Active exercise in the acute postoperative phase of an anterior cruciate ligament reconstruction: a systematic review
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Abstract
Rupture of the anterior cruciate ligament (ACL) is one of the most common injuries, accounting for almost 50% of the total knee ligament injuries. Over the years, several practical guides and protocols have been created for it treatment. However, although several studies confirm the benefits of early rehabilitation, there is no consensus on what active exercises should be performed in early stages. Therefore, in this study a systematic review has been carried out with the objective of analyzing randomized clinical trials that have applied exercises in the early rehabilitation of an ACL reconstruction. This study aims to determine if active exercise in the post-surgical acute phase reports benefits and shortens the treatment time. The results showed significant differences in the different variables (strength, pain, range of motion, ligament laxity and circumference of the lower limb) compared to the initial assessment of the respective protocols. Therefore, active exercise seems to be effective for the recovery in early postsurgical phases, highlighting the work of strengthening quadriceps in the early phase for the gain of range of motion and decrease of symptomatology. There are currently not enough studies done during the first two weeks after surgery to confirm the benefits of active exercise.
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