This systematic review evaluates 29 Level-I and II RCTs on ACL reconstruction rehabilitation published 2006–2010, extending prior reviews covering 54 studies through 2005. It addresses postoperative bracing, accelerated strengthening timing, home-based versus supervised therapy, and neuromuscular training to define what works, what is safe, and what should be abandoned.
When counseling patients after ACL reconstruction, skip the brace — no evidence supports it. And start immediate weight-bearing, 0–90° range of motion, and closed-chain strengthening safely from day one; eccentric and isokinetic strengthening can begin at week three.
When access to frequent supervised PT is limited, a home-based program with minimal therapist contact is a legitimate option for motivated patients and should not be reflexively downgraded.
This systematic review evaluates 29 Level-I and II RCTs on ACL reconstruction rehabilitation published 2006–2010, extending prior reviews covering 54 studies through 2005. It addresses postoperative bracing, accelerated strengthening timing, home-based versus supervised therapy, and neuromuscular training to define what works, what is safe, and what should be abandoned.
When counseling patients after ACL reconstruction, skip the brace — no evidence supports it. And start immediate weight-bearing, 0–90° range of motion, and closed-chain strengthening safely from day one; eccentric and isokinetic strengthening can begin at week three.
When access to frequent supervised PT is limited, a home-based program with minimal therapist contact is a legitimate option for motivated patients and should not be reflexively downgraded.