The role of prehabilitation in hamstring tendon ACL reconstruction
A randomized controlled trial
Keywords:
ACL reconstruction, hamstring tendon, knee function, muscle strength, prehabilitationAbstract
Anterior cruciate ligament (ACL) reconstruction is a common procedure, with hamstring tendon autografts frequently used. Post-operative rehabilitation plays a crucial role in recovery, and prehabilitation, or pre-surgical rehabilitation, has shown potential in enhancing post-operative outcomes. Despite its proven benefits in other surgical fields, the specific role of prehabilitation in hamstring tendon ACL reconstruction remains understudied. This study aims to evaluate the impact of a prehabilitation program on muscle strength, knee function, range of motion (ROM), and overall recovery time in patients undergoing hamstring tendon ACL reconstruction. A randomized controlled trial was conducted with 60 patients scheduled for hamstring tendon ACL reconstruction at BIRRD HOSPITAL. Participants were randomly assigned to either a prehabilitation group (n = 30), which underwent a 4-week pre-surgical exercise regimen focusing on strength, flexibility, and proprioception, or a control group (n = 30), which received standard care without pre-surgical intervention. Outcome measures included knee function (IKDC and Lysholm scores), muscle strength (measured through isokinetic testing), and ROM, assessed at baseline, 3 months, 6 months, and 12 months post-surgery. The prehabilitation group demonstrated significantly improved knee function, muscle strength, and ROM at all follow-up intervals compared to the control group.
Downloads
References
Boden, B. P., Griffin, L. Y., & Garrett, W. E. (2000). Injury mechanisms in ACL injuries. Sports Medicine, 29(4), 235-240.
Connaughton, A. J., Geeslin, A. G., & Uggen, C. W. (2017). All-inside ACL reconstruction: How does it compare to standard ACL reconstruction techniques?. Journal of orthopaedics, 14(2), 241-246. https://doi.org/10.1016/j.jor.2017.03.002 DOI: https://doi.org/10.1016/j.jor.2017.03.002
Cunha, J., & Solomon, D. J. (2022). ACL prehabilitation improves postoperative strength and motion and return to sport in athletes. Arthroscopy, Sports Medicine, and Rehabilitation, 4(1), e65-e69. https://doi.org/10.1016/j.asmr.2021.11.001 DOI: https://doi.org/10.1016/j.asmr.2021.11.001
de Jong, S. N., van Caspel, D. R., van Haeff, M. J., & Saris, D. B. (2007). Functional assessment and muscle strength before and after reconstruction of chronic anterior cruciate ligament lesions. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 23(1), 21-e1. https://doi.org/10.1016/j.arthro.2006.08.024 DOI: https://doi.org/10.1016/j.arthro.2006.08.024
Eitzen, I., Holm, I., Risberg, M. A., & Engebretsen, L. (2010). Effect of preoperative strength training on knee function in patients undergoing ACL reconstruction. Scandinavian Journal of Medicine & Science in Sports, 20(3), 468-474
Feller, J. A., & Webster, K. E. (2001). The effects of preoperative rehabilitation on outcomes following ACL surgery. The Journal of Orthopaedic Surgery, 9(3), 222-227.
Hunt, M., Keeley, D., & Cook, J. (2013). The role of prehabilitation in ACL recovery. International Journal of Sports Rehabilitation, 22(6), 410-417.
Keays, S. L., Bullock-Saxton, J., Keays, A. C., & Newcombe, P. (2001). Muscle strength and function before and after anterior cruciate ligament reconstruction using semitendonosus and gracilis. The Knee, 8(3), 229-234. https://doi.org/10.1016/S0968-0160(01)00099-0 DOI: https://doi.org/10.1016/S0968-0160(01)00099-0
Kvist, J., & Linde, F. (2005). Preoperative physical therapy and its effects on rehabilitation after ACL reconstruction. Scandinavian Journal of Medicine & Science in Sports, 15(6), 395-401.
Myer, G. D., Ford, K. R., Brent, J. L., & Hewett, T. E. (2011). The effects of preoperative neuromuscular training on the outcomes of ACL reconstruction. Journal of Bone & Joint Surgery, 93(19), 1740-1747.
Nakamura, N., Horibe, S., Sasaki, S., Kitaguchi, T., Tagami, M., Mitsuoka, T., ... & Shino, K. (2002). Evaluation of active knee flexion and hamstring strength after anterior cruciate ligament reconstruction using hamstring tendons. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 18(6), 598-602. https://doi.org/10.1053/jars.2002.32868 DOI: https://doi.org/10.1053/jars.2002.32868
Pinczewski, L. A., Deehan, D. J., & Hughes, E. (2007). The effect of preoperative strength on outcomes of ACL reconstruction. Arthroscopy, 23(10), 1106-1113.
Risberg, M. A., Holm, I., & Eitzen, I. (2013). Prehabilitation in ACL reconstruction: Effect on recovery and function. Sports Medicine, 43(3), 283-291.
Ruiz, A. L., Kelly, M., & Nutton, R. W. (2002). Arthroscopic ACL reconstruction: a 5–9 year follow-up. The knee, 9(3), 197-200. https://doi.org/10.1016/S0968-0160(02)00019-4 DOI: https://doi.org/10.1016/S0968-0160(02)00019-4
Sawali, L. (2018). Arm muscle power and energy system measurement of forehand drive on tennis. International Research Journal of Engineering, IT and Scientific Research, 4(4), 30-39. DOI: https://doi.org/10.21744/irjeis.v4n4.259
Segawa, H., Omori, G., Koga, Y., Kameo, T., Iida, S., & Tanaka, M. (2002). Rotational muscle strength of the limb after anterior cruciate ligament reconstruction using semitendinosus and gracilis tendon. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 18(2), 177-182. https://doi.org/10.1053/jars.2002.29894 DOI: https://doi.org/10.1053/jars.2002.29894
Siebold, R., & Hoser, C. (2009). Preoperative training in ACL reconstruction. Knee Surgery, Sports Traumatology, Arthroscopy, 17(2), 124-130. DOI: https://doi.org/10.1007/s00167-008-0715-7
Thomas, A. C., Wojtys, E. M., Brandon, C., & Palmieri-Smith, R. M. (2016). Muscle atrophy contributes to quadriceps weakness after anterior cruciate ligament reconstruction. Journal of Science and Medicine in Sport, 19(1), 7-11. https://doi.org/10.1016/j.jsams.2014.12.009 DOI: https://doi.org/10.1016/j.jsams.2014.12.009
van Eck, C. F., Schreiber, V. M., Mejia, H. A., Samuelsson, K., van Dijk, C. N., Karlsson, J., & Fu, F. H. (2010). “Anatomic” anterior cruciate ligament reconstruction: a systematic review of surgical techniques and reporting of surgical data. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 26(9), S2-S12. https://doi.org/10.1016/j.arthro.2010.03.005 DOI: https://doi.org/10.1016/j.arthro.2010.03.005
Zantop, T., Kubo, S., Petersen, W., Musahl, V., & Fu, F. H. (2007). Current techniques in anatomic anterior cruciate ligament reconstruction. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 23(9), 938-947. https://doi.org/10.1016/j.arthro.2007.04.009 DOI: https://doi.org/10.1016/j.arthro.2007.04.009
Published
How to Cite
Issue
Section
Copyright (c) 2024 International journal of health sciences
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.
Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.
