Evidence-based clinical practice update: practice guidelines for anterior cruciate ligament rehabilitation based on a systematic review and multidisciplinary consensus
van Melick N, van Cingel RE, Brooijmans F, Neeter C, van Tienen T, Hullegie W, Nijhuis-van der Sanden MW. Br J Sports Med. 2016 Aug 18. pii: bjsports-2015-095898. doi: 10.1136/bjsports-2015-095898. [Epub ahead of print]
The Royal Dutch Society for Physical Therapy instructed a multidisciplinary group of Dutch anterior cruciate ligament (ACL) experts to develop an evidence statement for rehabilitation after ACL reconstruction. The results discuss preoperative predictors for postoperative outcome, effectiveness of rehabilitation, open versus closed chain quadriceps exercises, strength training and neuromuscular training, electrostimulation and electromyographic feedback, cryotherapy, measurements of functional performance, return to play, and risk of reinjury. The authors also suggest what content should be included in preoperative and postoperative rehabilitation as well as what criteria should be used to determine the moment of return to play.