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EFFECTIVENESS OF PREHAB ON TREATMENT OUTCOMES FOLLOWING ACL RECONSTRUCTION: A LITERATURE REVIEW

Subin Binod * Manjula ** Rajna KM***

bpt student* bpt student** lecturer***

Email Id (corresponding author) subin17binod@gmail.com

Contact number 9446951028

The Oxford college of physiotherapy Bangalore

Introduction

The ACL is the most commonly injured ligament, with a yearly incidence of 68.6%. Usually,

it is managed by ACL reconstruction surgery. Pre operative rehabilitation (PreHab) is

prescribed along with post operative rehabilitation for preparing patients for surgery and

improving postoperative physiological, and psychological outcomes. But clinically the use of

PreHab seems to be limited and circumscribed.

Objective

To evaluate the effectiveness of PreHab on treatment outcomes following ACL

reconstruction by doing a literature review.

Method

Articles were collected from PubMed, google scholar, Cochrane . Studies from last 10 years

were assessed, which include RCTs, systematic reviews etc Articles were searched and the

inclusion criterias were ACl reconstruction with PreHab and exclusion criterias were non

english language articles and observational studies. Ten articles (* systematic reviews and 2

RCTs) were selected, based on inclusion criteria. They were assessed for validity and

outcomes.

Result

Nine among ten articles showed effectiveness of PreHab on improving outcomes of treatment

following ACL reconstruction like knee related function and improving muscle strength and

one article showed it is not effective.

Conclusion

PreHab is found to be effective in preparing patients for the surgery and improving the

postoperative physiological, psychological, knee related functions and muscle strength after

ACL reconstruction. Therefore, PreHab should be given equal importance as post operative

rehabilitation following ACL reconstruction.

Key words:

ACL reconstruction, rehabilitation, pre operative rehabilitation, PreHab.