Academic Journal
Accelerated vs. Conservative Rehabilitation After ACL Reconstruction (ACL-R)
| Title: | Accelerated vs. Conservative Rehabilitation After ACL Reconstruction (ACL-R) |
|---|---|
| Authors: | Russell, Jennifer, Mauzer, Riley, Noble-Henden, Dominic |
| Source: | Research & Creative Achievement Day |
| Publisher Information: | OpenRiver |
| Publication Year: | 2025 |
| Collection: | OpenRiver@Winona State University |
| Subject Terms: | Medicine and Health Sciences, Other Rehabilitation and Therapy, Rehabilitation and Therapy |
| Description: | Riley Mauzer, Jenny Russell, Dominic Noble-Henden Brandon Donahue, DAT, LAT, ATC, CES Focused Clinical Question: In individuals aged 18-60 post ACL reconstruction, what is the effect of an accelerated rehabilitation program compared to a conservative rehabilitation program on instability rates? Clinical Scenario: Anterior Cruciate Ligament Reconstruction (ACL-R) is a common procedure for individuals returning to high activity levels post injury. While accelerated rehabilitation may lead to faster recovery, concerns about increased knee laxity and re-injury persist. This critical appraisal aims to compare the effects of accelerated and conservative rehabilitation protocols on knee instability rates following ACL-R. Search Strategy: We aimed to identify peer-reviewed evidence relating to different forms of rehabilitation following ACL-R and their effects on knee instability. Searches were conducted in PubMed, National Library of Medicine, Journal of Clinical Medicine, ResearchGate, and Google Scholar. Search terms included: Accelerated vs Conservative ACL rehabilitation, ACL rehabilitation, Reconstruction, and ACL-R. Studies were included if they comprised patients with ACL reconstruction, utilized participants ages 18-60, used accelerated or conservative rehabilitation programs, and evaluated joint laxity and instability outcomes. Exclusion criteria included patients with multiple knee injuries and those using rehabilitation programs not considered accelerated or conservative. After reviewing several studies, nine met the inclusion criteria and were included in our final review. Evidence Quality Assessment: The quality of the nine articles was assessed using the PEDRO scale, with scores ranging from 5/10 to 10/10. The Oxford Level of Evidence resulted in primarily a Level 2b with one study scoring a Level 3b, meaning the review was comprised of lower quality randomized control trials and one cohort study. Results and Summary of Search: One study found a significant difference (p=0.039) in knee laxity after 12 ... |
| Document Type: | text |
| File Description: | video/mp4 |
| Language: | unknown |
| Relation: | https://openriver.winona.edu/rca/2025/ondemand/5; https://openriver.winona.edu/context/rca/article/1243/type/native/viewcontent/Accelerated_vs_Conservative_Rehabilitation_After_ACL_R.mp4 |
| Availability: | https://openriver.winona.edu/rca/2025/ondemand/5 https://openriver.winona.edu/context/rca/article/1243/type/native/viewcontent/Accelerated_vs_Conservative_Rehabilitation_After_ACL_R.mp4 |
| Accession Number: | edsbas.59564C3E |
| Database: | BASE |
| Description not available. |