Instituto Henriqueta Teixeira

A Systematic Review of Anterior Cruciate Ligament Reconstruction Rehabilitation

Part I:
Continuous Passive Motion, Early Weight Bearing, Postoperative Bracing, and Home-Based  rehabilitation.

Rick W. Wright, MD
Emily Preston, PT
Braden C. Fleming, PhD
Annunziato Amendola, MD
Jack T. Andrish, MD
John A. Bergfeld, MD
Warren R. Dunn, MPH, MD
Chris Kaeding, MD
John E. Kuhn, MD
Robert G. Marx, MD
Eric C. McCarty, MD
Richard C. Parker, MD
Kurt P. Spindler, MD
Michelle Wolcott, MD
Brian R. Wolf, MD
Glenn N. Williams, PhD, PT, ATC

Dr Wright is from the Department of Orthopedic Surgery, Washington University School of Medicine at Barnes-Jewish Hospital, St Louis, Mo; Ms Preston and Drs Dunn, Kuhn, and Spindler are from the Vanderbilt Sports Medicine Center, Nashville, Tenn; Dr Fleming is from the Department of rthopedic Surgery, Brown Medical School, Providence, RI; Drs Amendola, Wolf, and Williams are from the University of Iowa Hospitals and Clinics, Iowa City, Iowa; Drs Andrish, Bergfeld, and Parker are  from the Cleveland Clinic Foundation, Cleveland, and Dr Kaeding is from the Ohio State Sports Medicine Center, Columbus, Ohio; Dr Marx is from the Hospital for Special Surgery, New York, NY; and Drs McCarty and Wolcott are from the Department of Orthopedic Surgery, University of Colorado School of Medicine, Denver, Colo.

Correspondence: Rick W. Wright, MD, 1 Barnes-Jewish Plaza, Ste 11300, St Louis, MO 63110.

ABSTRACT:
Anterior cruciate ligament (ACL) reconstruction is a common surgical knee procedure that requires intensive postoperative rehabilitation by the patient. A variety of randomized controlled trials have investigated aspects of ACL reconstruction rehabilitation. A systematic review of English language level 1 and 2 studies identified 54 appropriate randomized controlled trials of ACL rehabilitation. Topics discussed in this part of the article include continuous passive motion, early weight bearing in motion, postoperative bracing, and home-based rehabilitation.
[J Knee Surg. 2008;21:217-224.]

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