Premier Physical Therapy and Sports Performance, 200 Cleaver Farm Road, Suite 400, Middletown, DE 19709, USA.
J Orthop Sports Phys Ther. 2012 Jul;42(7):601-14. doi: 10.2519/jospt.2012.3871. Epub 2012 Mar 8.
The management of patients after anterior cruciate ligament reconstruction should be evidence based. Since our original published guidelines in 1996, successful outcomes have been consistently achieved with the rehabilitation principles of early weight bearing, using a combination of weight-bearing and non-weight-bearing exercise focused on quadriceps and lower extremity strength, and meeting specific objective requirements for return to activity. As rehabilitative evidence and surgical technology and procedures have progressed, the original guidelines should be revisited to ensure that the most up-to-date evidence is guiding rehabilitative care. Emerging evidence on rehabilitative interventions and advancements in concomitant surgeries, including those addressing chondral and meniscal injuries, continues to grow and greatly affect the rehabilitative care of patients with anterior cruciate ligament reconstruction. The aim of this article is to update previously published rehabilitation guidelines, using the most recent research to reflect the most current evidence for management of patients after anterior cruciate ligament reconstruction. The focus will be on current concepts in rehabilitation interventions and modifications needed for concomitant surgery and pathology.
Therapy, level 5.
前交叉韧带重建后患者的管理应该基于证据。自 1996 年我们最初发布指南以来，通过早期负重、使用以股四头肌和下肢力量为重点的负重和非负重运动相结合、满足特定活动恢复的客观要求的康复原则，始终实现了成功的结果。随着康复证据和手术技术及程序的进步，原始指南应进行重新审查，以确保最新的证据指导康复护理。关于康复干预措施和伴随手术（包括针对软骨和半月板损伤的手术）的新出现的证据不断增加，这极大地影响了前交叉韧带重建患者的康复护理。本文的目的是使用最新的研究更新之前发布的康复指南，以反映前交叉韧带重建后患者管理的最新证据。重点将放在伴随手术和病理的康复干预措施和所需的修改的当前概念上。
治疗，5 级。
