Effect of open kinetic chain exercises during the first weeks of anterior cruciate ligament reconstruction rehabilitation: A systematic review and meta-analysis

IF 2.2 3区医学 Q1 REHABILITATION Physical Therapy in Sport Pub Date : 2025-02-15 DOI:10.1016/j.ptsp.2025.02.005

Vincent Fontanier, Marion Vergonjeanne, Pauline Eon, Arnaud Bruchard, David Laplaud

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引用次数: 0

Abstract

Background

Closed kinetic chain (CKC) exercises are the gold standard for rehabilitation after anterior cruciate ligament reconstruction (ACL-R). Open kinetic chain (OKC) exercises may provide benefits, but their use in the early stages remains controversial.

Objective

To determine the effect of OKC exercises during the first weeks of rehabilitation after ACL-R.

Study design

Systematic review and meta-analysis.

Methods

A comprehensive literature search was conducted according to PRISMA guidelines from inception to April 2024. The methodological quality of the included studies was assessed using the ROBINS I and RoB-2 tools. The changes in outcomes from pre-to post-intervention were quantified using standardized mean differences.

Results

Overall, the methodological quality was low and the population, intervention, comparison, outcome, time (PICOT) criteria were heterogeneous. However, OKC was found to have beneficial effects on patient reported outcomes (PROMs), strength, function, and return to play, especially when performed at least four weeks after surgery in rehabilitation programs that began with CKC exercises.

Conclusion

The evidence suggests that OKC exercises may provide benefits and no adverse effects in the early stages of rehabilitation after ACL-R, particularly when initiated after CKC exercises. These findings are consistent with current clinical practice guideline recommendations for the inclusion of OKC in rehabilitation programs.

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来源期刊

Physical Therapy in Sport 医学-康复医学

CiteScore

4.50

自引率

8.30%

发文量

125

审稿时长

39 days

期刊介绍： Physical Therapy in Sport is an international peer-reviewed journal that provides a forum for the publication of research and clinical practice material relevant to the healthcare professions involved in sports and exercise medicine, and rehabilitation. The journal publishes material that is indispensable for day-to-day practice and continuing professional development. Physical Therapy in Sport covers topics dealing with the diagnosis, treatment, and prevention of injuries, as well as more general areas of sports and exercise medicine and related sports science. The journal publishes original research, case studies, reviews, masterclasses, papers on clinical approaches, and book reviews, as well as occasional reports from conferences. Papers are double-blind peer-reviewed by our international advisory board and other international experts, and submissions from a broad range of disciplines are actively encouraged.