SynthesisBMC musculoskeletal disorders2020
The effectiveness of preoperative rehabilitation programmes on postoperative outcomes following anterior cruciate ligament (ACL) reconstruction: a systematic review.
Synthesis in BMC musculoskeletal disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07642752 (Effects of Perturbation Training Versus Task-oriented Functional Activities on Pain, Range of Motion, Balance and Function in Post-anterior Cruciate Ligament Reconstruction), which is not on this map. Cited by 32 papers, 4 of them syntheses that pooled 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.
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.
Effects of Perturbation Training Versus Task-oriented Functional Activities on Pain, Range of Motion, Balance and Function in Post-anterior Cruciate Ligament Reconstruction
Who cites it
32 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Gait differences after ACL reconstruction versus healthy controls: a three-level meta-analysis of kinematics, kinetics, and spatiotemporal parameters.Annals of medicine · 2025Pooled it
- Pooled it
- Preoperative predictors for return to physical activity following anterior cruciate ligament reconstruction (ACLR): a systematic review.BMC musculoskeletal disorders · 2023Pooled it
- ACL Reconstruction: Which Additional Physiotherapy Interventions Improve Early-Stage Rehabilitation? A Systematic Review.International journal of environmental research and public health · 2022Pooled it
- Effectiveness of exercise prehabilitation before anterior cruciate ligament reconstruction on functional outcomes - a single-blinded randomized controlled trial.Scientific reports · 2026Trial
- No association between anterior cruciate ligament reconstruction using hamstring autograft and knee flexion strength deficits at 4 months on seated isokinetic testing at 180°/s in adolescents.Journal of experimental orthopaedics · 2026Article
- Effects of accelerated rehabilitation after ACL reconstruction on clinical and functional outcomes: A systematic review and meta-analysis evaluating clinical meaningfulness.Journal of experimental orthopaedics · 2026Review
- Role of Prehabilitation in Improving Outcomes after Anterior Cruciate Ligament Reconstruction.Journal of orthopaedic case reports · 2026Article
- Evolution of pre- and post-operative balance characteristics in patients undergoing anterior cruciate ligament reconstruction: implications for rehabilitation.Frontiers in bioengineering and biotechnology · 2026Article
- Article
- Blood Flow Restriction Training Prior to and After Anterior Cruciate Ligament Reconstruction: A Scoping Review.Journal of functional morphology and kinesiology · 2025Review
- Optimizing return to sports after anterior cruciate ligament reconstruction: A multi-factorial umbrella review on rehabilitation strategies.Journal of clinical orthopaedics and trauma · 2025Review
- Test Learning Effects Influence Coordinative but Not Strength-Related Tasks in Patients Six Months After Anterior Cruciate Ligament Reconstruction.Journal of clinical medicine · 2025Article
- Validity of the Uninjured Limb as a Control for Preoperative Assessment in Anterior Cruciate Ligament Reconstruction.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2025Observational
- Patient Education on Exercise Prehabilitation Among Patients Receiving Neoadjuvant Therapy for Cancer Surgery in China: A Mixed-Methods Study.Healthcare (Basel, Switzerland) · 2025Article
- Postoperative anterior cruciate ligament rehabilitation: A survey in Gauteng, South Africa.The South African journal of physiotherapy · 2025Article
- The influence of altered lower-limb muscle strength on dynamic plantar pressure distribution in participants who underwent anterior cruciate ligament reconstruction.Frontiers in sports and active living · 2025Article
- Surface Electromyography and Gait Features in Patients after Anterior Cruciate Ligament Reconstruction.Orthopaedic surgery · 2025Article
- Research progress and clinical application of all-inside reconstruction techniques: narrative review.Frontiers in surgery · 2025Review
- The Effect of Physiotherapy on Arthrogenic Muscle Inhibition After ACL Injury or Reconstruction: A Systematic Review.Life (Basel, Switzerland) · 2024Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
backgroundTo explore the effectiveness of preoperative rehabilitation programmes (PreHab) on postoperative physical and psychological outcomes following anterior cruciate ligament reconstruction (ACLR).
methodA systematic search was conducted from inception to November 2019. Randomised controlled trials (RCTs) published in English were included. Risk of bias was assessed using Version 2 of the Cochrane risk-of-bias tool, and the Grading of Recommendations Assessment system was used to evaluate the quality of evidence.
resultsThe search identified 739 potentially eligible studies, three met the inclusion criteria. All included RCTs scored 'high' risk of bias. PreHab in all three RCTs was an exercise programme, each varied in content (strength, control, balance and perturbation training), frequency (10 to 24 sessions) and length (3.1- to 6-weeks). Statistically significant differences (p < 0.05) were reported for quadriceps strength (one RCT) and single leg hop scores (two RCTs) in favour of PreHab three months after ACLR, compared to no PreHab. One RCT reported no statistically significant between-group difference for pain and function. No RCT evaluated post-operative psychological outcomes.
conclusionVery low quality evidence suggests that PreHab that includes muscular strength, balance and perturbation training offers a small benefit to quadriceps strength and single leg hop scores three months after ACLR compared with no PreHab. There is no consensus on the optimum PreHab programme content, frequency and length. Further research is needed to develop PreHab programmes that consider psychosocial factors and the measurement of relevant post-operative outcomes such as psychological readiness and return to sport.
trial registrationPROSPERO trial registration number. CRD42020162754 .
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What OpenQuestion holds
Registered trials
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.