What is the evidence for exercise related rehabilitation of ACL injuries?
AMSTAR Rating
Summary
Patient Population:
No information was provided on the patient population.
Intervention:
Exercise – open and closed kinetic chain rehabilitation.
Comparison:
Measure of body, structure and function were used most often to assess outcome in the studies identified for inclusion.
Outcome:
-
1 study suggests that early engagement in open kinetic chain exercise post hamstring ACL reconstruction may be associated with increased laxity.
-
4 studies suggest use of these open kinetic chain exercise may be safe for individuals post patella tendon bone ACL reconstruction surgery.
-
2 studies suggest eccentric exercise may be the most important strengthening exercise for individuals who have had ACL reconstruction.
-
1 study suggests perturbation training did not result in improved outcomes for individuals with ACL deficiency.
-
The authors recommend that, based on the evidence found in this review process, that knee rehabilitation services maximize patient access to exercise.
Guideline Recommendations
| Source | Recommendation |
|---|---|
| AAOS | Moderate evidence to support |
Outcomes Assessed
- Benefit
- Harm
- Inconclusive
Post ACL reconstruction
Exercise program
Type of exercise
