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A COMPARISON BETWEEN ACCELERATED AND STANDARD REHABILITATION REGIME ON STRENGTH OUTCOMES UP TO 24 MONTHS POST-OPERATIVE FOLLOWING ACL-RECONSTRUCTION
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
2019 (English)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [en]

Background: Anterior Cruciate Ligament(ACL)-injuriy is a serious knee injury prevalent in pivoting sports and recreation, often leading to decreased activity levels. Few studies have examined isokinetic strength(ISO) differences between an accelerated rehabilitation regime(ACC) or standard rehabilitation regime(STAND) following ACL-reconstruction(ACLR).

Purpose: To evaluate the strength outcomes of an ACC compared to a STAND among patients following an ACLR.

Method: 161 patients planned for an ACLR were randomized to ACC or STAND postoperative rehabilitation. Differences between the groups in Quadriceps Limb Symmetry Index(Q-LSI) and change from baseline strength(CBS) were analyzed at 4,6,8,12 and 24 months; and if the effect of allocated rehabilitation regime was modified by graft-choice.

Results: There was an observed, smaller and non-significant initial strength decrease, and later a larger quadriceps strength increase in the operated leg, in the ACC group (p’s 0,056). A larger number of participants who reached >90% Q-LSI was observed in the ACC (p’s>0.105). 

Conclusion: A tendency of a larger quadriceps strength increase in the operated leg, and patients reaching >90 Q-LSI, in the ACC was observed in the study sample. The differences between the groups were however not statistically significant and the changes in strength was not modified by graft-choice.

Place, publisher, year, edition, pages
2019. , p. 25
Keywords [en]
Anterior Cruciate Ligament Reconstruction, Accelerated Rehabilitation, Isokinetic Strength, Quadriceps Limb Symmetry Index, ACL, Rehab
National Category
Physiotherapy
Identifiers
URN: urn:nbn:se:uu:diva-392038OAI: oai:DiVA.org:uu-392038DiVA, id: diva2:1346525
Presentation
(Swedish)
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Available from: 2019-10-08 Created: 2019-08-28 Last updated: 2019-10-08Bibliographically approved

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