Accelerated vs non-accelerated rehabilitation in ACL reconstruction patients .
This study has been identified as potentially high impact.
OE's AI-driven High Impact metric estimates the influence a paper is likely to have by integrating signals from both the journal in which it is published and the scientific content of the article itself.
Developed using state-of-the-art natural language processing, the OE High Impact model more accurately predicts a study's future citation performance than journal impact factor alone.
This enables earlier recognition of clinically meaningful research and helps readers focus on articles most likely to shape future practice.
OrthoEvidence Journal (OE Journal) - ACE Report
OE Journal. 2013;1(11):342 Am J Sports Med. 2011 Dec;39(12):2536-48. Epub 2011 Sep 2742 patients undergoing ACL reconstruction were randomized to receive either an accelerated or non accelerated rehabilitation program to determine their effects on knee envelop laxity. At 2 year follow-up, there was a significant increase in knee envelope laxity compared to initial post-surgical measures in both groups. There were no differences in terms of laxity, clinical, functional, or strength outcomes between the rehabilitation programs.
Was the allocation sequence adequately generated?
Was allocation adequately concealed?
Blinding Treatment Providers: Was knowledge of the allocated interventions adequately prevented?
Blinding Outcome Assessors: Was knowledge of the allocated interventions adequately prevented?
Blinding Patients: Was knowledge of the allocated interventions adequately prevented?
Was loss to follow-up (missing outcome data) infrequent?
Are reports of the study free of suggestion of selective outcome reporting?
Were outcomes objective, patient-important and assessed in a manner to limit bias (ie. duplicate assessors, Independent assessors)?
Was the sample size sufficiently large to assure a balance of prognosis and sufficiently large number of outcome events?
Was investigator expertise/experience with both treatment and control techniques likely the same (ie.were criteria for surgeon participation/expertise provided)?
Yes = 1
Uncertain = 0.5
Not Relevant = 0
No = 0
The Reporting Criteria Assessment evaluates the transparency with which authors report the methodological and trial characteristics of the trial within the publication. The assessment is divided into five categories which are presented below.
4/4
Randomization
4/4
Outcome Measurements
4/4
Inclusion / Exclusion
4/4
Therapy Description
4/4
Statistics
Detsky AS, Naylor CD, O'Rourke K, McGeer AJ, L'Abbé KA. J Clin Epidemiol. 1992;45:255-65
The Fragility Index is a tool that aids in the interpretation of significant findings, providing a measure of strength for a result. The Fragility Index represents the number of consecutive events that need to be added to a dichotomous outcome to make the finding no longer significant. A small number represents a weaker finding and a large number represents a stronger finding.
Why was this study needed now?
The relationship between duration of rehabilitation exercise program and healing response of the knee is not fully understood. This study examined the effects of an accelerated versusa non- accelerated rehabilitation program on knee envelope laxity in patients who have undergone ACL reconstruction.
What was the principal research question?
Does an accelerated rehabilitation program produce similar joint laxity outcomes compared to a non accelerated program for patients who have undergone ACL reconstruction?
- Both groups demonstrated an increase in anterior-posterior laxity over the 2 year period
- The accelerated group demonstrated an increase in thigh muscle strength at 3 months (p<0.05), but this difference diminished at later follow-ups
- There were no differences in patient satisfaction, clinical, functional, proprioception, and muscle strength outcomes
What should I remember most?
There were similar increases in knee envelope laxity during the 2 year follow-up in both groups. Both rehabilitation methods produced similar clinical, functional, and patient satisfaction outcomes.
How will this affect the care of my patients?
Both rehabilitation programs produced similar results. The rehabilitation program should be chosen based on patient and physician preference.
DISCLAIMER
This content found on this page is for informational purposes only and is not intended to be a substitute for professional medical advice, diagnosis, or treatment. If you require medical treatment, always seek the advice of your physician or go to your nearest emergency department. The opinions, beliefs, and viewpoints expressed by the individuals on the content found on this page do not reflect the opinions, beliefs, and viewpoints of OrthoEvidence.
0 of 4 monthly FREE articles unlocked
