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Za človeka gre: Relevanca znanosti in izobraževanja / All about people: Relevance of science and education 2020

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: Effects of evidence-based physiotherapy procedures on the outcome of rehabilitation after anterior cruciate ligament reconstruction

Introduction: The most common knee ligament injury is anterior cruciate ligament (ACL) injury. In ACL reconstruction, surgeons most commonly use a putty graft (hereinafter referred to as PKP) and a semithebranosus and gracilis muscle graft (hereinafter referred to as PKSG) may also have a quadriceps tendon graft. Although there are a large number of studies in which the authors compare the results after reconstruction of SKV using PKP and PKSG, there is still no consensus as to which is more appropriate. Methods: The literature review includes articles in English, published in full from 2008 to 2018. The literature search is underway in the Cochrane Libraly, PubMED, PEDro and Science Direct databases. All of the research involved was evaluated for the strength and quality of the evidence. Results: According to the inclusion and exclusion criteria, 18 studies were included in the review that looked at the effects of cryotherapy, open and closed kinetic chain exercises, eccentric and concentric exercises, balance exercises, neuromuscular electrostimulation, hydrotherapy, placement of elastic adhesive tapes and wearing opaque tapes rehabilitation program after ACL reconstruction. Conclusions: Research demonstrates the success of rehabilitation through a combination of progressive eccentric and concentric exercise, but does not confirm the efficacy of neuromuscular electrostimulation to activate quadriceps muscle, providing physiotherapist with sufficient quality information on the course of reconstruction and possible complications.

Marcel Smole
AMEU ECM
Slovenia

Tine Kovačič
AMEU ECM
Slovenia

 


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