Gangwani Nikita, Kaur Gurjeet, Phansopkar Pratik
Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education & Research (Deemed to be University), Wardha, IND.
Centre for Advance Physiotherapy Education and Research, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education & Research (Deemed to be University), Wardha, IND.
Cureus. 2024 Aug 25;16(8):e67730. doi: 10.7759/cureus.67730. eCollection 2024 Aug.
Injuries to the anterior cruciate ligament (ACL) are frequent and can seriously impair stability and mobility. This study examines rehabilitation outcomes in four patients following ligament reconstruction. Four patients who underwent ACL reconstruction and received different physiotherapy protocols, namely, "Oxford Knee Services," "Mass General Brigham," "Fowler Kennedy Sports Medicine," and "Schlechter Protocol of Youth Sports and Ortho," were included. The study aimed to identify the most effective rehabilitation approach. Demographic data, injury details, clinical examinations, and preoperative investigations were presented. Outcome measures included pain scores, range of motion (ROM), muscle strength, and functional assessments. All the patients showed improvements, but the rate of progress varied. Patient 3 achieved the best results in the ROM, muscle strength, and functional measures. This suggests that individual factors and rehabilitation protocols might influence outcomes. This study highlights the varying impacts of different rehabilitation protocols on the recovery outcomes of the patients' post-ACL reconstruction. Despite all patients showing improvements in pain reduction, ROM, muscle strength, and functional capabilities, the rate of progress and the degree of improvement differed notably among them.
前交叉韧带（ACL）损伤很常见，会严重损害稳定性和活动能力。本研究考察了4例韧带重建患者的康复效果。纳入了4例行ACL重建并接受不同物理治疗方案的患者，即“牛津膝关节服务方案”、“麻省总医院布莱根方案”、“福勒·肯尼迪运动医学方案”和“施莱希特青少年运动与矫形方案”。该研究旨在确定最有效的康复方法。文中呈现了人口统计学数据、损伤细节、临床检查和术前检查情况。结果指标包括疼痛评分、活动范围（ROM）、肌肉力量和功能评估。所有患者均有改善，但进展速度有所不同。患者3在ROM、肌肉力量和功能指标方面取得了最佳效果。这表明个体因素和康复方案可能会影响康复结果。本研究强调了不同康复方案对ACL重建术后患者恢复结果的不同影响。尽管所有患者在疼痛减轻、ROM、肌肉力量和功能能力方面均有改善，但他们的进展速度和改善程度存在显著差异。
