Functional Outcome of ACL Reconstruction Following Pre-reconstruction Rehabilitation Vs. None Rehabilitation: A Systematic Review and Meta-analysis

Overview

Journal Rev Bras Ortop (Sao Paulo)

Publisher Thieme

Specialty Orthopedics

Date 2024 Apr 12

PMID 38606119

Authors

I Gusti Ngurah Wien Aryana

Febyan Febyan

Dominicus Dimitri

Shianita Limena

Leonardus William Kuswara

Affiliations

Soon will be listed here.

Abstract

The aim of this study is to analyse the needs for pre-operative rehabilitation in patients undergoing ACL reconstruction. The database reports were searched within 2018 to 2023, using PubMed, Cochrane library database, Medline, and other published trials. A statistical analysis was made from Review Manager. Pre-operative rehabilitation group shows significantly higher 2 years post-operative KOOS score in all subscore and the total mean of the score, pain (p < 0. 0001), symptoms (p < 0. 0001), ADL (p < 0. 0001), sports and recreations (p < 0. 0001), QoL (p < 0. 0001), and the total mean of the KOOS score (p < 0.0001). In contrary, pre-operative rehabilitation group shows insignificantly higher score on 3 months post-operative Lysholm score (p = 0.12). This meta-analysis conclude pre-operative rehabilitation may provide better long-term post-operative outcome, however it may not provide much of a short-term outcome. It is recommended to add pre-operative rehabilitation as a guideline for ACL injury management to improve long-term outcome of patients with ACL injury undergoing ACL reconstruction procedure.

References

Herzog M, Marshall S, Lund J, Pate V, Mack C, Spang J . Trends in Incidence of ACL Reconstruction and Concomitant Procedures Among Commercially Insured Individuals in the United States, 2002-2014. Sports Health. 2018; 10(6):523-531. PMC: 6204641. DOI: 10.1177/1941738118803616. View

Failla M, Logerstedt D, Grindem H, Axe M, Risberg M, Engebretsen L . Does Extended Preoperative Rehabilitation Influence Outcomes 2 Years After ACL Reconstruction? A Comparative Effectiveness Study Between the MOON and Delaware-Oslo ACL Cohorts. Am J Sports Med. 2016; 44(10):2608-2614. PMC: 5537599. DOI: 10.1177/0363546516652594. View

Shaarani S, OHare C, Quinn A, Moyna N, Moran R, OByrne J . Effect of prehabilitation on the outcome of anterior cruciate ligament reconstruction. Am J Sports Med. 2013; 41(9):2117-27. DOI: 10.1177/0363546513493594. View

Andersson D, Samuelsson K, Karlsson J . Treatment of anterior cruciate ligament injuries with special reference to surgical technique and rehabilitation: an assessment of randomized controlled trials. Arthroscopy. 2009; 25(6):653-85. DOI: 10.1016/j.arthro.2009.04.066. View

Mall N, Chalmers P, Moric M, Tanaka M, Cole B, Bach Jr B . Incidence and trends of anterior cruciate ligament reconstruction in the United States. Am J Sports Med. 2014; 42(10):2363-70. DOI: 10.1177/0363546514542796. View

Sanders T, Kremers H, Bryan A, Larson D, Dahm D, Levy B . Incidence of Anterior Cruciate Ligament Tears and Reconstruction: A 21-Year Population-Based Study. Am J Sports Med. 2016; 44(6):1502-7. DOI: 10.1177/0363546516629944. View

Grindem H, Granan L, Risberg M, Engebretsen L, Snyder-Mackler L, Eitzen I . How does a combined preoperative and postoperative rehabilitation programme influence the outcome of ACL reconstruction 2 years after surgery? A comparison between patients in the Delaware-Oslo ACL Cohort and the Norwegian National Knee Ligament.... Br J Sports Med. 2014; 49(6):385-9. PMC: 4351141. DOI: 10.1136/bjsports-2014-093891. View

Carter H, Littlewood C, Webster K, Smith B . The effectiveness of preoperative rehabilitation programmes on postoperative outcomes following anterior cruciate ligament (ACL) reconstruction: a systematic review. BMC Musculoskelet Disord. 2020; 21(1):647. PMC: 7533034. DOI: 10.1186/s12891-020-03676-6. View

Kim D, Hwang J, Park W . Effects of 4 weeks preoperative exercise on knee extensor strength after anterior cruciate ligament reconstruction. J Phys Ther Sci. 2015; 27(9):2693-6. PMC: 4616071. DOI: 10.1589/jpts.27.2693. View

10.

Logerstedt D, Lynch A, Axe M, Snyder-Mackler L . Pre-operative quadriceps strength predicts IKDC2000 scores 6 months after anterior cruciate ligament reconstruction. Knee. 2012; 20(3):208-12. PMC: 3535501. DOI: 10.1016/j.knee.2012.07.011. View

11.

Longo U, Nagai K, Salvatore G, Cella E, Candela V, Cappelli F . Epidemiology of Anterior Cruciate Ligament Reconstruction Surgery in Italy: A 15-Year Nationwide Registry Study. J Clin Med. 2021; 10(2). PMC: 7826510. DOI: 10.3390/jcm10020223. View

12.

Eitzen I, Holm I, Risberg M . Preoperative quadriceps strength is a significant predictor of knee function two years after anterior cruciate ligament reconstruction. Br J Sports Med. 2009; 43(5):371-6. DOI: 10.1136/bjsm.2008.057059. View