PDF(Pubmed)
Abstract：
Objective The aim of this study is to analyse the needs for pre-operative rehabilitation in patients undergoing ACL reconstruction. Methods The database reports were searched within 2018 to 2023, using PubMed, Cochrane library database, Medline, and other published trials. A statistical analysis was made from Review Manager. Results Pre-operative rehabilitation group shows significantly higher 2 years post-operative KOOS score in all subscore and the total mean of the score, pain (p < 0. 0001), symptoms (p < 0. 0001), ADL (p < 0. 0001), sports and recreations (p < 0. 0001), QoL (p < 0. 0001), and the total mean of the KOOS score (p < 0.0001). In contrary, pre-operative rehabilitation group shows insignificantly higher score on 3 months post-operative Lysholm score (p = 0.12). Conclusion This meta-analysis conclude pre-operative rehabilitation may provide better long-term post-operative outcome, however it may not provide much of a short-term outcome. It is recommended to add pre-operative rehabilitation as a guideline for ACL injury management to improve long-term outcome of patients with ACL injury undergoing ACL reconstruction procedure.
摘要：
目的分析ACL重建术患者术前康复的需求。方法使用PubMed检索2018年至2023年的数据库报告，Cochrane图书馆数据库,Medline,和其他已发表的试验。由ReviewManager进行统计分析。结果术前康复组术后2年KOOS评分各分项评分及总均值均明显高于术前康复组,疼痛（p<0。0001),症状（p<0。0001),ADL(p<0。0001),体育和娱乐(p<0。0001),QoL（p<0。0001),和KOOS评分的总平均值(p<0.0001)。相反,术前康复组术后3个月Lysholm评分无明显升高(p=0.12).结论这项荟萃分析得出的结论是术前康复可能提供更好的长期术后疗效。然而，它可能不会提供太多的短期结果。建议增加术前康复作为ACL损伤管理的指南，以改善接受ACL重建手术的ACL损伤患者的长期预后。
