The DOI matches its Crossref record; 57 of the 59 references it cites were found in a registry or an index.
How should clinicians rehabilitate patients after ACL reconstruction? A systematic review of clinical practice guidelines (CPGs) with a focus on quality appraisal (AGREE II)
Open accessAbstract
Objectives: To summarise recommendations and appraise the quality of international clinical practice guidelines (CPGs) for rehabilitation after ACL reconstruction. Design: Systematic review of CPGs (PROSPERO number: CRD42017020407). Data sources: Pubmed, EMBASE, Cochrane, SPORTDiscus, PEDro and grey literature databases were searched up to 30 September 2018. Eligibility criteria: English-language CPGs on rehabilitation following ACL reconstruction that used systematic search of evidence to formulate recommendations. Methods: We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines to report the systematic review. Two appraisers used the Appraisal of Guidelines for Research and Evaluation (AGREE) II instrument to report comprehensiveness, consistency and quality of CPGs. We summarised recommendations for rehabilitation after ACL reconstruction. Results: Six CPGs with an overall median AGREE II total score of 130 points (out of 168) and median overall quality of 63% were included. One CPG had an overall score below the 50% (poor quality score) and two CPGs scored above 80% (higher quality score). The lowest domain score was ‘applicability’ (can clinicians implement this in practice?) (29%) and the highest ‘scope and purpose’ (78%) and ‘clarity of presentation’ (75%). CPGs recommended immediate knee mobilisation and strength/neuromuscular training. Early full weight-bearing exercises, early open and closed kinetic-chain exercises, cryotherapy and neuromuscular electrostimulation may be used according individual circumstances. The CPGs recommend against continuous passive motion and functional bracing. Conclusion: The quality of the CPGs in ACL postoperative rehabilitation was good, but all CPGs showed poor applicability. Immediate knee mobilisation and strength/neuromuscular training should be used. Continuous passive motion and functional bracing should be eschewed.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The check wasn’t confident either way, so it gives no verdict — never disputed.
In the citing paper
“Patellofemoral joint stress steadily increases from partial to medium depth squatting (0° to 90°).42”
From A Biomechanical Review of the Squat Exercise: Implications for Clinical Practice. (2024) · cites this paper as [42]
Experimental — accuracy not yet measuredThe check wasn’t confident either way, so it gives no verdict — never disputed.
In the citing paper
“This is important as quadriceps force contributes directly to patellofemoral joint reaction force and patellofemoral joint stress.42”
From A Biomechanical Review of the Squat Exercise: Implications for Clinical Practice. (2024) · cites this paper as [42]
Experimental — accuracy not yet measuredThe check wasn’t confident either way, so it gives no verdict — never disputed.
In the citing paper
“The increase in patellofemoral joint stress is the result of a steadily increasing patellofemoral joint reaction force that is more pronounced than the increase in contact area as the knee flexes.42”
From A Biomechanical Review of the Squat Exercise: Implications for Clinical Practice. (2024) · cites this paper as [42]
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
Liberati, A., Altman, D. G., Tetzlaff, J., Mulrow, C., Gøtzsche, P. C., Ioannidis, J. P. A., Clarke, M., Devereaux, P. J., Kleijnen, J., & Moher, D. (2009) · PLoS Medicine · doi:10.1371/journal.pmed.1000100 · Cited by 28,164
Liberati, A., Altman, D. G., Tetzlaff, J., Mulrow, C., Gøtzsche, P. C., Ioannidis, J. P. A., Clarke, M., Devereaux, P. J., Kleijnen, J., & Moher, D. (2009) · Annals of Internal Medicine · doi:10.7326/0003-4819-151-4-200908180-00136 · Cited by 10,349
Cicchetti, D. V. (1994) · Psychological Assessment · doi:10.1037/1040-3590.6.4.284 · Cited by 9,349
AGREE II: advancing guideline development, reporting and evaluation in health care
Brouwers, M. C., Kho, M. E., Browman, G. P., Burgers, J. S., Cluzeau, F., Feder, G., Fervers, B., Graham, I. D., Grimshaw, J., Hanna, S. E., et al. (2010) · Canadian Medical Association Journal · doi:10.1503/cmaj.090449 · Cited by 3,790
Clinical Practice Guidelines We Can Trust
Board on Health Care Services (2011) · National Academies Press eBooks · doi:10.17226/13058 · Cited by 3,146
Ardern, C. L., Taylor, N. F., Feller, J. A., & Webster, K. E. (2014) · British Journal of Sports Medicine · doi:10.1136/bjsports-2013-093398 · Cited by 1,465
(2003) · Quality and Safety in Health Care · doi:10.1136/qhc.12.1.18 · Cited by 1,446
Wiggins, A. J., Grandhi, R. K., Schneider, D. K., Stanfield, D., Webster, K. E., & Myer, G. D. (2016) · The American Journal of Sports Medicine · doi:10.1177/0363546515621554 · Cited by 1,429
Grindem, H., Snyder-Mackler, L., Moksnes, H., Engebretsen, L., & Risberg, M. A. (2016) · British Journal of Sports Medicine · doi:10.1136/bjsports-2016-096031 · Cited by 1,313
Free, C., Phillips, G., Watson, L., Galli, L., Felix, L., Edwards, P., Patel, V., & Haines, A. (2013) · PLoS Medicine · doi:10.1371/journal.pmed.1001363 · Cited by 1,187
Research works printed but not linked: 2
- Valle, 2018, [Standards in rehabilitation following anterior cruciate ligament reconstruction in the German-speaking world], Sportverletz Sportschaden, 32, 103
- NTvG, 2005, EBRO richtlijnen, Ned Tijdschr Geneesk, 149, 213
Cited by
Sorted by citations
Ardern, C. L., Büttner, F., Andrade, R., Weir, A., Ashe, M. C., Holden, S., Impellizzeri, F. M., Delahunt, E., Dijkstra, H. P., Mathieson, S., et al. (2022) · British Journal of Sports Medicine · doi:10.1136/bjsports-2021-103987 · Cited by 458
Self-citationKotsifaki, R., Korakakis, V., King, E., Barbosa, O., Maree, D., Pantouveris, M., Bjerregaard, A., Luomajoki, J., Wilhelmsen, J., & Whiteley, R. (2023) · British Journal of Sports Medicine · doi:10.1136/bjsports-2022-106158 · Cited by 303
“19 However, previous clinical practice guidelines 14 and the recent systematic review 19 fail to provide clinically relevant information required for daily practice, including advice for exercise initiation, eccentric training, plyometrics training, cross-education.”
Bruder, A. M., Culvenor, A. G., King, M., Haberfield, M. J., Roughead, E. A., Mastwyk, J., Kemp, J. L., Pazzinatto, M. F., West, T., Coburn, S., et al. (2023) · British Journal of Sports Medicine · doi:10.1136/bjsports-2022-106099 · Cited by 134
A lifespan approach to osteoarthritis prevention
Whittaker, J. L., Runhaar, J., Bierma‐Zeinstra, S., & Roos, E. M. (2021) · Osteoarthritis and Cartilage · doi:10.1016/j.joca.2021.06.015 · Cited by 133
Culvenor, A. G., Girdwood, M., Juhl, C. B., Patterson, B., Haberfield, M. J., Holm, P. M., Bricca, A., Whittaker, J. L., Roos, E. M., & Crossley, K. M. (2022) · British Journal of Sports Medicine · doi:10.1136/bjsports-2022-105495 · Cited by 128
“12 However, a systematic review focusing on ACL rehabilitation in clinical practice guidelines found conflicting recommendations and poor applicability—indicating barriers for clinicians to implement recommendations into practice.”
Influential
Metadata
- Authors
- Andrade, R., Pereira, R., van Cingel, R., Staal, J. B., & Espregueira-Mendes, J.
- Affiliations
- Universidade do Porto (PT)
- Fernando Pessoa University (PT)
- HAN University of Applied Sciences (NL)
- Corresponding author
- Andrade, Renato
- Venue
- British Journal of Sports Medicine
- Publisher
- BMJ
- Published
- 2019-06-07
- Volume
- 54
- Issue
- 9
- Pages
- 512-519
- ISSN
- 0306-3674 (ISSN-L)
- 1473-0480
- OpenAlex
- W2948803383
- Cited by
- 264
- References
- 59
- Citations by year
- 2026: 32 · 2025: 64 · 2024: 43 · 2023: 45 · 2022: 36 · 2021: 30 · 2020: 12 · 2019: 2
- FWCI
- 4.12
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- British Journal of Sports Medicine (publishedVersion)
- PubMed (publishedVersion)
- HighWire Press Open Archive (submittedVersion)
- Radboud Repository (Radboud University) (submittedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Knee injuries and reconstruction techniques
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
- Health Sciences › Health Professions › General Health Professions › Health Sciences Research and Education
- Keywords
- anterior cruciate ligament reconstruction, postoperative rehabilitation, guideline quality assessment, AGREE II, resistance training, neuromuscular training, closed kinetic chain exercises, open kinetic chain exercises, cryotherapy, neuromuscular electrical stimulation, continuous passive motion, functional bracing, weight-bearing exercise
- MeSH terms
- Anterior Cruciate Ligament Injuries, Early Ambulation, Electric Stimulation Therapy, Exercise Therapy, Humans, Range of Motion, Articular, Practice Guidelines as Topic, Cryotherapy, Resistance Training, Anterior Cruciate Ligament Reconstruction
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
