Adherence
Prehabilitation (preoperative rehabilitation) improves self-reported knee function up to 2 years after ACL reconstruction, although it may not significantly affect early quadriceps strength.
If you are scheduled for ACL surgery, try to start a rehabilitation program before the operation. This prehabilitation can help you achieve better self-reported knee function two years after surgery. While it might not significantly increase your quadriceps strength in the first few weeks, the long-term functional benefits are worth the effort.
Grindem et al described that combined prehabilitation and postoperative rehabilitation had better self-reported knee function at 2-year follow-up compared to postoperative rehabilitation only. ... prehabilitation ensures better self-reported knee function up to 2 years after ACLR.
Why this rating
Based on Level C prospective cohort study and Level B RCT.
Source
Evidence-based clinical practice update: practice guidelines for anterior cruciate ligament rehabilitation based on a systematic review and multidisciplinary consensus
Nicky van Melick et al. · British Journal of Sports Medicine · 2016
DOI 10.1136/bjsports-2015-095898
More from this paper
- Postoperative rehabilitation after anterior cruciate ligament reconstruction (ACLR) should be structured into a prehabilitation phase and three criterion-based postoperative phases (impairment-based, sport-specific, return to play) lasting 9–12 months, guided by objective strength, hop, and movement quality tests rather than time-based protocols.Weak
- Closed kinetic chain (CKC) quadriceps exercises are preferred over open kinetic chain (OKC) exercises in the first 6 weeks after ACL reconstruction with bone-patellar tendon-bone (BPTB) grafts, as OKC exercises may increase graft laxity.Weak
Related findings · Adherence
- Regular physical activity (at least 150 minutes/week of moderate-intensity) reduces all-cause and cardiovascular mortality by 20-30% and lowers the risk of type 2 diabetes by 25-35%.Strong
- Increasing physical activity from a sedentary lifestyle to an active one in middle adulthood significantly reduces the risk of coronary events compared to remaining sedentary.Strong
- Resistance exercise is the only intervention capable of consistently restoring muscle function and strength in sarcopenia, partially overcoming age-related anabolic resistance.Strong
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