Evidence map›Paper›PMID 32240346›Full record

ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2020

Functional progression milestones following anterior cruciate ligament reconstruction are more appropriate than time-based criteria: a survey among the ESSKA.

Alberto Vascellari, Alli Gokeler, Alberto Grassi, Gian Luigi Canata, Stefano Zaffagnini, Henrique Jones

Open access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.8field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 9 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Review
  5. Anterior Cruciate Ligament Injury Prevention and Rehabilitation.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 4 countries.

Alberto VascellariPoliclinico Città di Udine, Viale Venezia 410, 33100, Udine, Italy. info@albertovascellari.it.
Alli GokelerSports Medicine and Science (LIROMS), Luxembourg Institute of Research in Orthopedics, Luxembourg, Luxembourg.
Alberto Grassi2nd Orthopaedic and Traumatology Clinic, Rizzoli Orthopaedic Institute, Bologna, Italy.
Gian Luigi CanataCentre of Sports Traumatology, Koelliker Hospital, Turin, Italy.
Stefano Zaffagnini2nd Orthopaedic and Traumatology Clinic, Rizzoli Orthopaedic Institute, Bologna, Italy.
Henrique JonesOrthopaedic and Sports Medicine Clinic, Montijo, Portugal.
Istituto Ortopedico Rizzoli · ITOspedale Koelliker · ITPaderborn University · DEUniversidade Lusófona · PTUniversity of Udine · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this study was to report current rehabilitation recommendations after ACL reconstruction in ESSKA community, with a particular focus on the specific criteria utilized to guide activity progression

methodsA web-based survey was developed to investigate preferences between time-based and functional ACL reconstruction rehabilitation progression milestones of ESSKA community.

resultsEight hundred and twenty completed questionnaires were received. Responders were from 86 different countries worldwide, 63% of them from European countries. Functional criteria were considered more appropriate to decide if a patient can start specific activities/exercises by 67% of the responders. Good core and lower extremity neuromuscular control were the most often used functional criteria for decision-making regarding readiness for sport-specific rehabilitation (66%), sport-specific drills without (65%) and with contact (66%). Strength assessed with an isokinetic dynamometer was considered by about half of the responders a determinant to initiate sport-specific drills without (51%-isokinetic strength, LSI > 80%) and with contact (58%-isokinetic strength, LSI > 85-90%). To determine readiness for sport-specific drills, hop tests were used by 40% of respondents for drills without contact and 48% of respondents for drills with contact.

conclusionThe results of this survey involving mainly orthopaedic surgeons indicate that functional measures are considered more appropriate than milestones based on time from surgery to guide progression through the postoperative rehabilitation process after ACLR. The main clinical relevance of this study is that updated information on collective agreement could be useful for clinicians and physiotherapists to delineate their postoperative treatments after ACLR. These results should be interpreted with caution, as this sample represents only a small portion of ESSKA community involved in knee surgery and treating patients following ACLR. LEVEL OF EVIDENCE: III.

Indexed as

Exercise TherapyReturn to SportAdolescentAdultAnterior Cruciate Ligament InjuriesAnterior Cruciate Ligament ReconstructionDisease ProgressionEuropeFemaleHumansInternationalityLower ExtremityMaleMuscle StrengthOrthopedicsPostoperative PeriodAnterior cruciate ligamentFunctional criteriaRehabilitationSurveyTime-based criteria

Identifiers

PMID32240346
OpenAlexW3015061365

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.