Exploring Rehabilitation Protocols for Primary Anterior Cruciate Ligament Repair: Insights from a Scoping Review.

IF 2.2 4区医学 Q1 REHABILITATION

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-01-03 DOI:10.1097/PHM.0000000000002681

Alan Chang, Cheng-Yen Chan, Meng-Tin Lin, Chueh-Hung Wu, Levent Özçakar

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引用次数: 0

Abstract

Objectives: The primary repair of the anterior cruciate ligament (ACL) has re-emerged as a treatment for acute ruptures. While numerous studies have investigated rehabilitation after ACL reconstruction, few have focused on primary repair. We aimed to describe the rehabilitation protocols for primary ACL repair, and to identify knowledge gaps and differences between primary ACL repair and reconstruction.

Design: A scoping review design was selected due to the descriptive and exploratory nature, aiming to identify and map available research evidence from various databases relevant to the research question. Evaluation of study quality and risk of bias is not required in scoping reviews.

Results: A comprehensive search of PubMed, Embase, Cochrane Library, and Web of Science identified a total of 66 studies involving over 3,100 participants. No randomized controlled trials directly comparing postoperative rehabilitation protocol were identified. Eight items of the rehabilitation protocols were analyzed, based on existing clinical practice guidelines for ACL reconstruction. This review highlights the inadequacy and heterogeneity of the available data.

Conclusions: This review revealed a lack of consistent evidence and call for the development of standardized, technique-specific rehabilitation guidelines after primary ACL repair. Clinical trials and transparent reporting are needed to establish validated protocols.

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目的：前十字韧带（ACL）的初次修复已重新成为治疗急性断裂的一种方法。虽然有许多研究对前交叉韧带重建后的康复进行了调查，但很少有研究关注初次修复。我们旨在描述前交叉韧带初次修复的康复方案，并找出前交叉韧带初次修复和重建之间的知识差距和差异：设计：由于具有描述性和探索性，我们选择了范围综述设计，旨在从与研究问题相关的各种数据库中识别和绘制可用的研究证据。范围界定综述无需评估研究质量和偏倚风险：通过对 PubMed、Embase、Cochrane Library 和 Web of Science 的全面检索，共发现 66 项研究，涉及 3100 多名参与者。没有发现直接比较术后康复方案的随机对照试验。根据现有的前交叉韧带重建临床实践指南，对八项康复方案进行了分析。本综述强调了现有数据的不足和异质性：本综述显示缺乏一致的证据，因此呼吁制定标准化的、针对前交叉韧带初次修复术后特定技术的康复指南。需要通过临床试验和透明的报告来制定有效的方案。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American Journal of Physical Medicine & Rehabilitation 医学-康复医学

CiteScore

4.60

自引率

6.70%

发文量

423

审稿时长

1 months

期刊介绍： American Journal of Physical Medicine & Rehabilitation focuses on the practice, research and educational aspects of physical medicine and rehabilitation. Monthly issues keep physiatrists up-to-date on the optimal functional restoration of patients with disabilities, physical treatment of neuromuscular impairments, the development of new rehabilitative technologies, and the use of electrodiagnostic studies. The Journal publishes cutting-edge basic and clinical research, clinical case reports and in-depth topical reviews of interest to rehabilitation professionals. Topics include prevention, diagnosis, treatment, and rehabilitation of musculoskeletal conditions, brain injury, spinal cord injury, cardiopulmonary disease, trauma, acute and chronic pain, amputation, prosthetics and orthotics, mobility, gait, and pediatrics as well as areas related to education and administration. Other important areas of interest include cancer rehabilitation, aging, and exercise. The Journal has recently published a series of articles on the topic of outcomes research. This well-established journal is the official scholarly publication of the Association of Academic Physiatrists (AAP).