Title: |
Chinese clinical practice guideline on rehabilitation after anterior cruciate ligament reconstruction |
Edition: |
Original |
Classification: |
Standard guideline |
Field: |
Treatment |
Countries and regions: |
China |
Guidelines users: |
Sports medicine surgeons, orthopedic surgeons, rehabilitation physicians, therapists, nurses, sports coaches and administrators, etc. |
Evidence classification method: |
GRADE |
Development unit: |
Formulating unit:Lower Limb Sports Traumatology Group of Chinese Society of Sports Medicine, Chinese Medical Association; Sports Medicine Society of Chinese Medical Doctor Association |
Registration time: |
2023-11-24 |
Registration number: |
PREPARE-2023CN952 |
Purpose of the guideline: |
Anterior cruciate ligament (ACL) is a crucial anatomical structure that plays a vital role in maintaining knee stability, and its incidence of injury has been increasing in daily life. Currently, ACL reconstruction is the predominant treatment for ACL injuries. However, However, a considerable proportion of patients experience diminished exercise capacity or encounter challenges in resuming physical activity following surgical procedures. This can be attributed to the long process of "ligamentization" required for complete restoration of the biological function of the ACL following commonly used autograft reconstruction. Consequently, accurate and appropriate rehabilitation becomes paramount as improper assessment or inadequate rehabilitation may surpass the maximum mechanical strength of the graft during remodeling, leading to graft laxity or rupture and ultimately failure of the reconstruction. In line with the principle of " function priority and return to sports" in sports medicine, successful ACL reconstruction heavily relies on effective rehabilitation training which determines whether recreational athletes and competitive sports participants can regain their pre-injury level of performance. Unfortunately, there is currently a lack of clinical guidelines for post-ACL reconstruction rehabilitation in China. Therefore, aiming to assist clinicians in developing scientific and reasonable rehabilitation programs based on patient assessment and expectations while enhancing the rate and efficacy of return-to-sport outcomes following ACL reconstruction procedures; Lower Limb Sports Traumatology Group of Chinese Society of Sports Medicine Branch of the Chinese Medical Association along with Sports Medicine Society of Chinese Medical Doctor Association have initiated an effort to formulate comprehensive "Chinese clinical practice guideline on rehabilitation after anterior cruciate ligament reconstruction". |