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The effectiveness of pre-operative exercise physiotherapy rehabilitation on the outcomes of treatment following anterior cruciate ligament injury : a systematic review

OBJECTIVE: To evaluate the effectiveness of pre-operative exercise physiotherapy
rehabilitation on the outcomes of treatment following anterior cruciate ligament injury. METHODS: The following databases were searched: PubMed, Ovid, The
Cochrane Library and Web of Science. Studies published between the inception of
the databases and December 2015 were sought using appropriate keywords in various
combinations. This search was supplemented with a manual search of the references
of selected studies. Studies were assessed for methodological quality using the
Physiotherapy Evidence Database scale. RESULTS:
A total of 500 studies were
identified, of which eight studies met the inclusion criteria and were included
in the present review. The average Physiotherapy Evidence Database score for the
studies included was 5.8, which reflects an overall moderate methodological
quality. The eight studies investigated a total of 451 subjects of which 71% (n=319) were males. The age of the participants in the eight studies ranged from
15 to 57 years. The duration of the intervention in the studies ranged from 3 to
24 weeks. This review found that pre-operative physiotherapy rehabilitation is
effective for improving the outcomes of treatment following anterior cruciate
ligament injury, including increasing knee-related function and improving muscle
strength. However, whilst there was a significant improvement in quality of life
from baseline following intervention, no significant difference in quality of
life was found between the control and intervention groups. CONCLUSIONS: There is
evidence to suggest that pre-operative physiotherapy rehabilitation is beneficial
to patients with anterior cruciate ligament injury.

Langue : ANGLAIS

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