Evidence-based clinical practice update: practice guidelines for ACL rehabilitation based on a systematic review and multidisciplinary consensus

This is a review paper on current practice guidelines for ACLR rehab. This comes by instruction from the Royal Dutch Society for Physical Therapy (KNGF) to develop an evidence statement for rehab after ACLR.

Published online first: 18 August 2016

Open-access: YES

This review is more than a year old now so there have been new developments in the field of ACLR rehab since then. Most notably the Kyritsis et al (2016) paper from Aspetar that found 4x the risk of re-rupture if athletes did not meet the six discharge criteria. This paper was published around the same time as this paper so it was not included.

Apart from that, it is still a great review paper to see all the evidence for each practice guideline. They divided them in this review into 9 clinical topics:

  1. preoperative predictors for postoperative outcome
  2. effectiveness of physical therapy
  3. open and closed kinetic chain quadriceps exercises
  4. strength and neuromuscular training
  5. electrostimulation and electromyographic feedback
  6. cryotherapy
  7. measurements of functional performance
  8. return to play
  9. risk for reinjury

So they covered all aspects of ACL rehab in this review. So please do check it out, it’s not that long a read. Plus it’s open-access.

Please click on the link below to read the review:

van Melick, N. et al (2016) Evidence-based clinical practice update: practice guidelines for anterior cruciate ligament rehabilitation based on systematic review and multidisciplinary consensus. BJSM.


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