Evidence map›Paper›PMID 41234957›Full record

ArticleCureus2025

Effectiveness of Preoperative Home Physiotherapy in Anterior Cruciate Ligament Deficiency.

Nor Hamdam Fakru, Sahran Yahaya, Samhani Ismail, Nur Azree Ferdaus Kamudin, Wan Mahafeez Kamarul Zaman, Muzaffar T Shihabudin

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

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

1 citing paper in PubMed.

  1. 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.

Nor Hamdam FakruDepartment of Orthopaedics, Universiti Sains Malaysia School of Medical Sciences, Kota Bharu, MYS.
Sahran YahayaDepartment of Orthopaedics, Universiti Sains Malaysia School of Medical Sciences, Kota Bharu, MYS.
Samhani IsmailDepartment of Anatomy and Physiology, Faculty of Medicine, Universiti Sultan Zainal Abidin, Kuala Terengganu, MYS.
Nur Azree Ferdaus KamudinDepartment of Orthopaedics and Traumatology, Faculty of Medicine, Universiti Sultan Zainal Abidin, Kuala Terengganu, MYS.
Wan Mahafeez Kamarul ZamanDepartment of Orthopaedics, Universiti Sains Malaysia Specialist Hospital, Kota Bharu, MYS.
Muzaffar T ShihabudinDepartment of Orthopaedics, Universiti Sains Malaysia School of Medical Sciences, Kota Bharu, MYS.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anterior cruciate ligament (ACL) injury frequently compromises knee stability and function. Preoperative physiotherapy has been shown to improve surgical outcomes by enhancing periarticular muscle strength, mobility, and recovery. However, many existing protocols require exercise equipment and frequent supervision, limiting feasibility in resource-constrained settings. To date, no study has evaluated a simplified, equipment-free home-based physiotherapy program for chronic ACL deficiency. This prospective study assessed the effectiveness of a structured home-based physiotherapy program on 27 (male) patients with ACL deficiency awaiting reconstruction. The program focused on quadriceps and hamstring strengthening, range of motion, and proprioceptive training. Clinical outcomes were measured using the International Knee Documentation Committee (IKDC) score, Lysholm score, and knee range of motion at baseline and upon program completion. Participants demonstrated statistically significant improvements in quadriceps strength, IKDC and Lysholm scores, and range of motion compared with baseline (p < 0.05), along with reduced pain and improved knee stability. Adherence was high, and the program was well tolerated. These findings suggest that a structured, equipment-free home-based physiotherapy program is effective in improving function, strength, and mobility in patients with ACL-deficient knees. Incorporating such programs preoperatively may facilitate enhanced postoperative recovery and long-term knee function.

Indexed as

anterior cruciate ligament reconstructionchronic acl deficiencyequipment-free physiotherapykneeknee stabilityphysical therapy modalitiesrehabilitation

Identifiers

PMID41234957
PMCPMC12605373

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Registered trials

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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.