Cargando…

Evaluation of functional rehabilitation physiotherapy protocol in the postoperative patients with anterior cruciate ligament reconstruction through clinical prognosis: an observational prospective study

BACKGROUND: The aim of the study was to evaluate the evolution of patients subject to physical treatment based on guidelines of functional rehabilitation after surgery anterior cruciate ligament reconstruction. METHODS: This is a prospective study of 177 patients with anterior cruciate ligament inju...

Descripción completa

Detalles Bibliográficos
Autores principales: do Carmo Almeida, Tabata Cristina, de Alcantara Sousa, Luiz Vinicius, de Melo Lucena, Diego Monteiro, dos Santos Figueiredo, Francisco Winter, Valenti, Vitor Engrácia, da Silva Paiva, Laércio, de Abreu, Luiz Carlos, Adami, Fernando
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5034679/
https://www.ncbi.nlm.nih.gov/pubmed/27663526
http://dx.doi.org/10.1186/s13104-016-2234-9
_version_ 1782455321244991488
author do Carmo Almeida, Tabata Cristina
de Alcantara Sousa, Luiz Vinicius
de Melo Lucena, Diego Monteiro
dos Santos Figueiredo, Francisco Winter
Valenti, Vitor Engrácia
da Silva Paiva, Laércio
de Abreu, Luiz Carlos
Adami, Fernando
author_facet do Carmo Almeida, Tabata Cristina
de Alcantara Sousa, Luiz Vinicius
de Melo Lucena, Diego Monteiro
dos Santos Figueiredo, Francisco Winter
Valenti, Vitor Engrácia
da Silva Paiva, Laércio
de Abreu, Luiz Carlos
Adami, Fernando
author_sort do Carmo Almeida, Tabata Cristina
collection PubMed
description BACKGROUND: The aim of the study was to evaluate the evolution of patients subject to physical treatment based on guidelines of functional rehabilitation after surgery anterior cruciate ligament reconstruction. METHODS: This is a prospective study of 177 patients with anterior cruciate ligament injury, who underwent surgery and physical therapy guideline conducted in an orthopedic clinic in São Paulo, southeastern Brazil. The clinical evolution of patients was made according to Lysholm and IKDC questionnaire on the 1st day after surgery with 30, 90 and 180 days of treatment. RESULTS: There was statistically significant increase in the gross values of Lysholm and IKDC questionnaires during the treatment (p < 0.001), which indicates progressive gain of function. According to the scores obtained from the IKDC, it can be observed that in stage 1 the average progress was 53.5 %, falling to 50 % in stage 2, and 26.1 % in stage 3. As to Lysholm score, it started with 87.7 %, falling to 62.6 % in the second stage and 7 % in the third stage, both statistically significant (p < 0.001). The rehabilitation-oriented functional objectives priority is to quickly get the exercises to gain breadth, strength and proprioception, optimizing and improving the integration of the athlete back to sport. CONCLUSION: Synthesizing the gradual gain of function and according to clinical outcomes assessed by IKDC and Lysholm, the functional guideline presented may be considered an alternative for rehabilitation of patients in postoperative anterior cruciate ligament.
format Online
Article
Text
id pubmed-5034679
institution National Center for Biotechnology Information
language English
publishDate 2016
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-50346792016-09-29 Evaluation of functional rehabilitation physiotherapy protocol in the postoperative patients with anterior cruciate ligament reconstruction through clinical prognosis: an observational prospective study do Carmo Almeida, Tabata Cristina de Alcantara Sousa, Luiz Vinicius de Melo Lucena, Diego Monteiro dos Santos Figueiredo, Francisco Winter Valenti, Vitor Engrácia da Silva Paiva, Laércio de Abreu, Luiz Carlos Adami, Fernando BMC Res Notes Research Article BACKGROUND: The aim of the study was to evaluate the evolution of patients subject to physical treatment based on guidelines of functional rehabilitation after surgery anterior cruciate ligament reconstruction. METHODS: This is a prospective study of 177 patients with anterior cruciate ligament injury, who underwent surgery and physical therapy guideline conducted in an orthopedic clinic in São Paulo, southeastern Brazil. The clinical evolution of patients was made according to Lysholm and IKDC questionnaire on the 1st day after surgery with 30, 90 and 180 days of treatment. RESULTS: There was statistically significant increase in the gross values of Lysholm and IKDC questionnaires during the treatment (p < 0.001), which indicates progressive gain of function. According to the scores obtained from the IKDC, it can be observed that in stage 1 the average progress was 53.5 %, falling to 50 % in stage 2, and 26.1 % in stage 3. As to Lysholm score, it started with 87.7 %, falling to 62.6 % in the second stage and 7 % in the third stage, both statistically significant (p < 0.001). The rehabilitation-oriented functional objectives priority is to quickly get the exercises to gain breadth, strength and proprioception, optimizing and improving the integration of the athlete back to sport. CONCLUSION: Synthesizing the gradual gain of function and according to clinical outcomes assessed by IKDC and Lysholm, the functional guideline presented may be considered an alternative for rehabilitation of patients in postoperative anterior cruciate ligament. BioMed Central 2016-09-23 /pmc/articles/PMC5034679/ /pubmed/27663526 http://dx.doi.org/10.1186/s13104-016-2234-9 Text en © The Author(s) 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
do Carmo Almeida, Tabata Cristina
de Alcantara Sousa, Luiz Vinicius
de Melo Lucena, Diego Monteiro
dos Santos Figueiredo, Francisco Winter
Valenti, Vitor Engrácia
da Silva Paiva, Laércio
de Abreu, Luiz Carlos
Adami, Fernando
Evaluation of functional rehabilitation physiotherapy protocol in the postoperative patients with anterior cruciate ligament reconstruction through clinical prognosis: an observational prospective study
title Evaluation of functional rehabilitation physiotherapy protocol in the postoperative patients with anterior cruciate ligament reconstruction through clinical prognosis: an observational prospective study
title_full Evaluation of functional rehabilitation physiotherapy protocol in the postoperative patients with anterior cruciate ligament reconstruction through clinical prognosis: an observational prospective study
title_fullStr Evaluation of functional rehabilitation physiotherapy protocol in the postoperative patients with anterior cruciate ligament reconstruction through clinical prognosis: an observational prospective study
title_full_unstemmed Evaluation of functional rehabilitation physiotherapy protocol in the postoperative patients with anterior cruciate ligament reconstruction through clinical prognosis: an observational prospective study
title_short Evaluation of functional rehabilitation physiotherapy protocol in the postoperative patients with anterior cruciate ligament reconstruction through clinical prognosis: an observational prospective study
title_sort evaluation of functional rehabilitation physiotherapy protocol in the postoperative patients with anterior cruciate ligament reconstruction through clinical prognosis: an observational prospective study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5034679/
https://www.ncbi.nlm.nih.gov/pubmed/27663526
http://dx.doi.org/10.1186/s13104-016-2234-9
work_keys_str_mv AT docarmoalmeidatabatacristina evaluationoffunctionalrehabilitationphysiotherapyprotocolinthepostoperativepatientswithanteriorcruciateligamentreconstructionthroughclinicalprognosisanobservationalprospectivestudy
AT dealcantarasousaluizvinicius evaluationoffunctionalrehabilitationphysiotherapyprotocolinthepostoperativepatientswithanteriorcruciateligamentreconstructionthroughclinicalprognosisanobservationalprospectivestudy
AT demelolucenadiegomonteiro evaluationoffunctionalrehabilitationphysiotherapyprotocolinthepostoperativepatientswithanteriorcruciateligamentreconstructionthroughclinicalprognosisanobservationalprospectivestudy
AT dossantosfigueiredofranciscowinter evaluationoffunctionalrehabilitationphysiotherapyprotocolinthepostoperativepatientswithanteriorcruciateligamentreconstructionthroughclinicalprognosisanobservationalprospectivestudy
AT valentivitorengracia evaluationoffunctionalrehabilitationphysiotherapyprotocolinthepostoperativepatientswithanteriorcruciateligamentreconstructionthroughclinicalprognosisanobservationalprospectivestudy
AT dasilvapaivalaercio evaluationoffunctionalrehabilitationphysiotherapyprotocolinthepostoperativepatientswithanteriorcruciateligamentreconstructionthroughclinicalprognosisanobservationalprospectivestudy
AT deabreuluizcarlos evaluationoffunctionalrehabilitationphysiotherapyprotocolinthepostoperativepatientswithanteriorcruciateligamentreconstructionthroughclinicalprognosisanobservationalprospectivestudy
AT adamifernando evaluationoffunctionalrehabilitationphysiotherapyprotocolinthepostoperativepatientswithanteriorcruciateligamentreconstructionthroughclinicalprognosisanobservationalprospectivestudy