Benefits of a self-rehabilitation booklet in muscle recovery measured 4 months after anterior cruciate ligament reconstruction (ACL)
| Autor: | V. Salvator Witvoet, L. Ghozlane, M. Bovard |
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| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Rehabilitation Muscle strengthening Anterior cruciate ligament reconstruction Self rehabilitation business.industry medicine.medical_treatment Significant difference Clinical trial Bone patellar tendon bone medicine Physical therapy Orthopedics and Sports Medicine business Hamstring |
| Zdroj: | Annals of Physical and Rehabilitation Medicine. 61:e165 |
| ISSN: | 1877-0657 |
| DOI: | 10.1016/j.rehab.2018.05.375 |
| Popis: | Introduction/Background We created and validated a self-rehabilitation booklet to allow patients to perform by themselves muscle reinforcement after they completed rehabilitation in a rehab center (between 2 and 4 months after surgery). The aim of the study is to evaluate the impact of a self-rehabilitation booklet on quadriceps and hamstrings recovery 4 months after bone patellar tendon bone (BPTB) or hamstrings (HST) autograft. Material and method Open monocentric prospective clinical trial on 2 periods. First period: 124 patients received non-standardized information, according to center usual practice. When leaving the rehab center, patients were provided either a prescription for physiotherapy sessions or strengthening sessions in a gym. Sixty-seven patients in this group returned to the center for a clinical assessment, isokinetic and a functional test. Second period: 165 patients received a self-rehabilitation booklet with instruction to perform three times a week muscle strengthening session in a gym or at home. Seventy-six patients in this group returned for similar assessment as the first group (2nd arm). We compared subjective and objective IKDC scores, quadriceps and hamstring peak torque deficiency and the functional score. Results All measured variables show no significant difference between the 2 groups. Quadriceps and hamstrings deficit are equal to literature. Patients with BPTB graft showed a greater deficit in quadriceps (P = 0.00001) and lower deficit in hamstring strength (P = 0.0001) at 60°/s. The number of sessions at the gym significantly improves the subjective IKDC score and hamstrings recovery in both groups. Conclusion The self-rehabilitation booklet allows patients to perform by themselves muscle strengthening. The number of sessions at the gym improves IKDC score and hamstrings recovery. |
| Databáze: | OpenAIRE |
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