Document Detail


A progressive 5-week exercise therapy program leads to significant improvement in knee function early after anterior cruciate ligament injury.
MedLine Citation:
PMID:  20710097     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
STUDY DESIGN: Prospective cohort study without a control group.
OBJECTIVES: Firstly, to present our 5-week progressive exercise therapy program in the early stage after anterior cruciate ligament (ACL) injury. Secondly, to evaluate changes in knee function after completion of the program for patients with ACL injury in general and also when classified as potential copers or noncopers, and, finally, to examine potential adverse events.
BACKGROUND: Few studies concerning early-stage ACL rehabilitation protocols exist. Consequently, little is known about the tolerance for, and outcomes from, short-term exercise therapy programs in the early stage after injury.
METHODS: One-hundred patients were included in a 5-week progressive exercise therapy program, within 3 months after injury. Knee function before and after completion of the program was evaluated from isokinetic quadriceps and hamstrings muscle strength tests, 4 single-leg hop tests, 2 different self-assessment questionnaires, and a global rating of knee function. A 2-way mixed-model analysis of variance was conducted to evaluate changes from pretest to posttest for the limb symmetry index for muscle strength and single-leg hop tests, and the change in scores for the patient-reported questionnaires. In addition, absolute values and the standardized response mean for muscle strength and single-leg hop tests were calculated at pretest and posttest for the injured and uninjured limb. Adverse events during the 5-week period were recorded.
RESULTS: The progressive 5-week exercise therapy program led to significant improvements (P<.05) in knee function from pretest to posttest both for patients classified as potential copers and noncopers. Standardized response mean values for changes in muscle strength and single-leg hop performance from pretest to posttest for the injured limb were moderate to strong (0.49-0.84), indicating the observed improvements to be clinically relevant. Adverse events occurred in 3.9% of the patients.
CONCLUSION: Short-term progressive exercise therapy programs are well tolerated and should be incorporated in early-stage ACL rehabilitation, either to improve knee function before ACL reconstruction or as a first step in further nonoperative management.
LEVEL OF EVIDENCE: Therapy, level 2b.
Authors:
Ingrid Eitzen; Håvard Moksnes; Lynn Snyder-Mackler; May Arna Risberg
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  The Journal of orthopaedic and sports physical therapy     Volume:  40     ISSN:  0190-6011     ISO Abbreviation:  J Orthop Sports Phys Ther     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-12-10     Completed Date:  2011-01-20     Revised Date:  2014-09-17    
Medline Journal Info:
Nlm Unique ID:  7908150     Medline TA:  J Orthop Sports Phys Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  705-21     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adaptation, Physiological
Adaptation, Psychological
Adolescent
Adult
Analysis of Variance
Anterior Cruciate Ligament / injuries*
Disability Evaluation
Exercise Therapy / methods*
Female
Humans
Knee Injuries / psychology,  rehabilitation*
Male
Middle Aged
Muscle Strength
Prospective Studies
Questionnaires
Recovery of Function
Treatment Outcome
Grant Support
ID/Acronym/Agency:
R01 HD 037985-04/HD/NICHD NIH HHS; R01 HD 037985-05/HD/NICHD NIH HHS; R01 HD 037985-06/HD/NICHD NIH HHS; R01 HD037985/HD/NICHD NIH HHS; R01 HD037985-05/HD/NICHD NIH HHS; R01 HD037985-06/HD/NICHD NIH HHS; R01 HD037985-07/HD/NICHD NIH HHS; R01 HD037985-07S1/HD/NICHD NIH HHS; R01 HD037985-08/HD/NICHD NIH HHS
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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