Open versus Closed Kinetic Chain Exercises following an Anterior Cruciate Ligament Reconstruction: A Systematic Review and Meta-Analysis
نویسندگان
چکیده
BACKGROUND There is no consensus on whether closed kinetic chain (CKC) or open kinetic chain (OKC) exercises should be the intervention of choice following an anterior cruciate ligament (ACL) injury or reconstruction. METHODS A systematic search identified randomized controlled trials of OKC versus CKC exercise training in people who had undergone ACL reconstructive surgery. All published studies in this systematic review were comparisons between OKC and CKC groups. RESULTS Seven studies were included. Lysholm knee scoring scale was not significantly different between OKC and CKC exercise patients: MD: -1.03%; CI: -13.02, 10.95; p value = 0.87 (Chi2 = 0.18, df = 1, and p value = 0.67). Hughston clinic questionnaire scores were not significantly different between OKC and CKC exercise patients: MD: -1.29% (-12.02, 9.43); p value = 0.81 (Chi2 = 0.01, df = 1, and p value = 0.93). CONCLUSIONS While OKC and CKC may be beneficial during ACL surgical rehabilitation, there is insufficient evidence to suggest that either one is superior to the other.
منابع مشابه
A Systematic Review of Anterior Cruciate Ligament Reconstruction Rehabilitation
Anterior cruciate ligament (ACL) reconstruction is a common surgical knee procedure that requires intensive postoperative rehabilitation by the patient. A variety of randomized controlled trials have investigated aspects of ACL reconstruction rehabilitation. A systematic review of English language level 1 and 2 studies identified 54 appropriate randomized controlled trials of ACL rehabilitation...
متن کاملOpen- or closed-kinetic chain exercises after anterior cruciate ligament reconstruction?
Open-kinetic chain (OKC) and closed-kinetic chain (CKC) exercises may not differ in their effects on the healing response of the anterior cruciate ligament (ACL)-reconstructed knee. Recent biomechanical studies have shown that the peak strains produced on a graft are similar. Clinical studies suggest that both play a beneficial role in the early rehabilitation of the reconstructed knee.
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Background: Patients with an anterior cruciate ligament-deficient varus-angulated knee may need not only an isolated high tibial osteotomy (HTO), but also an additional anterior cruciate ligament reconstruction (ACLR). A number of prospective clinical trials have been published considering the combination of HTO and ACL reconstruction. Our aim was to investigate whether one-stage combined HTO...
متن کامل[Importance of open and closed kinetic chain exercises after anterior cruciate ligament reconstruction].
متن کامل
Evaluation of Open and Closed Kinetic Chain Exercises in Rehabilitation Following Anterior Cruciate Ligament Reconstruction
[Purpose] To compare outcomes of anterior cruciate ligament (ACL) reconstruction after open kinetic chain (OKC) exercises and closed kinetic chain (CKC) exercises. [Subjects and Methods] The subjects comprised 11 female and 47 male patients who are randomly divided into two groups: which performed a CKC exercise program Group I and Group II which performed an OKC exercise program. Pain intensit...
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عنوان ژورنال:
دوره 2017 شماره
صفحات -
تاریخ انتشار 2017