前交叉韧带重建康复：MOON指南
Anterior Cruciate Ligament Reconstruction Rehabilitation: MOON Guidelines.
作者信息
Wright Rick W, Haas Amanda K, Anderson Joy, Calabrese Gary, Cavanaugh John, Hewett Timothy E, Lorring Dawn, McKenzie Christopher, Preston Emily, Williams Glenn
机构信息
Washington University in Saint Louis, St Louis, Missouri.
University of Colorado Denver, Denver, Colorado.
出版信息
Sports Health. 2015 May;7(3):239-43. doi: 10.1177/1941738113517855.
Abstract
CONTEXT
Anterior cruciate ligament (ACL) reconstruction rehabilitation has evolved over the past 20 years. This evolution has been driven by a variety of level 1 and level 2 studies.
EVIDENCE ACQUISITION
The MOON Group is a collection of orthopaedic surgeons who have developed a prospective longitudinal cohort of the ACL reconstruction patients. To standardize the management of these patients, we developed, in conjunction with our physical therapy committee, an evidence-based rehabilitation guideline.
STUDY DESIGN
Clinical review.
LEVEL OF EVIDENCE
Level 2.
RESULTS
This review was based on 2 systematic reviews of level 1 and level 2 studies. Recently, the guideline was updated by a new review. Continuous passive motion did not improve ultimate motion. Early weightbearing decreases patellofemoral pain. Postoperative rehabilitative bracing did not improve swelling, pain range of motion, or safety. Open chain quadriceps activity can begin at 6 weeks.
CONCLUSION
High-level evidence exists to determine appropriate ACL rehabilitation guidelines. Utilizing this protocol follows the best available evidence.
摘要
背景
在过去20年中，前交叉韧带（ACL）重建康复方法不断演变。这种演变受到了各种一级和二级研究的推动。
证据获取
MOON研究小组由一群骨科医生组成，他们建立了一个ACL重建患者的前瞻性纵向队列。为了规范这些患者的管理，我们与物理治疗委员会共同制定了一项基于证据的康复指南。
研究设计
临床综述。
证据等级
二级。
结果
本综述基于对一级和二级研究的2项系统评价。最近，该指南通过一项新的综述进行了更新。持续被动运动并不能改善最终活动度。早期负重可减轻髌股关节疼痛。术后康复支具并不能改善肿胀、疼痛、活动范围或安全性。开链股四头肌活动可在6周时开始。
结论
有高级别证据可用于确定合适的ACL康复指南。采用该方案遵循了现有最佳证据。
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