Prevention, Treatment, and Rehabilitation of Anterior Cruciate Ligament Injury

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Orthopedics".

Deadline for manuscript submissions: closed (15 January 2024) | Viewed by 2920

Special Issue Editor


E-Mail Website
Guest Editor
Department of Movement, Human and Health Sciences, University of Rome Foro Italico, Rome, Italy
Interests: sports science; exercise science; exercise performance; exercise physiology; biomechanics; rehabilitation; physical rehabilitation; sport biomechanics; strength and conditioning; muscle function

Special Issue Information

Dear Colleagues,

Anterior cruciate ligament (ACL) injuries are among the most common and functionally disabling conditions in orthopedics and sports medicine. The underlying causes of anterior cruciate ligament injuries are widespread and are important to consider when approaching injury prevention. Management of patients with an ACL injury can include a non-surgical (rehabilitation) or surgical (reconstruction) approach. ACL reconstruction (ACLR) is a common treatment strategy for this injury, as many patients have the goal of returning to competitive sport. Current rehabilitation programs focus on strengthening exercises and proprioceptive and neuromuscular control drills to provide a neurologic stimulus. 

This Special Issue will discuss rehabilitation management plans, treatment, and prevention methods associated with anterior cruciate ligament injuries.

Dr. Andrea Macaluso
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • anterior cruciate ligament injury
  • ACL reconstruction
  • prevention
  • treatment
  • physical therapy

Published Papers (3 papers)

Order results
Result details
Select all
Export citation of selected articles as:

Research

Jump to: Review

8 pages, 405 KiB  
Article
Prolonged Physiotherapy after Anterior Cruciate Ligament Reconstruction Does Not Improve Muscular Strength and Function
by Marc Dauty, Emmanuel Le Mercier, Pierre Menu, Jérôme Grondin, Thomas Hirardot, Pauline Daley and Alban Fouasson-Chailloux
J. Clin. Med. 2024, 13(9), 2519; https://doi.org/10.3390/jcm13092519 - 25 Apr 2024
Viewed by 502
Abstract
Background: After the rupture of the anterior cruciate ligament (ACL), surgery is proposed in the case of knee instability or for athletes who want to return to a pivotal and/or contact sport. The current trend is to extend physiotherapy sessions until a patient’s [...] Read more.
Background: After the rupture of the anterior cruciate ligament (ACL), surgery is proposed in the case of knee instability or for athletes who want to return to a pivotal and/or contact sport. The current trend is to extend physiotherapy sessions until a patient’s return to sport. We aimed to assess the interest in prolonging the physiotherapy sessions up to 4 postoperative months to restore muscle knee strength and function. Methods: From a historical cohort, 470 patients (24.3 ± 8.7 years) were included; 312 (66%) were males. They all had undergone a primary ACL reconstruction with a hamstring procedure. The number of physiotherapy sessions was established at 4 postoperative months. The main study parameters to assess the benefit of prolonged physiotherapy were the isokinetic limb symmetry index (LSI) for the quadriceps and the hamstrings as well as the Lysholm score. Results: At 4 postoperative months, 148 patients (31.4%) still had physiotherapy sessions. This group had performed 49 ± 14 physiotherapy sessions at the time of evaluation compared to 33 ± 9 sessions performed by the group that stopped physiotherapy at 3 months post-ACL reconstruction. The isokinetic knee LSI and the Lysholm score were not different between the two groups. Continued physiotherapy sessions were associated with female gender, previous high sport level, meniscal repair, lateral tenodesis and outpatient rehabilitation at the beginning of the rehabilitation management, while knee pain complications were not associated. Conclusions: No significant correlation was found between the number of physiotherapy sessions and the knee strength LSI or the Lysholm score. Prolonging patient physiotherapy sessions after 3 months post-ACL reconstruction seems ineffective in improving knee strength recovery and function. Full article
10 pages, 580 KiB  
Article
Comparison of Impairments, Activity Limitations, Balance, and Quality of Life between Patients with and without Meniscus Repair or Partial Meniscectomy Post-ACL Reconstruction
by Faya Ali Asiri, Abdullah Hassan Assiri, Abdulrhman Abdullh Alqhtani, Mohammed Hassan Alqahtani, Dhuha Saeed Motlag, Jaya Shanker Tedla, Ravi Shankar Reddy and Saad Ali Alwadai
J. Clin. Med. 2023, 12(21), 6933; https://doi.org/10.3390/jcm12216933 - 5 Nov 2023
Viewed by 955
Abstract
(1) Background: The anterior cruciate ligament (ACL) is a crucial ligament in the knee joint. This study compares the differences in knee range of motion (ROM), knee proprioception error, balance, function, and quality of life (QOL) among participants with and without meniscus repair [...] Read more.
(1) Background: The anterior cruciate ligament (ACL) is a crucial ligament in the knee joint. This study compares the differences in knee range of motion (ROM), knee proprioception error, balance, function, and quality of life (QOL) among participants with and without meniscus repair or partial meniscectomy nine months post ACL reconstruction. (2) Methods: In this cross-sectional study, 57 male participants were selected through convenience sampling from a tertiary care hospital. Knee flexion and extension ROM were assessed using a digital goniometer; a digital inclinometer was used to assess knee proprioception error; the Y balance test was used to evaluate balance; the lower extremity functional scale (LEFS) was used to assess activity; and QOL was assessed using the ACLQOL questionnaire. (3) Results: There were no significant differences in outcomes except balance. The YB composite score had a moderate negative correlation with knee proprioception error with an R-value of −0.372 **. (4) Conclusions: Nine to 12 months post ACL reconstruction, the isolated ACL reconstruction participants had better lower-quarter single-leg balance than those who underwent ACL reconstruction and meniscal repair or partial meniscectomy. The remaining parameters, like knee ROM, knee proprioception error, LEFS score, and ACLQOL scores, were similar between these two groups. Full article
Show Figures

Figure 1

Review

Jump to: Research

11 pages, 686 KiB  
Review
Impact of COVID-19 Era on the Anterior Cruciate Ligament Injury Rehabilitation: A Scoping Review
by Nicola Marotta, Alessandro de Sire, Dario Calafiore, Francesco Agostini, Lorenzo Lippi, Claudio Curci, Francesco Ferraro, Andrea Bernetti, Marco Invernizzi and Antonio Ammendolia
J. Clin. Med. 2023, 12(17), 5655; https://doi.org/10.3390/jcm12175655 - 30 Aug 2023
Cited by 1 | Viewed by 1099
Abstract
The surgical intervention rate and the subsequent rehabilitation plan for anterior cruciate ligament (ACL) injury was crucially affected by the COVID-19 pandemic due to the necessity in the face of the emergency. This review aimed to evaluate potential persistent and residual symptoms after [...] Read more.
The surgical intervention rate and the subsequent rehabilitation plan for anterior cruciate ligament (ACL) injury was crucially affected by the COVID-19 pandemic due to the necessity in the face of the emergency. This review aimed to evaluate potential persistent and residual symptoms after COVID-19 disease, including fatigue and neuromuscular disorders. A scoping review design and methodology were used due to the exploratory nature of the research question, according to literature searches on PubMed/Medline, Scopus, Web of Science (WoS), and Physiotherapy Evidence Database (PEDro) electronic databases using the following keywords: “Anterior Cruciate Ligament”, “ACL”, “SARS-CoV-2”, and “COVID-19”. Undertraining and muscular knee imbalance might cause inefficient movement strategies, lack of knee stability, and increasing load with negative implications in ACL injuries. In the post-surgery period, during COVID-19, telerehabilitation approaches appeared to be successfully applied to maintain strength and range of motion in this condition. However, no definitive data are available regarding the most effective interventions. This scoping review showed the influence of the COVID-19 pandemic and associated restrictions on postoperative and rehabilitative care of ACL injuries. Full article
Show Figures

Figure 1

Back to TopTop