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The Journal of Sports Medicine and Physical Fitness 2019 September;59(9):1551-7

DOI: 10.23736/S0022-4707.18.08692-9


lingua: Inglese

Supervised physiotherapy leads to a better return to physical activity after anterior cruciate ligament reconstruction

Katarzyna PRZYBYLAK 1 , Marcin SIBIŃSKI 2, Marcin DOMŻALSKI 3, Adam KWAPISZ 2, Amit M. MOMAYA 4, Marzenna ZIELIŃSKA 1

1 Department of Invasive Cardiology and Electrocardiology, Intensive Cardiac Therapy Clinic, Medical University, Lodz, Poland; 2 Clinic of Orthopedics and Pediatric Orthopedics, Medical University, Lodz, Poland; 3 Clinic of Orthopedics and Traumatology, Medical University, Lodz, Poland; 4 Department of Orthopedic Surgery, University of Alabama at Birmingham, Birmingham, AL, USA

BACKGROUND: The main goal of rehabilitation after anterior cruciate ligament reconstruction (ACLR) is to return to functional and sports activity at a preinjury level. The aim of this study was to assess the influence of supervised (SU) versus non-supervised (NS) rehabilitation protocols after ACLR on the return to sports activity and quality of life of amateur athletes.
METHODS: The study included a total of 50 patients after ACLR, with 25 in the SU group and 25 in the NS group. No significant differences were observed between the two groups with regard to age, sex, or BMI. Two different ACLR techniques were used: hamstring graft and bone patellar tendon bone. The patients were examined preoperatively and 12 months postoperatively. Outcomes were evaluated utilizing the Kujala Scale, Tegner Scale, the Knee injury and Osteoarthritis Outcome Score (KOOS), the Functional Movement Screen (FMS), and range of motion. Patients from the SU group participated in rehabilitation sessions with a physiotherapist with an average of 48 meetings. Those in the NS attended six meetings with the physiotherapist.
RESULTS: At final follow-up, patients from both groups demonstrated a higher level of functional and sports activity and had a better quality of life 12 months after ACLR. Patients from the supervised group returned to a significantly higher level of sports activity (Tegner Scale: SU=6, NS=5, P=0.003) and reported significantly better quality of life 12 months after ACLR (KOOS QOL: SU=90, NS=74; P<0.001).
CONCLUSIONS: Supervised, controlled physiotherapy results in higher activity levels and better quality of life in amateur athletes 12 months after ACLR.

KEY WORDS: Knee injuries; Surgery; Anterior cruciate ligament reconstruction; Return to sport; Physical therapy modalities

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