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Cited by 918Knee injuries and reconstruction techniquesSports injuries and preventionTendon Structure and Treatment

Evidence-based clinical practice update: practice guidelines for anterior cruciate ligament rehabilitation based on a systematic review and multidisciplinary consensus

van Melick, Nicky, van Cingel, Robert E H, Brooijmans, Frans, Neeter, Camille, van Tienen, Tony, Hullegie, Wim, Nijhuis-van der Sanden, Maria W G·2016·British Journal of Sports Medicine
DOI 10.1136/bjsports-2015-095898
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Abstract

Aim: The Royal Dutch Society for Physical Therapy (KNGF) instructed a multidisciplinary group of Dutch anterior cruciate ligament (ACL) experts to develop an evidence statement for rehabilitation after ACL reconstruction. Design: Clinical practice guideline underpinned by systematic review and expert consensus. Data sources: A multidisciplinary working group and steering group systematically reviewed the literature and wrote the guideline. MEDLINE and the Cochrane Library were searched for meta-analyses, systematic reviews, randomised controlled trials and prospective cohort studies published between January 1990 and June 2015. Eligibility criteria for selecting studies: Included literature must have addressed 1 of 9 predetermined clinical topics: (1) preoperative predictors for postoperative outcome, (2) effectiveness of physical therapy, (3) open and closed kinetic chain quadriceps exercises, (4) strength and neuromuscular training, (5) electrostimulation and electromyographic feedback, (6) cryotherapy, (7) measurements of functional performance, (8) return to play and (9) risk for reinjury. Summary: Ninety studies were included as the basis for the evidence statement. Rehabilitation after ACL injury should include a prehabilitation phase and 3 criterion-based postoperative phases: (1) impairment-based, (2) sport-specific training and (3) return to play. A battery of strength and hop tests, quality of movement and psychological tests should be used to guide progression from one rehabilitation stage to the next. Postoperative rehabilitation should continue for 9–12 months. To assess readiness to return to play and the risk for reinjury, a test battery, including strength tests, hop tests and measurement of movement quality, should be used.

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Authors
van Melick, N., van Cingel, R. E. H., Brooijmans, F., Neeter, C., van Tienen, T., Hullegie, W., & Nijhuis-van der Sanden, M. W. G.
Venue
British Journal of Sports Medicine
Publisher
BMJ
Published
2016-08-18
Volume
50
Issue
24
Pages
1506-1515
ISSN
  • 0306-3674 (ISSN-L)
  • 1473-0480
DOI
10.1136/bjsports-2015-095898
OpenAlex
W2507167472
Cited by
918
References
139
Citations by year
2026: 112 · 2025: 139 · 2024: 120 · 2023: 121 · 2022: 108 · 2021: 126 · 2020: 73 · 2019: 54 · 2018: 44 · 2017: 16 · 2016: 4 · 2015: 1
FWCI
7.79
Type
journal article
Language
en
Open access
closed
Locations
  • British Journal of Sports Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • HighWire Press Open Archive (submittedVersion)
  • Radboud Repository (Radboud University) (submittedVersion)
Funders
Koninklijk Nederlands Genootschap voor Fysiotherapie
Topics
  • Health Sciences › Medicine › Surgery › Knee injuries and reconstruction techniques
  • Health Sciences › Medicine › Orthopedics and Sports Medicine › Sports injuries and prevention
  • Health Sciences › Medicine › Orthopedics and Sports Medicine › Tendon Structure and Treatment
Keywords
anterior cruciate ligament reconstruction, ACL rehabilitation, physiotherapy, prehabilitation, return to sport, reinjury risk, closed kinetic chain exercises, open kinetic chain exercises, electrical stimulation, electromyographic feedback, cryotherapy, hop tests, movement quality, sport-specific training
MeSH terms
Return to Sport, Anterior Cruciate Ligament Injuries, Exercise Therapy, Humans, Postoperative Care, Anterior Cruciate Ligament, Practice Guidelines as Topic, Evidence-Based Medicine, Recovery of Function, Physical Therapy Modalities, Consensus, Anterior Cruciate Ligament Reconstruction

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