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. 2022 Jun 30;57(3):429-436.
doi: 10.1055/s-0042-1748970. eCollection 2022 Jun.

Early Accelerated versus Delayed Conservative Rehabilitation Protocol after Anterior Cruciate Ligament Reconstruction: A Prospective Randomized Trial

Saroj Kumar Patra  1 , Saurav Narayan Nanda  2 , Bishnu Prasad Patro  2 , Nabin Kumar Sahu  2 , Chitta Ranjan Mohnaty  1 , Mantu Jain  2
Affiliations

Early Accelerated versus Delayed Conservative Rehabilitation Protocol after Anterior Cruciate Ligament Reconstruction: A Prospective Randomized Trial

Saroj Kumar Patra et al. Rev Bras Ortop (Sao Paulo). .

Abstract

Objective To compare the effectiveness of the early accelerated rehabilitation and delayed conservative rehabilitation protocols after arthroscopic anterior cruciate ligament reconstruction, in terms of the International Knee Documentation Committee (IKDC) score, pain (according to the Visual Analog Scale), laxity, and stiffness one year postoperatively to determine the best outcome. Materials and Methods A total of 80 subjects were divided into 2e groups (early accelerated group and delayed conservative group), which were analyzed by the Pearson Chi-squared and Wilcoxon rank-sum tests. Results One year postoperatively, knee laxity was significantly higher ( p = 0.039) in the early accelerated group compared with the delayed conservative group. Regarding postoperative pain (according to the Visual Analogue Scale) and IKDC scores, both groups presented similar results. The postoperative range of motion was better in the early accelerated group, but this was not statistically significant ( p = 0.36). Conclusion One year postoperatively, the early accelerated rehabilitation protocol was associated with significant knee laxity compared to the delayed conservative rehabilitation protocol.

Keywords: anterior cruciate ligament injuries; anterior cruciate ligament reconstruction; rehabilitation.

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Conflict of interest statement

Conflito de Interesses Os autores declaram não haver conflito de interesses.

Figures

Fig. 1
Fig. 1
Flowchart of the protocols followed by each study group.
Fig. 2
Fig. 2
Consolidated Standards of Reporting Trials (CONSORT) flow diagram showing randomization and group allocation.
Fig. 3
Fig. 3
Bar diagram showing the postoperative range of motion of the study groups.
Fig. 4
Fig. 4
Bar diagram showing the postoperative laxity of the study groups.
Fig. 1
Fig. 1
Fluxograma dos protocolos seguidos por cada grupo de estudo.
Fig. 2
Fig. 2
Diagrama de fluxo do Consolidated Standards of Reporting Trials (CONSORT) que mostra a randomização e a alocação dos grupos.
Fig. 3
Fig. 3
Diagrama de barra que mostra a amplitude de movimento pós-operatória dos grupos.
Fig. 4
Fig. 4
Diagrama de barra que mostra a frouxidão pós-operatória dos grupos.
See this image and copyright information in PMC

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