| WITHDRAWN: Exercise for treating isolated anterior cruciate ligament injuries in adults. | |
| | |
MedLine Citation:
|
PMID: 21563144 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: The anterior cruciate ligament (ACL) is the most frequently injured ligament of the knee. Injury causes pain, effusion and inflammation leading to the inability to fully activate the thigh muscles. Regaining muscular control is essential if the individual wishes to return to pre-injury level of function and patients will invariably be referred for rehabilitation. OBJECTIVES: To present the best evidence for effectiveness of exercise used in the rehabilitation of isolated ACL injuries in adults, on return to work and pre-injury levels of activity. SEARCH STRATEGY: We searched the Cochrane Bone, Joint and Muscle Trauma Group Specialised Register (Feb 2005), the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library, Issue 1, 2005), MEDLINE (1996 to March 2005), EMBASE (1980 to March 2005), other databases and reference lists of articles. SELECTION CRITERIA: Randomised controlled trials and quasi-randomised trials testing exercise programmes designed to rehabilitate adults with isolated ACL injuries. Trials where participants were randomised to receive any combination of the following: no care, usual care, a single-exercise intervention, and multiple-exercise interventions, were included. The primary outcome measures of interest were returning to work and return to pre-injury level of activity post treatment, at six months and one year. DATA COLLECTION AND ANALYSIS: Two authors independently assessed trial quality and extracted data. Study authors were contacted for additional information. Adverse effects information was collected from the trials. MAIN RESULTS: Nine trials involving 391 participants were included. Only two trials, involving 76 participants, reported conservative rehabilitation and seven trials, involving 315 participants, evaluated rehabilitation following ACL reconstruction. Methodological quality scores varied considerably across the trials, with the nature of participant and assessor blinding poorly reported. Trial comparisons fell into six categories. Pooling of data was rarely possible due to lack of appropriate data as well as the wide variety in outcome measures and time points reported. Insufficient evidence was found to support the efficacy of one exercise intervention over another. AUTHORS' CONCLUSIONS: This review has demonstrated an absence of evidence to support one form of exercise intervention against another and the use of supplementary exercises in the management of isolated ACL injuries. Further research in the form of large scale well designed randomised controlled trials with suitable outcome measures and surveillance periods, using standardised reporting should be considered. |
| | |
Authors:
|
Amanda H Trees; Tracey E Howe; John Dixon; Lisa White |
Related Documents
:
|
3780244 - Work of breathing through different sized endotracheal tubes. 21686484 - Symptomatic hypertrophic obstructive cardiomyopathy: semi-supine bicycle ergometry as a... 20678784 - Pulmonary function measurements immediately after exercise are correlated with neutroph... 7462484 - Vocal register "shift" identification in a modified breathing atmosphere. 10086204 - Non-specific nasal and bronchial reactivity are not correlated in non-asthmatic subject... 3240214 - Decompression sickness and bubble formation in females exposed to a simulated 7.8 psia ... |
Publication Detail:
|
Type: Journal Article; Review Date: 2011-05-11 |
Journal Detail:
|
Title: Cochrane database of systematic reviews (Online) Volume: - ISSN: 1469-493X ISO Abbreviation: Cochrane Database Syst Rev Publication Date: 2011 |
Date Detail:
|
Created Date: 2011-05-12 Completed Date: 2011-06-23 Revised Date: 2011-08-11 |
Medline Journal Info:
|
Nlm Unique ID: 100909747 Medline TA: Cochrane Database Syst Rev Country: England |
Other Details:
|
Languages: eng Pagination: CD005316 Citation Subset: IM |
Affiliation:
|
Centre for Rehabilitation Sciences, University of Teesside, School of Health and Social Care, Middlesbrough, Tees Valley, UK, TS1 3BA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adult Anterior Cruciate Ligament / injuries*, surgery Exercise Therapy* Humans Middle Aged Randomized Controlled Trials as Topic Recovery of Function |
| Comments/Corrections | |
Update Of:
|
Cochrane Database Syst Rev. 2005;(4):CD005316
[PMID:
16235401
]
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Selenium for preventing cancer.
Next Document: Prophylactic corticosteroids for cardiopulmonary bypass in adults.