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Zduński S1, Rongies W2
1Central Clinical Hospital of Ministry of the Interior and Administration, Physiotherapy Department, Warsaw, Poland, 2Warsaw Medical University, Department of Rehabilitation, Warsaw, Poland
Background: In recent years, there has been a noticeable increase in the number of knee joint injuries with the subsequent complete damage to the anterior cruciate ligament (ACL). In most cases, damage to the ACL requires specialist surgical and physiotherapeutic treatment. The available literature offers numerous studies where the results confirm the beneficial effects of physiotherapy after ACL reconstruction. However, there aren't many studies on the impact of preoperative physiotherapy on the postoperative outcomes.
Studies by Shaarani (2013), Swank (2011), and Eitzen (2010), as well as our own experience (2015) in assessing the role of preoperative rehabilitation in patients with knee joint dysfunction (including complete ACL rupture), indicate the need to search for evidence in support of the theory that physical therapy in the preoperative period is equally important as that in the postoperative period
Purpose: Assessment of physiotherapy results in patients after the arthroscopic anterior cruciate ligament reconstruction in the selected model of pre and post operative rehabilitation programme using Lysholm Scale.
Methods: Randomized study included 72 patients with a complete rupture of the ACL identified for operative reconstruction. The study group included 37 patients aged 18 to 60 years (mean 37 ± 10.3 years). All subjects in this group were subjected to a physiotherapy for 4 weeks prior to reconstructive surgery. In total, 10 to 12 therapeutic sessions were conducted. The control group included 35 patients aged 18 to 60 years (mean 34 ± 10.0 years) who did not perform the preoperative physiotherapy program. The postoperative physiotherapy program was the same in all subjects studied.
Results: The preoperative analysis conducted with the Lysholm scoring scale before the preoperative physiotherapy showed no statistically significant differences in the Lysholm scale scores between the study group and the control group (p>0.05). After the preoperative physiotherapy, however, statistically significant differences in Lysholm scale scores between the two groups were observed (p 0.05). Patients from the study group achieved significantly better results. The postoperative analysis showed a statistically significant improvement in the assessment of knee joint functional capacity after ACL reconstruction with the Lysholm scale in patients from both the study and the control group at subsequent measurement points (p 0.05). There was no statistically significant difference between the groups after 6 and 12 weeks after ACL reconstruction (p>0,05).
Conclusion(s):
1. Obtained results in both examined groups, in terms of functional capabilities evaluated by the Lysholme scale after reconstruction, confirm the good quality of performed surgical procedures and physiotherapeutic activities.
2. A better Lysholme score in the Study Group after preoperative physiotherapy indicates the high therapeutic value of preoperative rehabilitation.
Implications: The main implication of this study is to standard include pre operative physiotherapy in patient with ACL tear.
Keywords: ACL, physiotherapy, Lysholm scale
Funding acknowledgements: No funding acknowledgements,
Studies by Shaarani (2013), Swank (2011), and Eitzen (2010), as well as our own experience (2015) in assessing the role of preoperative rehabilitation in patients with knee joint dysfunction (including complete ACL rupture), indicate the need to search for evidence in support of the theory that physical therapy in the preoperative period is equally important as that in the postoperative period
Purpose: Assessment of physiotherapy results in patients after the arthroscopic anterior cruciate ligament reconstruction in the selected model of pre and post operative rehabilitation programme using Lysholm Scale.
Methods: Randomized study included 72 patients with a complete rupture of the ACL identified for operative reconstruction. The study group included 37 patients aged 18 to 60 years (mean 37 ± 10.3 years). All subjects in this group were subjected to a physiotherapy for 4 weeks prior to reconstructive surgery. In total, 10 to 12 therapeutic sessions were conducted. The control group included 35 patients aged 18 to 60 years (mean 34 ± 10.0 years) who did not perform the preoperative physiotherapy program. The postoperative physiotherapy program was the same in all subjects studied.
Results: The preoperative analysis conducted with the Lysholm scoring scale before the preoperative physiotherapy showed no statistically significant differences in the Lysholm scale scores between the study group and the control group (p>0.05). After the preoperative physiotherapy, however, statistically significant differences in Lysholm scale scores between the two groups were observed (p 0.05). Patients from the study group achieved significantly better results. The postoperative analysis showed a statistically significant improvement in the assessment of knee joint functional capacity after ACL reconstruction with the Lysholm scale in patients from both the study and the control group at subsequent measurement points (p 0.05). There was no statistically significant difference between the groups after 6 and 12 weeks after ACL reconstruction (p>0,05).
Conclusion(s):
1. Obtained results in both examined groups, in terms of functional capabilities evaluated by the Lysholme scale after reconstruction, confirm the good quality of performed surgical procedures and physiotherapeutic activities.
2. A better Lysholme score in the Study Group after preoperative physiotherapy indicates the high therapeutic value of preoperative rehabilitation.
Implications: The main implication of this study is to standard include pre operative physiotherapy in patient with ACL tear.
Keywords: ACL, physiotherapy, Lysholm scale
Funding acknowledgements: No funding acknowledgements,
Topic: Musculoskeletal: lower limb; Sport & sports injuries
Ethics approval required: Yes
Institution: Warsaw Medical Uniwersity
Ethics committee: Bioethics Committee of the Warsaw Medical University
Ethics number: 35/2013
All authors, affiliations and abstracts have been published as submitted.
