Evidence map›Paper›PMID 36731908›Full record

GuidelineBritish journal of sports medicine2023

Aspetar clinical practice guideline on rehabilitation after anterior cruciate ligament reconstruction.

Roula Kotsifaki, Vasileios Korakakis, Enda King, Olivia Barbosa, Dustin Maree, Michail Pantouveris, Andreas Bjerregaard, Julius Luomajoki, Jan Wilhelmsen, Rodney Whiteley

2 registry-linked trialsAbstract readSystematic ReviewPractice Guideline
In one paragraph

Guideline in British journal of sports medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 135 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
135citing papers in PubMed, 10 pooled it
–field-weighted citation impact
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.

NCT06768957 nacompletednot on this mapstarted 2025, after this paper: background citation

Qualitative and Quantitative Analysis of the "Single Hop Test" Combined With a Cognitive Task, to Optimize Return to Sport After Anterior Cruciate Ligament Reconstruction.

TypeinterventionalSponsorSimon VALOTRan2025 to 2025Enrolled31ConditionsACL Reconstruction, Cognitive Function, Single Leg Hop Firm Surface, Testing Effect of InterventionArmsSingle leg hop for distance, Single leg hop for distance plus cognitive task
NCT06943079 nacompletednot on this mapstarted 2024, after this paper: background citation

Effects of Hold-relax Technique With or Without Blood Flow Restriction on Pain, Range of Motion and Functional Disability in Patients With Post Operative ACL Rehabilitation.

TypeinterventionalSponsorRiphah International UniversityRan2024 to 2025Enrolled48ConditionsSports Physical TherapyArmsEffect of Hold Relax technique with Blood Flow Restriction technique on functional outcome, Effect of Hold Relax technique without Blood Flow Restriction technique on functional outcomes
3 · Its place in the literature

Who cites it

135 citing papers in PubMed, 10 syntheses or guidelines pooled it.

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75 more citing papers are in PubMed but not listed here.

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

10 authors.

Roula KotsifakiRehabilitation Department, Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar argyro.kotsifaki@aspetar.com.ORCID http://orcid.org/0000-0002-7902-9206
Vasileios KorakakisRehabilitation Department, Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar.ORCID http://orcid.org/0000-0002-8033-3934
Enda KingRehabilitation Department, Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar.
Olivia BarbosaRehabilitation Department, Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar.
Dustin MareeRehabilitation Department, Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar.
Michail PantouverisRehabilitation Department, Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar.
Andreas BjerregaardRehabilitation Department, Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar.
Julius LuomajokiRehabilitation Department, Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar.
Jan WilhelmsenRehabilitation Department, Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar.
Rodney WhiteleyRehabilitation Department, Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar.ORCID http://orcid.org/0000-0002-1452-6228

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This guideline was developed to inform clinical practice on rehabilitation after anterior cruciate ligament reconstruction (ACLR) and was performed in accordance with the Appraisal of Guidelines for REsearch & Evaluation II (AGREE II) instrument and used the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach. A Guideline Development Group systematically searched and reviewed evidence using randomised clinical trials and systematic reviews to evaluate the effectiveness of rehabilitation interventions and guide clinicians and patients on the content of the optimal rehabilitation protocol after ACLR.The guideline targets patients during rehabilitation after ACLR and investigates the effectiveness of the available interventions to the physiotherapist, alone or in combination (eg, exercise, modalities, objective progression criteria). Exercise interventions should be considered the mainstay of ACLR rehabilitation. However, there is little evidence on the dose-response relationship between volume and/or intensity of exercise and outcomes. Physical therapy modalities can be helpful as an adjunct in the early phase of rehabilitation when pain, swelling and limitations in range of motion are present. Adding modalities in the early phase may allow earlier pain-free commencement of exercise rehabilitation. Return to running and return to training/activity are key milestones for rehabilitation after ACLR. However, there is no evidence on which progression or discharge criteria should be used.While there is a very low level of certainty for most components of rehabilitation, most of the recommendations provided in this guideline were agreed to by expert clinicians. This guideline also highlights several new elements of ACLR management not reported previously.

Indexed as

Anterior Cruciate Ligament InjuriesAnterior Cruciate Ligament ReconstructionExerciseExercise TherapyHumansPhysical Therapy Modalitiesanterior cruciate ligamentconsensusexerciseknee injuriesrehabilitation

Identifiers

PMID36731908
PMCPMC11785408

What OpenQuestion holds

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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.