https://www.ijmhr.org/ijpr.html editor_physiotherapy@hotmail.com
ISSN:       2321-1822 (E) 2321-8975 (P)

IJPR.2017.156

DOWNLOAD PDF
Table of Contents

Type of Article:  Original Research

Volume 5; Issue 3 (June 2017)

Page No.: 2119-2126

DOI: https://dx.doi.org/10.16965/ijpr.2017.156

EVALUATION OF REHABILITATION PARAMETERS AFTER ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION

Hamza Atwi 1, Younes Abbes 1, Ali Mansour 2, Khodor Haidar Hassan 3, Hassan Karaki *4.

1 MPT, Department of Physical Therapy, Faculty of Public Health, Lebanese University, Hadath, Lebanon.

2 PT, Department of Physical Therapy, Faculty of Public Health, Lebanese University, Hadath, Lebanon.

3 MD, PhD, Associate Professor Department of Physical Therapy, Faculty of Public Health, Lebanese University, Hadath, Lebanon.

*4 PT, PhD, Associate Professor, Chair, Department of Physical Therapy, Faculty of Public Health, Lebanese University, Hadath, Lebanon.

Address for Correspondence: Dr. Hassan Karaki, PT, PhD, Associate Professor, Chair, Department of Physical Therapy, Faculty of Public Health, Lebanese University, Hadath, Lebanon.  E-Mail: hkaraki@ul.edu.lb ; hkaraki@hotmail.com

ABSTRACT:

Introduction: The purpose of this study is to find out the ideal number of pre and post-operative physical therapy sessions, the importance of age, the training after the reeducation visits, the optimal time of evaluation after surgery, and the impact of the period between the time of injury and surgery on the post-operative functional outcomes of the knee.

Materials and Methods: We have selected 50 patients among 539 individuals who have had ACL reconstruction surgeries (from six months and more) using the Kenneth Jones technic (KJ), aged between 18 and 50 years, and have gone through the same reeducation protocol. They had to complete the IKDC score to evaluate and analyze the outcomes across the 6 variables cited above.

Results and Discussion: The student’s t-test has validated the results for the age (P<0.05). As a matter fact, the age above 35 years in not an obstacle any more to have good functional outcomes in the knee. The results of the surgery in relation with the period of time between the date of injury and the surgery may negatively or positively affect the outcomes. Therefore, the optimal period is at 1 to 1,5 months after the injury. The number of post-operative sessions ((P=0.75)>0.05) as well as the number of post-reeducation training days ((P=0.44>0.05) did not show significant impact on the functional outcomes of the knee.

Conclusion: The results of the surgery in relation with the number of visits following the operation have indicated a minimum of 15 sessions (79.3%) and a maximum of 20 to 25 sessions. Finally, there has not been a relevant relation between the date of evaluation and the functional outcomes of the knee.

Key words: Anterior cruciate ligament, KJ, IKDC, DITI, Lemaire.

REFERENCES

  1. Logerstedt D, Stasi SD, Grindem H, Lynch A, Eitzen I, Engebretsen L, et al. Self-reported Knee Function Can Identify Athletes Who Fail Return to Activity Criteria up to 1 Year after Anterior Cruciate Ligament Reconstruction. A Delaware-Oslo ACL Cohort Study. J Orthop Sports Phys Ther. 2014 Dec;44(12):914–23.
  2. Christensen JC, Goldfine LR, Barker T, Collingridge DS. What can the first 2 months tell us about outcomes after anterior cruciate ligament reconstruction? J Athl Train. 2015 May;50(5):508–15.
  3. Heijne A, Werner S. A 2-year follow-up of rehabilitation after ACL reconstruction using patellar tendon or hamstring tendon grafts: a prospective randomised outcome study. Knee Surg Sports Traumatol Arthrosc Off J ESSKA. 2010 Jun;18(6):805–13.
  4. Spindler KP, Huston LJ, Wright RW, Kaeding CC, Marx RG, Amendola A, et al. The Prognosis and Predictors of Sports Function and Activity at Minimum Six Years after ACLR: A Population Cohort Study. Am J Sports Med. 2011 Feb;39(2):348–59.
  5. Hsiao S-F, Chou P-H, Hsu H-C, Lue Y-J. Changes of muscle mechanics associated with anterior cruciate ligament deficiency and reconstruction. J Strength Cond Res. 2014 Feb;28(2):390–400.
  6. Ardern CL, Webster KE, Taylor NF, Feller JA. Return to sport following anterior cruciate ligament reconstruction surgery: a systematic review and meta-analysis of the state of play. Br J Sports Med. 2011 Jun;45(7):596–606.
  7. Atwi H, Mansour A, Hassan KH, Karaki H. which outcome measures to use to evaluate the results of anterior cruciate ligament reconstruction surgery. WJPPS. 2017 Feb;6(3): 1090-1112.
  8. COLLINS NJ, MISRA D, FELSON DT, CROSSLEY KM, ROOS EM. Measures of Knee Function. Arthritis Care Res. 2011 Nov;63(0 11):S208–28.
  9. Wang D, Jones MH, Khair MM, Miniaci A. Patient-reported outcome measures for the knee. J Knee Surg. 2010 Sep;23(3):137–51.
  10. Higgins LD, Taylor MK, Park D, Ghodadra N, Marchant M, Pietrobon R, et al. Reliability and validity of the International Knee Documentation Committee (IKDC) Subjective Knee Form. Jt Bone Spine Rev Rhum. 2007 Dec;74(6):594–9.
  11. Quelard B. et Rachet O. Rééducation et réadaptation au sport après greffe du ligament croisé antérieur chez le rugbyman, in Pathologie du rigbyman, Sauramps médical 2004, Lyon, pp. 225-241.
  12. Karaki H. Le renforcement musculaire après réparation du ligament croisé antérieur – Principes et modalités, Pertinence, N 1, pp. 117-127, Éditions de l’université Antonine, 2009, Beyrouth.
  13. Legnani C, Terzaghi C, Borgo E, Ventura A. Management of anterior cruciate ligament rupture in patients aged 40 years and older. J Orthop Traumatol Off J Ital Soc Orthop Traumatol. 2011 Dec;12(4):177–84.
  14. Buss DD, Min R, Skyhar M, Galinat B, Warren RF, Wickiewicz TL. Nonoperative treatment of acute anterior cruciate ligament injuries in a selected group of patients. Am J Sports Med. 1995 Mar-Apr;23(2):160-5.
  15. Brown CA, McAdams TR, Harris AHS, Maffulli N, Safran MR. ACL Reconstruction in Patients Aged 40 Years and Older A Systematic Review and Introduction of a New Methodology Score for ACL Studies. Am J Sports Med. 2013 Apr 2;0363546513481947.
  16. Gee AO, Kinsella SD, Lee G-C, Sennett B, Tjoumakaris FP. ACL Reconstruction in Patients Over 40 Years of Age: A Case Control Study (SS-60). Arthroscopy. 2011 May 1;27(5):e62.
  17. Bottoni CR, Liddell TR, Trainor TJ, Freccero DM, Lindell KK. Postoperative range of motion following anterior cruciate ligament reconstruction using autograft hamstrings: a prospective, randomized clinical trial of early versus delayed reconstructions. Am J Sports Med. 2008 Apr;36(4):656–62.
  18. Frobell RB, Roos EM, Roos HP, Ranstam J, Lohmander LS. A randomized trial of treatment for acute anterior cruciate ligament tears. N Engl J Med. 2010 Jul 22;363(4):331–
  19. Evans S, Shaginaw J, Bartolozzi A. ACL RECONSTRUCTION ‐ IT’S ALL ABOUT TIMING. Int J Sports Phys Ther. 2014 Apr;9(2):268–73.
  20. Smith TO, Davies L, Hing CB. Early versus delayed surgery for anterior cruciate ligament reconstruction: a systematic review and meta-analysis. Knee Surg Sports Traumatol Arthrosc Off J ESSKA. 2010 Mar;18(3):304–11.
  21. Mayr HO, Weig TG, Plitz W. Arthrofibrosis following ACL reconstruction–reasons and outcome. Arch Orthop Trauma Surg. 2004 Oct;124(8):518–22.
  22. Alshewaier S, Yeowell G, Fatoye F. The effectiveness of pre-operative exercise physiotherapy rehabilitation on the outcomes of treatment following anterior cruciate ligament injury: A systematic review. Clin Rehabil. 2016 Feb 15;
  23. Kim DK, Hwang JH, Park WH. Effects of 4 weeks preoperative exercise on knee extensor strength after anterior cruciate ligament reconstruction. J Phys Ther Sci. 2015 Sep;27(9):2693–6.
  24. Eitzen I, Holm I, Risberg MA. Preoperative quadriceps strength is a significant predictor of knee function two years after anterior cruciate ligament reconstruction. Br J Sports Med. 2009 May;43(5):371–6.
  25. Eitzen I, Moksnes H, Snyder-Mackler L, Risberg MA. A progressive 5-week exercise therapy program leads to significant improvement in knee function early after anterior cruciate ligament injury. J Orthop Sports Phys Ther. 2010 Nov;40(11):705–21.
  26. Keays SL, Bullock-Saxton JE, Newcombe P, Bullock MI. The effectiveness of a pre-operative home-based physiotherapy programme for chronic anterior cruciate ligament deficiency. Physiother Res Int J Res Clin Phys Ther. 2006 Dec;11(4):204–18.
  27. Feller JA, Webster KE, Taylor NF, Payne R, Pizzari T. Effect of physiotherapy attendance on outcome after anterior cruciate ligament reconstruction: a pilot study. Br J Sports Med. 2004 Feb 1;38(1):74–7.
  28. Darain H, Alkitani A, Yates C, Bailey A, Roberts S, Coutts F, et al. Antecedent anterior cruciate ligament reconstruction surgery and optimal duration of supervised physiotherapy. J Back Musculoskelet Rehabil. 2015;28(4):877–82.
  29. De Carlo MS, Sell KE. The effects of the number and frequency of physical therapy treatments on selected outcomes of treatment in patients with anterior cruciate ligament reconstruction. J Orthop Sports Phys Ther. 1997 Dec;26(6):332–9.

Cite this article: Hamza Atwi, Younes Abbes, Ali Mansour, Khodor Haidar Hassan, Hassan Karaki. EVALUATION OF REHABILITATION PARAMETERS AFTER ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION. Int J Physiother Res 2017;5(3):2119-2126. DOI: 10.16965/ijpr.2017.156