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.