Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Comparative Effectiveness of Supervised and Home-based Rehabilitation after Anterior Cruciate Ligament Reconstruction in Competitive Athletes

Version 1 : Received: 11 March 2024 / Approved: 12 March 2024 / Online: 13 March 2024 (11:36:56 CET)

A peer-reviewed article of this Preprint also exists.

Syed, R.I.B.; Hangody, L.R.; Frischmann, G.; Kós, P.; Kopper, B.; Berkes, I. Comparative Effectiveness of Supervised and Home-Based Rehabilitation after Anterior Cruciate Ligament Reconstruction in Competitive Athletes. J. Clin. Med. 2024, 13, 2245. Syed, R.I.B.; Hangody, L.R.; Frischmann, G.; Kós, P.; Kopper, B.; Berkes, I. Comparative Effectiveness of Supervised and Home-Based Rehabilitation after Anterior Cruciate Ligament Reconstruction in Competitive Athletes. J. Clin. Med. 2024, 13, 2245.

Abstract

Background: After the increasingly common anterior cruciate ligament reconstruction (ACLR) procedure in competitive athletes, rehabilitation is crucial for facilitating a timely return to sports (RTS) and preventing re-injury. This pilot study investigates the biomechanical and psychological outcomes of postoperative rehabilitation in competitive athletes, comparing supervised rehabilita-tion (SVR) and home-based rehabilitation (HBR). Methods: After ACLR, 60 (out of 74 screened) athletes were recruited and equally divided into 2 groups using non-probability convenience sam-pling: 30 HBR and 30 SVR (each group comprising 15 males and 15 females). Rehabilitation out-comes in respective groups were evaluated at 8 months using measures (Tegner-Activity-Scale [TAS], International Knee Documentation Committee subjective knee form [IKDC-SKF], ACL Return to Sport after Injury [ACL-RSI]) and objective parameters (isometric muscle strength, hamstring/quadriceps asymmetry). RTS was evaluated at 9 months; with ACL re-injury rates rec-orded approximately 6 months post-RTS. Results: Both groups exhibited decreased TAS scores (HBR: 8 to 6, SVR: 8 to 7), with the SVR group demonstrating superior post-operative IKDC-SKF scores (81.82 vs. 68.43) and lower ACL-RSI scores (49.46 vs. 55.25). Isometric and isokinetic mus-cle strength, along with asymmetry values, favored the SVR group 8 months post-ACLR (p

Keywords

anterior cruciate ligament; anterior cruciate ligament reconstruction; supervised rehabilitation; Home-based rehabilitation; return to sport; prevention; re-injury

Subject

Public Health and Healthcare, Physical Therapy, Sports Therapy and Rehabilitation

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