| Title |
Evidence‐based rehabilitation following anterior cruciate ligament reconstruction
|
|---|---|
| Published in |
Knee Surgery, Sports Traumatology, Arthroscopy, January 2010
|
| DOI | 10.1007/s00167-009-1027-2 |
| Pubmed ID | |
| Authors |
S. van Grinsven, R. E. H. van Cingel, C. J. M. Holla, C. J. M. van Loon |
| Abstract |
Following a bone-patellar tendon-bone autograft (BPTB) or four-stranded semitendinosus/gracilis tendons autograft (ST/G) anterior cruciate ligament (ACL) reconstruction, the speed and safety with which an athlete returns to sports (or regains the pre-injury level of function) depends on the rehabilitation protocol. Considering the large differences in clinical and outpatient protocols, there is no consensus regarding the content of such a rehabilitation program. Therefore, we conducted a systematic review to develop an optimal evidence-based rehabilitation protocol to enable unambiguous, practical and useful treatment after ACL reconstruction. The systematic literature search identified 1,096 citations published between January 1995 and December 2006. Thirty-two soundly based rehabilitation programs, randomized clinical trials (RCT's) and reviews were included in which common physical therapy modalities (instruction, bracing, cryotherapy, joint mobility training, muscle-strength training, gait re-education, training of neuromuscular function/balance and proprioception) or rehabilitation programs were evaluated following ACL reconstruction with a BPTB or ST/G graft. Two reviews were excluded because of poor quality. Finally, the extracted data were combined with information from background literature to develop an optimal evidence-based rehabilitation protocol. The results clearly indicated that an accelerated protocol without postoperative bracing, in which reduction of pain, swelling and inflammation, regaining range of motion, strength and neuromuscular control are the most important aims, has important advantages and does not lead to stability problems. Preclinical sessions, clear starting times and control of the rehabilitation aims with objective and subjective tests facilitate an uncomplicated rehabilitation course. Consensus about this evidence-based accelerated protocol will not only enhance the speed and safety with which an athlete returns to sports, but a standardized method of outcome measurement and reporting will also increase the evidential value of future articles. |
X Demographics
The data shown below were collected from the profiles of 9 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 2 | 22% |
| Saudi Arabia | 1 | 11% |
| United Kingdom | 1 | 11% |
| Unknown | 5 | 56% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 7 | 78% |
| Scientists | 1 | 11% |
| Practitioners (doctors, other healthcare professionals) | 1 | 11% |
Mendeley readers
The data shown below were compiled from readership statistics for 1,560 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Brazil | 5 | <1% |
| United States | 5 | <1% |
| Portugal | 3 | <1% |
| Spain | 3 | <1% |
| Italy | 2 | <1% |
| United Kingdom | 2 | <1% |
| Korea, Republic of | 1 | <1% |
| Austria | 1 | <1% |
| Netherlands | 1 | <1% |
| Other | 1 | <1% |
| Unknown | 1536 | 98% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Bachelor | 371 | 24% |
| Student > Master | 215 | 14% |
| Student > Doctoral Student | 112 | 7% |
| Student > Postgraduate | 99 | 6% |
| Student > Ph. D. Student | 86 | 6% |
| Other | 249 | 16% |
| Unknown | 428 | 27% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 442 | 28% |
| Nursing and Health Professions | 276 | 18% |
| Sports and Recreations | 229 | 15% |
| Agricultural and Biological Sciences | 38 | 2% |
| Engineering | 30 | 2% |
| Other | 87 | 6% |
| Unknown | 458 | 29% |
Attention Score in Context
This research output has an Altmetric Attention Score of 8. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 03 August 2022.
All research outputs
#4,851,806
of 25,547,904 outputs
Outputs from Knee Surgery, Sports Traumatology, Arthroscopy
#526
of 2,957 outputs
Outputs of similar age
#26,244
of 174,542 outputs
Outputs of similar age from Knee Surgery, Sports Traumatology, Arthroscopy
#3
of 20 outputs
Altmetric has tracked 25,547,904 research outputs across all sources so far. Compared to these this one has done well and is in the 80th percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 2,957 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 6.2. This one has done well, scoring higher than 82% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 174,542 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 84% of its contemporaries.
We're also able to compare this research output to 20 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 90% of its contemporaries.