Abstract
Background ACL ruptures are a prevalent condition, affecting daily living activities, associated with high financial burden. Objective To assess the effect of whole-body vibration (WBV) in the rehabilitation of patients with reconstructed anterior cruciate ligament. Methodology. An electronic search in Pubmed, Scopus, Web of Science, and PEDro databases was conducted and randomized controlled trials (RCTs) in humans that analysed the effects of WBV in patients with ACL injury subjected to reconstruction surgery, published in English, Portuguese, Spanish, Italian, or French were included. Records were identified through database search and reference screening by two reviewers, which independently examined titles and abstracts and irrelevant studies were excluded based in eligibility criteria. Relevant full texts were analysed for eligibility, and all relevant studies were included in the systematic review. Results Ten studies were included in the systematic review with a mean methodological quality score of 6. Results demonstrate positive effects of WBV in relevant outcomes such as knee function, electromyographic activity, balance, and muscle strength. Conclusions WBV demonstrated a positive effect in strength, balance, electromyographic activity, and knee function.
Highlights
The knee is a complex joint that is mobile, flexible, strong, and resistant, responsible to support the body mass, that allows to be engaged in a wide range of movements and activities
The anterior cruciate ligament (ACL) is one of the cruciate ligaments responsible to stabilize the knee [1,2,3] during flexion and extension, in which the ACL and the posterior cruciate ligament act contributing to the prevention of excessive forward or backward movements of the tibia in relation to the femur, and providing rotational stability in the knee [4]
The mechanisms related to the loss of muscle strength due to ACL injuries are not well understood [10], and depending on the severity of the injury, the individuals are referred to an orthopaedic physician to verify the treatment options, including surgery, or to a physiotherapist for rehabilitation interventions [1]
Summary
The knee is a complex joint that is mobile, flexible, strong, and resistant, responsible to support the body mass, that allows to be engaged in a wide range of movements and activities. Injuries in this joint and related structures greatly impair daily activities. An electronic search in Pubmed, Scopus, Web of Science, and PEDro databases was conducted and randomized controlled trials (RCTs) in humans that analysed the effects of WBV in patients with ACL injury subjected to reconstruction surgery, published in English, Portuguese, Spanish, Italian, or French were included. Results demonstrate positive effects of WBV in relevant outcomes such as knee function, electromyographic activity, balance, and muscle strength. WBV demonstrated a positive effect in strength, balance, electromyographic activity, and knee function
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