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ACL Reconstruction: Which Additional Physiotherapy Interventions Improve Early-Stage Rehabilitation? A Systematic Review

Author

Listed:
  • Maciej Kochman

    (Physiotherapy Department, Institute of Health Sciences, College of Medical Sciences, University of Rzeszów, Marszałkowska 24, 35-215 Rzeszów, Poland)

  • Marta Kasprzak

    (Physiotherapy Department, Institute of Health Sciences, College of Medical Sciences, University of Rzeszów, Marszałkowska 24, 35-215 Rzeszów, Poland)

  • Aleksandra Kielar

    (Physiotherapy Department, Institute of Health Sciences, College of Medical Sciences, University of Rzeszów, Marszałkowska 24, 35-215 Rzeszów, Poland)

Abstract

Despite the restoration of the mechanical stability of the knee joint after ACL reconstruction (ACLR), patients often experience postoperative limitations. To our knowledge, there are no systematic reviews analyzing additional physiotherapy interventions implementing standard rehabilitation programs in the early postoperative phase after ACLR. The objective of this study was to analyze the additional physiotherapy interventions implemented in standard rehabilitation programs that improve early-stage ACLR rehabilitation. For this systematic review, we followed the PRISMA guidelines. In March 2022 we conducted a literature review using electronic databases. Primary outcomes were pain, edema, muscle strength, ROM, and knee function. The risk of bias and scientific quality of included studies were assessed with the RoB 2, ROBINS-I and PEDro scale. For the review, we included 10 studies that met the inclusion criteria (total n = 3271). The included studies evaluated the effectiveness of Kinesio Taping, Whole-body vibration, Local Vibration Training, Trigger Point Dry Needling, High Tone Power Therapy, alternating magnetic field, and App-Based Active Muscle Training Program. Most of the additional physiotherapy interventions improved pain, edema, ROM, knee muscle strength, or knee function in early-stage postoperative ACL rehabilitation. Except for one study, no adverse events occurred in the included studies, which demonstrates the safety of the discussed physiotherapy interventions. Further in-depth research is needed in this area.

Suggested Citation

  • Maciej Kochman & Marta Kasprzak & Aleksandra Kielar, 2022. "ACL Reconstruction: Which Additional Physiotherapy Interventions Improve Early-Stage Rehabilitation? A Systematic Review," IJERPH, MDPI, vol. 19(23), pages 1-18, November.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:23:p:15893-:d:987432
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    References listed on IDEAS

    as
    1. Hyung Gyu Jeon & Byong Hun Kim & Tae Kyu Kang & Hee Seong Jeong & Sae Yong Lee, 2021. "Determination of the Strongest Factor and Component in a Relationship between Lower-Extremity Assessment Protocol and Patient-Oriented Outcomes in Individuals with Anterior Cruciate Ligament Reconstru," IJERPH, MDPI, vol. 18(15), pages 1-12, July.
    2. Andrzej Czamara & Katarzyna Krzemińska & Wojciech Widuchowski & Szymon Lukasz Dragan, 2021. "The Muscle Strength of the Knee Joint after ACL Reconstruction Depends on the Number and Frequency of Supervised Physiotherapy Visits," IJERPH, MDPI, vol. 18(20), pages 1-14, October.
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