CC..png    

Legal and postal addresses of the publisher: office 1336, 17 Naberezhnaya Severnoy Dviny, Arkhangelsk, 163002, Russian Federation, Northern (Arctic) Federal University named after M.V. Lomonosov

Phone: (818-2) 21-61-21
E-mail: vestnik_med@narfu.ru
https://vestnikmed.ru/en/

ABOUT JOURNAL

Effectiveness of Rehabilitation After Arthroscopic Anterior Cruciate Ligament Reconstruction. P. 54-62

Версия для печати

Section: Clinical medicine

UDC

616.728.3:616-036.8

DOI

10.37482/2687-1491-Z140

Authors

Ivan I. Radysh* ORCID: https://orcid.org/0000-0002-1585-5402
Larisa I. Kruglova** ORCID: https://orcid.org/0000-0002-5044-5265
Valeriy V. Boyarintsev** ORCID: https://orcid.org/0000-0001-9707-3262

*Clinical Hospital No. 1 of the Administrative Directorate of the President of the Russian Federation (Moscow, Russian Federation)
**Central State Medical Academy of Department of Presidential Affairs (Moscow, Russian Federation)

Corresponding author: Ivan Radysh, address: ul. Starovolynskaya 10, Moscow, 121352, Russian Federation; e-mail: dr-ivo@yandex.ru

Abstract

The aim of this paper was to study treatment effectiveness in patients after arthroscopic anterior cruciate ligament (ACL) reconstruction using individualized physical rehabilitation. Materials and methods. The study included 834 subjects aged 18–54 years (464 men and 370 women) diagnosed with ACL rupture. The patients were divided into two groups: the main group of 304 subjects (162 men and 142 women), who, in addition to standard treatment, received comprehensive individualized rehabilitation, and the control group of 530 subjects (302 men and 228 women), who underwent standard postoperative rehabilitation. Treatment effectiveness was assessed using subjective orthopaedic questionnaires during follow-ups (before surgery and 1 year after surgery and rehabilitation). Results. One year after arthroscopic ACL reconstruction and physical rehabilitation, statistically significantly higher medians of treatment effectiveness were established according to orthopaedic questionnaires in patients of the main group than in those of the control group. It is important to note that the subjects from the main group statistically significantly more often demonstrated high rates of treatment effectiveness compared with the representatives of the control group. Thus, comprehensive individualized rehabilitation of patients that underwent surgery after ACL rupture significantly improves their physical and mental state.

Keywords

postoperative rehabilitation, comprehensive individualized rehabilitation, treatment effectiveness, anterior cruciate ligament rupture, arthroscopic reconstruction, orthopaedic questionnaires
Download (pdf, 0.6MB )

References

  1. Vijay C., Santosh M.S., Hisham M., Adarsh T. Assessment of Functional Outcome of Anterior Cruciate Ligament Reconstruction in Early and Delayed Presentation. Int. J. Orthop. Sci., 2022, vol. 8, no. 1, pp. 805–808. DOI: 10.22271/ortho.2022.v8.i1k.3103
  2. von Essen C., Eriksson K., Barenius B. Acute ACL Reconstruction Shows Superior Clinical Results and Can Be Performed Safely Without an Increased Risk of Developing Arthrofibrosis. Knee Surg. Sports Traumatol. Arthrosc., 2020, vol. 28, no. 7, pp. 2036–2043. DOI: 10.1007/s00167-019-05722-w
  3. Omar O., Rizvanovic D., Waldén M., Eriksson K., Barenius B., Stålman A. Compensation Claims Following Anterior Cruciate Ligament Injuries Reported to the Patient Insurance Company in Sweden in 2005–2014. Acta Orthop., 2022, vol. 93, pp. 97–102. DOI: 10.1080/17453674.2021.1996102
  4. Cristiani R., Janarv P.M., Engström B., Edman G., Forssblad M., Stålman A. Delayed Anterior Cruciate Ligament Reconstruction Increases the Risk of Abnormal Prereconstruction Laxity, Cartilage, and Medial Meniscus Injuries. Arthroscopy, 2021, vol. 37, no. 4, pp. 1214–1220. DOI: 10.1016/j.arthro.2020.11.030
  5. Shen X., Qin Y., Zuo J., Liu T., Xiao J. A Systematic Review of Risk Factors for Anterior Cruciate Ligament Reconstruction Failure. Int. J. Sports Med., 2021, vol. 42, no. 8, pp. 682–693. DOI: 10.1055/a-1393-6282
  6. Abram S.G.F., Price A.J., Judge A., Beard D.J. Anterior Cruciate Ligament (ACL) Reconstruction and Meniscal Repair Rates Have Both Increased in the Past 20 Years in England: Hospital Statistics from 1997 to 2017. Br. J. Sports Med., 2020, vol. 54, no. 5, pp. 286–291. DOI: 10.1136/bjsports-2018-100195
  7. Eggerding V., Reijman M., Meuffels D.E., van Es E., van Arkel E., van den Brand I., van Linge J., Zijl J., Bierma-Zeinstra S.M.A., Koopmanschap M. ACL Reconstruction for All Is Not Cost-Effective After Acute ACL Rupture. Br. J. Sports Med., 2021, vol. 56, no. 1, pp. 24–28. DOI: 10.1136/bjsports-2020-102564
  8. Koc B.B., Truyens A., Heymans M.J.L.F., Jansen E.J.P., Schotanus M.G.M. Effect of Low-Load Blood Flow Restriction Training After Anterior Cruciate Ligament Reconstruction: A Systematic Review. IJSPT, 2022, vol. 17, no. 3, pp. 334–346. DOI: 10.26603/001c.33151
  9. Plachel F., Jung T., Bartek B., Rüttershoff K., Perka C., Gwinner C. The Subjective Knee Value Is a Valid Single-Item Survey to Assess Knee Function in Common Knee Disorders. Arch. Orthop. Trauma Surg., 2022, vol. 142, no. 8, pp. 1723–1730. DOI: 10.1007/s00402-021-03794-3
  10. Williams T., Burley D., Evans L., Robertson A., Hardy L., Roy S., Lewis D. The Structural Validity of the IKDC and Its Relationship with Quality of Life Following ACL Reconstruction. Scand. J. Med. Sci. Sports, 2020, vol. 30, no. 9, pp. 1748–1757. DOI: 10.1111/sms.13738
  11. Beard D.J., Davies L., Cook J.A., Stokes J., Leal J., Fletcher H., Abram S., Chegwin K., Greshon A., Jackson W., Bottomley N., Dodd M., Bourke H., Shirkey B.A., Paez A., Lamb S.E., Barker K., Phillips M., Brown M., Lythe V., Mirza B., Carr A., Monk P., Morgado Areia C., O’Leary S., Haddad F., Wilson C., Price A. Rehabilitation versus Surgical Reconstruction for Non-Acute Anterior Cruciate Ligament Injury (ACL SNNAP): A Pragmatic Randomised Controlled Trial. Lancet, 2022, vol. 400, no. 10352, pp. 605–615. DOI: 10.1016/S0140-6736(22)01424-6
  12. Badawy C.R., Jan K., Beck E.C., Fleet N., Taylor J., Ford K., Waterman B.R. Contemporary Principles for Postoperative Rehabilitation and Return to Sport for Athletes Undergoing Anterior Cruciate Ligament Reconstruction. Arthrosc. Sports Med. Rehabil., 2022, vol. 4, no. 1, pp. e103–e113. DOI: 10.1016/j.asmr.2021.11.002
  13. Feye A.P. Effects of Different Protocols of Strength Training in Postoperative Rehabilitation of Anterior Cruciate Ligament: A Review. MOJ Sports Med., 2018, vol. 2, no. 2, pp. 78–82. DOI: 10.15406/mojsm.2018.02.00051
  14. Waldron K., Brown M., Calderon A., Feldman M. Anterior Cruciate Ligament Rehabilitation and Return to Sport: How Fast Is Too Fast? Arthrosc. Sports Med. Rehabil., 2022, vol. 4, no. 1, pp. e175–e179. DOI: 10.1016/j.asmr.2021.10.027
  15. Tegner Y., Lysholm J. Rating Systems in the Evaluation of Knee Ligament Injuries. Clin. Orthop. Relat. Res., 1985, vol. 198, pp. 43–49.
  16. Crawford K., Briggs K.K., Rodkey W.G., Steadman J.R. Reliability, Validity, and Responsiveness of the IKDC Score for Meniscus Injuries of the Knee. Arthroscopy, 2007, vol. 23, no. 8, pp. 839–844. DOI: 10.1016/j.arthro.2007.02.005
  17. Bentley G., Biant L.C., Carrington R.W.J., Akmal M., Goldberg A., Williams A.M., Skinner J.A., Pringle J. A Prospective, Randomised Comparison of Autologous Chondrocyte Implantation versus Mosaicplasty for Osteochondral Defects in the Knee. J. Bone Joint Surg. Br., 2003, vol. 85, no. 2, pp. 223–230. DOI: 10.1302/0301-620x.85b2.13543
  18. Fedulova D.V., Berdyugin K.A. Fizicheskaya reabilitatsiya sportsmenov posle travmy peredney krestoobraznoy svyazki i meniska kolennogo sustava s primeneniem balans-treninga [Physical Rehabilitation of Athletes After Anterior Cruciate Ligament and Meniscus Injury Using Balance Training]. Yekaterinburg, 2022. 124 p.
  19. Culvenor A.G., Girdwood M.A., Juhl C.B., Patterson B.E., Haberfield M.J., Holm P.M., Bricca A., Whittaker J.L., Roos E.M., Crossley K.M. Rehabilitation After Anterior Cruciate Ligament and Meniscal Injuries: A Best-Evidence Synthesis of Systematic Reviews for the OPTIKNEE Consensus. Br. J. Sports Med., 2022, vol. 56, no. 24, pp. 1445–1453. DOI: 10.1136/bjsports-2022-105495
  20. Patra S.K., Nanda S.N., Patro B.P., Sahu N.K., Mohnaty C.R., Jain M. Early Accelerated versus Delayed Conservative Rehabilitation Protocol After Anterior Cruciate Ligament Reconstruction: A Prospective Randomized Trial. Rev. Bras. Ortop. (Sao Paulo)., 2022, vol. 57, no. 3, pp. 429–436. DOI: 10.1055/s-0042-1748970
  21. Nelson C., Rajan L., Day J., Hinton R., Bodendorfer B.M. Postoperative Rehabilitation of Anterior Cruciate Ligament Reconstruction: A Systematic Review. Sports Med. Arthrosc. Rev., 2021, vol. 29, no. 2, pp. 63–80. DOI: 10.1097/JSA.0000000000000314
  22. Nambi G., Abdelbasset W.K., Verma A., Elsayed S.H., Aldhafian O.R., Bin Nwihadh N., Omar M.A., Hassan T.G.T., Saleh A.K. Effects of Postoperative Rehabilitation on Gait Parameters and Electromyography Variables in Acute and Chronic Anterior Cruciate Ligament Reconstruction Surgery in Football Players. Evid. Based Complement. Alternat. Med., 2021, vol. 2021. Art. no. 9912795. DOI: 10.1155/2021/9912795



Make a Submission


INDEXED IN: 

DOAJ_logo-colour.png

Elibrary.ru

logotype.png

infobaseindex

Логотип.png




Лань

OTHER NArFU JOURNALS: 

Vestnik of NArFU.
Series "Humanitarian and Social Sciences"

Forest Journal 
Лесной журнал 

Arctic and North