction: A Systematic Review Biyumikānīk-i varzishī preoperative exercises anterior cruciate ligament injury knee extensor strength knee function |
| title | The Effectiveness of Preoperative Exercises on the Outcomes After Anterior Cruciate Ligament Reconstruction: A Systematic Review |
| title_full | The Effectiveness of Preoperative Exercises on the Outcomes After Anterior Cruciate Ligament Reconstruction: A Systematic Review |
| title_fullStr | The Effectiveness of Preoperative Exercises on the Outcomes After Anterior Cruciate Ligament Reconstruction: A Systematic Review |
| title_full_unstemmed | The Effectiveness of Preoperative Exercises on the Outcomes After Anterior Cruciate Ligament Reconstruction: A Systematic Review |
| title_short | The Effectiveness of Preoperative Exercises on the Outcomes After Anterior Cruciate Ligament Reconstruction: A Systematic Review |
| title_sort | effectiveness of preoperative exercises on the outcomes after anterior cruciate ligament reconstruction a systematic review |
| topic | preoperative exercises anterior cruciate ligament injury knee extensor strength knee function |
| url | http://biomechanics.iauh.ac.ir/article-1-197-en.html |
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