Effectiveness of Rehabilitation After Arthroscopic Anterior Cruciate Ligament Reconstruction
DOI:
https://doi.org/10.37482/2687-1491-Z140Keywords:
postoperative rehabilitation, comprehensive individualized rehabilitation, treatment effectiveness, anterior cruciate ligament rupture, arthroscopic reconstruction, orthopaedic questionnairesAbstract
The aim of this study was to study the effectiveness of complex individual physical rehabilitation in patients after arthroscopic anterior cruciate ligament reconstruction. Material and methods. The study involved 834 patients (464 men and 370 women) aged 18-55 years with an isolated rupture of the ACL of the knee joint. The patients were divided into two groups: the main group - 304 patients (162 men and 142 women), in which rehabilitation treatment and complex rehabilitation were carried out according to an individual program, and the control group - 530 patients (302 men and 228 women), in which patients received only rehabilitation treatment after ACL reconstruction. Results. The research revealed that 1 year after ACL arthroscopic reconstruction and physical rehabilitation in patients of the main group, higher values of median efficiency according to orthopedic questionnaires were established than in the control group (p<0.0001, Mann-Whitney U-test). The use of complex physical rehabilitation after ACL arthroscopic reconstruction provides a higher recovery of physical activity and an increase in the quality of life of this category of patients
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Vijay C., Santosh M.S., Hisham M., Adarsh T. Assessment of Functional Outcome of Anterior Cruciate Ligament Reconstruction in Early and Delayed Presentation // Int. J. Orthop. Sci. 2022. Vol. 8, № 1. P. 805–808. DOI: 10.22271/ortho.2022.v8.i1k.3103
von Essen C., Eriksson K., Barenius B. Acute ACL Reconstruction Shows Superior Clinical Results and Can Be Performed Safely Without an Increased Risk of Developing Arthrofibrosis // Knee Surg. Sports Traumatol. Arthrosc. 2020. Vol. 28, № 7. P. 2036–2043. DOI: 10.1007/s00167-019-05722-w
Omar O., Rizvanovic D., Waldén M., Eriksson K., Barenius B., Stålman A. Compensation Claims Following Anterior Cruciate Ligament Injuries Reported to the Patient Insurance Company in Sweden in 2005–2014 // Acta Orthop. 2022. Vol. 93. Р. 97–102. DOI: 10.1080/17453674.2021.1996102
Cristiani R., Janarv P.M., Engström B., Edman G., Forssblad M., Stålman A. Delayed Anterior Cruciate Ligament Reconstruction Increases the Risk of Abnormal Prereconstruction Laxity, Cartilage, and Medial Meniscus Injuries // Arthroscopy. 2021. Vol. 37, № 4. Р. 1214–1220.
Shen X., Qin Y., Zuo J., Liu T., Xiao J. A Systematic Review of Risk Factors for Anterior Cruciate Ligament Reconstruction Failure // Int. J. Sports Med. 2021. Vol. 42, № 8. Р. 682–693. DOI: 10.1055/a-1393-6282
Abram S.G.F., Price A.J., Judge A., Beard D.J. Anterior Cruciate Ligament (ACL) Reconstruction and Meniscal Repair Rates Have Both Increased in the Past 20 Years in England: Hospital Statistics from 1997 to 2017 // Br. J. Sports Med. 2020. Vol. 54, № 5. Р. 286–291. DOI: 10.1136/bjsports-2018-100195
Eggerding V., Reijman M., Meuffels D.E., van Es E., van Arkel E., van den Brand I., van Linge J., Zijl J., Bierma-Zeinstra S.M.A., Koopmanschap M. ACL Reconstruction for All Is Not Cost-Effective After Acute ACL Rupture // Br. J. Sports Med. 2021. Vol. 56, № 1. Р. 24–28. DOI: 10.1136/bjsports-2020-102564
Koc B.B., Truyens A., Heymans M.J.L.F., Jansen E.J.P., Schotanus M.G.M. Effect of Low-Load Blood Flow Restriction Training After Anterior Cruciate Ligament Reconstruction: A Systematic Review // IJSPT. 2022. Vol. 17, № 3. Р. 334–346. DOI: 10.26603/001c.33151
Plachel F., Jung T., Bartek B., Rüttershoff K., Perka C., Gwinner C. The Subjective Knee Value Is a Valid Single‑Item Survey to Assess Knee Function in Common Knee Disorders // Arch. Orthop. Trauma Surg. 2022. Vol. 142, № 8. Р. 1723–1730. DOI: 10.1007/s00402-021-03794-3
Williams T., Burley D., Evans L., Robertson A., Hardy L., Roy S., Lewis D. The Structural Validity of the IKDC and Its Relationship with Quality of Life Following ACL Reconstruction // Scand. J. Med. Sci. Sports. 2020. Vol. 30, iss. 9. P. 1748–1757. DOI: 10.1111/sms.13738
Beard D.J., Davies L., Cook J.A., Stokes J., Leal J., Fletcher H., Abram S., Chegwin K., Greshon A., Jackson W., Bottomley N., Dodd M., Bourke H., Shirkey B.A., Paez A., Lamb S.E., Barker K., Phillips M., Brown M., Lythe V., Mirza B., Carr A., Monk P., Morgado Areia C., O’Leary S., Haddad F., Wilson C., Price A. Rehabilitation versus Surgical Reconstruction for Non-Acute Anterior Cruciate Ligament Injury (ACL SNNAP): A Pragmatic Randomised Controlled Trial // Lancet. 2022. Vol. 400, № 10352. Р. 605–615. DOI: 10.1016/S0140-6736(22)01424-6
Badawy C.R., Jan K., Beck E.C., Fleet N., Taylor J., Ford K., Waterman B.R. Contemporary Principles for Postoperative Rehabilitation and Return to Sport for Athletes Undergoing Anterior Cruciate Ligament Reconstruction // Arthrosc. Sports Med. Rehabil. 2022. Vol. 4, № 1. Р. e103–e113. DOI: 10.1016/j.asmr.2021.11.002
Feye A.P. Effects of Different Protocols of Strength Training in Postoperative Rehabilitation of Anterior Cruciate Ligament: A Review // MOJ Sports Med. 2018. Vol. 2, № 2. Р. 78–82. DOI: 10.15406/mojsm.2018.02.00051
Waldron K., Brown M., Calderon A., Feldman M. Anterior Cruciate Ligament Rehabilitation and Return to Sport: How Fast Is Too Fast? // Arthrosc. Sports Med. Rehabil. 2022. Vol. 4, № 1. Р. e175–e179. DOI: 10.1016/j.asmr.2021.10.027
Tegner Y., Lysholm J. Rating Systems in the Evaluation of Knee Ligament Injuries // Clin. Orthop. Relat. Res. 1985. Vol. 198. Р. 43–49.
Crawford K., Briggs K.K., Rodkey W.G., Steadman J.R. Reliability, Validity, and Responsiveness of the IKDC Score for Meniscus Injuries of the Knee // Arthroscopy. 2007. Vol. 23, № 8. Р. 839–844. DOI: 10.1016/j.arthro.2007.02.005
Bentley G., Biant L.C., Carrington R.W.J., Akmal M., Goldberg A., Williams A.M., Skinner J.A., Pringle J. A Prospective, Randomised Comparison of Autologous Chondrocyte Implantation versus Mosaicplasty for Osteochondral Defects in the Knee // J. Bone Joint Surg. Br. 2003. Vol. 85, № 2. Р. 223–230. DOI: 10.1302/0301-620x.85b2.13543
Федулова Д.В., Бердюгин К.А. Физическая реабилитация спортсменов после травмы передней крестообразной связки и мениска коленного сустава с применением баланс-тренинга / под ред. Н.М. Белокрылова. Екатеринбург, 2022. 124 с.
Culvenor A.G., Girdwood M.A., Juhl C.B., Patterson B.E., Haberfield M.J., Holm P.M., Bricca A., Whittaker J.L., Roos E.M., Crossley K.M. Rehabilitation After Anterior Cruciate Ligament and Meniscal Injuries: A Best-Evidence Synthesis of Systematic Reviews for the OPTIKNEE Consensus // Br. J. Sports Med. 2022. Vol. 56, № 24. Р. 1445–1453. DOI: 10.1136/bjsports-2022-105495
Patra S.K., Nanda S.N., Patro B.P., Sahu N.K., Mohnaty C.R., Jain M. Early Accelerated versus Delayed Conservative Rehabilitation Protocol After Anterior Cruciate Ligament Reconstruction: A Prospective Randomized Trial // Rev. Bras. Ortop. (Sao Paulo). 2022. Vol. 57, № 3. Р. 429–436. DOI: 10.1055/s-0042-1748970
Nelson C., Rajan L., Day J., Hinton R., Bodendorfer B.M. Postoperative Rehabilitation of Anterior Cruciate Ligament Reconstruction: A Systematic Review // Sports Med. Arthrosc. Rev. 2021. Vol. 29, № 2. Р. 63–80. DOI: 10.1097/JSA.0000000000000314
Nambi G., Abdelbasset W.K., Verma A., Elsayed S.H., Aldhafian O.R., Bin Nwihadh N., Omar M.A., Hassan T.G.T., Saleh A.K. Effects of Postoperative Rehabilitation on Gait Parameters and Electromyography Variables in Acute and Chronic Anterior Cruciate Ligament Reconstruction Surgery in Football Players // Evid. Based Complement. Alternat. Med. 2021. Vol. 2021. Art. № 9912795. DOI: 10.1155/2021/9912795