Article type: Case Report
Authors: Darain, Haidera; c; * | Alkitani, Abdulhameeda | Yates, Christophera | Bailey, Andreab | Roberts, Simonb | Coutts, Fionaa | Gleeson, Nigela
Affiliations: [a] School of Health Sciences, Queen Margaret University, Edinburgh, UK | [b] National Centre for Sports Injury Surgery, Robert Jones and Agnes Hunt Orthopaedic Hospital, Shropshire, UK | [c] Institute of Physical Medicine and Rehabilitation Khyber Medical University, Peshawar, Pakistan
Correspondence:
[*]
Corresponding author: Haider Darain, School of Health Sciences, Queen Margaret University, Edinburgh, EH21 6UU, UK. E-mail:[email protected],[email protected]
Abstract: A 22-year-old patient undergoing unilateral surgical reconstruction of the
anterior cruciate ligament (ACL) of the right knee volunteered for the
research project and followed an established contemporary hospital-based
rehabilitation programme. The patient was supervised post-surgically by an
experienced and clinically specialized physiotherapist. The clinical
outcomes of rehabilitation were assessed by
selected validated
patient-reported and objectively-measured outcomes of functional performance
capability on four different occasions (pre-surgery, 6th, 12th and
24th week post-surgery). The patient scored 30, 56, 60 and 85 on IKDC
(maximum score, 100); 46, 53, 90 and 91 on Lysholm (maximum score, 100);
141, 73, 128 and 175 on K-SES (maximum score, 220); 17, 12, 6 and 6 on the
symptom subsection of KOOS (maximum score, 28); 7, 7, 5 and 5 on the pain
subsection (maximum score, 36); 1, 0, 3 and 1 on the daily function
subsection (maximum score, 68); 0, 0, 5 and 5 on the sport and recreation
function subsection (maximum score, 20); 13, 11, 15 and 13 on the quality of
life subsection (maximum score, 16) of KOOS at pre-surgery and at the
6th, 12th and 24th week following ACL reconstruction,
respectively. Moreover, the patient scored 1.96 m, 1.92 m and 1.99 m on
single-leg hop (injured leg) when assessed at pre-surgery and at the
12th and 24th week post-surgery, respectively, following ACL
reconstruction. The total time spent in supervised rehabilitation by the
patient (675 minutes) was computed as the aggregate patient-reported time
spent in exercise during each hospital-based rehabilitation session
(verified by physiotherapist evaluation) across the total number of
sessions. The patient managed to return to the sport in which he had
participated prior to the injury, immediately after the completion of the
contemporary rehabilitation programme, at 24 weeks post-surgery. A total of
fifteen physiotherapy sessions supervised by the physiotherapist, were
attended by the patient during the 24 week rehabilitation period. The
latter number of physiotherapy sessions was substantially less than the
average supervised physiotherapy sessions reported in the literature.
Keywords: Anterior cruciate ligament, contemporary rehabilitation, supervised rehabilitation, structured rehabilitation, hospital-based rehabilitation
DOI: 10.3233/BMR-140581
Journal: Journal of Back and Musculoskeletal Rehabilitation, vol. 28, no. 4, pp. 877-882, 2015
