PMID: 30140567Aug 25, 2018Paper

REHABILITATION FOLLOWING ISOLATED POSTERIOR CRUCIATE LIGAMENT RECONSTRUCTION: A LITERATURE REVIEW OF PUBLISHED PROTOCOLS

International Journal of Sports Physical Therapy
Matthew SeneseTheodore J Ganley

Abstract

Surgical outcomes following isolated posterior cruciate ligament reconstruction (PCLR) have been noted to be less satisfactory than the anterior cruciate ligament. Limited understanding of optimal rehabilitation has been implicated as a contributing factor. The purpose of this review was to gather the literature related to isolated PCLR rehabilitation, extract and summarize current rehabilitation guidelines, identify timeframes and functional measurements associated with common rehabilitation topics and provide recommendations for future research. Literature review. A literature review was performed for scientific publications that include a detailed rehabilitation program following isolated PCLR, published between January 2005 and March 2018. Data related to weight-bearing, knee range of motion (ROM), brace usage, specific exercise recommendations and suggestions for return to running and sport activities were extracted and categorized. A total of 44 articles met inclusion criteria. Post-operative weight-bearing was discussed in 35 articles with recommendations ranging from no restriction to 12 weeks of limitations. Forty-two articles recommended the use of immediate post-operative bracing, the majority of which positioned the...Continue Reading

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