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Table 3 Summary of included original studies investigating ‘supervised rehabilitation frequency’

From: The Influence, Barriers to and Facilitators of Anterior Cruciate Ligament Rehabilitation Adherence and Participation: a Scoping Review

Author (year)

Design

Population

Groups: av no. appointments (av/week)

Supervision category

Intervention period (months)

OM assessment (months)

OMs

n

Age (mean)

Sex

Graft

Activity level

Beard and Dodd (1998) [31]

RCT

31

28

M 21

F 5

BPTB

Not stated

Home: not specified

Clinic + knee class: 16 (1.33)

Unspecified

High

Mid (approx. 1-4)

Pre-operative, 3 and 6

Lysholm knee score, IKDC knee evaluation form, Modified Tegner activity score, VAS sports frequency and level, VAS ADLs, Isokinetic Fl and ext (60deg/sec), KT-1000

Christensen et al. (2018) [32]

Retrospective

332

31.2

M 192

F 140

HS / BPTB

Not stated

Unsupervised: 3–7 (0.16)

Semi-supervised: 8–13 (0.33)

Supervised: 14–35 (0.76)

Low

Mod

High

Late (0-8)

8

KOS-ADL, NPRS

Darian et al. (2015) [33]

Case report

1

22

M

HS

Competitive sport

Supervised: 15 (0.63)

High

Mid (0-6)

Pre-operative, 1.5, 3 and 6

IKDC subjective knee evaluation, Lysholm knee score, KOOS, K-SES, single hop

De Carlo and Sell (1997) [34]

Retrospective

180

26.8

M 130

F 50

BPTB

Sport participation (100%)

Home: 7 (0.29)

Standard routine: 20 (0.83)

Low

High

Mid (0-6)

1,6 and 12

Isokinetic Fl and ext (180deg/s)

ROM, Modified Noyes Questionnaire

Dempsey et al. (2019) [30]

Cross-sectional

60

29.7

M 31

F 29

HS/BPTB

Competitive (57%)

Recreational (41%)

Non-athletes (3%)

Cohort: 58.2 (2.24)

High

Mid (av. 6.3)

At physician clearance (6.3)

Isokinetic ext (60deg/sec), isometric ext (90deg), single hop for distance, IKDC 2000 subjective knee evaluation, physiotherapy questionnaire

Feller et al. (2004) [35]

Retrospective

20

28

M 16

F 4

HS/BPTB

Not stated

Minimal: 0–3 (0.04)

Intermediate: 4–11 (0.14)

Regular: 15-50 (0.51)

Low

Low

High

Late (0–12)

12

Cincinnati knee score, Cincinnati occupational rating scale, Cincinnati sports activity level, IKDC knee evaluation form, KT-1000

Fischer at al. (1998) [36]

Prospective

54

30.5

M 28

F 26

BPTB/allograft

Not stated

Home: 5 (0.21)

Clinic: 19.9 (0.83)

Low

High

Mid (0–6)

Examination at 1 week, 1.5, 3, 4.5 and 6

Lysholm at 3 and 6

Hops and HSQ at 6

Lysholm knee score, HSQ, ROM, KT-1000, Effusion, PFJ crepitus, anterior draw, medial-lateral laxity, posterior draw, Lachman’s, pivot shift, thigh atrophy, single hop for distance, 6m timed hop, triple hop for distance, triple crossover hop for distance

Grant and Mohtadi (2005) [37]

RCT

145

29.3

M 85

F 60

Not stated

Not stated

Home: 3 (0.25)

Clinic: 14 (1.17)

Mod

High

Early (0–3)

Pre-operative, 1.5 and 3

ACL-QoL questionnaire, ROM, KT-2000, knee ROM in gait, isokinetic Fl and ext (180deg/sec)

Grant et al. (2010) [38]

RCT

88

33.7

M 58%

F 42%

Not stated

Not stated

Home: 3 (0.25)

Clinic: 14 (1.17)

Mod

High

Early (0–3)

26-53

ACL-QoL, ROM, KT-1000, IKDC knee evaluation form, isokinetic Fl and ext (60deg/sec)

Han et al. (2015) [39]

Retrospective

93

23

M 82

F 11

HS

Recreational athletes

Non-compliant: 3.6 (0.1)

Mod compliant: 10.7 (0.3)

Fully compliant: 17 (0.47)

Low

Mod

Mod

Late (0–9)

Pre-operative

9

Self-report RTS, Cincinnati sport activity level, Lysholm knee score, KOOS, SF-36, PCS, MCS

Hohmann et al. (2011) [40]

RCT

40

28.5

M 20

F 20

BPTB

Physically active

Home: 5 (0.10)

Clinic: 45 (0.86)

Low

High

Late (0–12)

1.5, 3, 6, 9 and 12

Lysholm knee score, Tegner activity level scale, single hop for distance 6 m timed hop, vertical jump, isokinetic F and ext (120deg/sec), isometric ext (30deg)

Inacio et al. (2016) [41]

Retrospective

6385

28

M 4657 F 1728

HS/BPTB/allograft

Not stated

Medical encounters in days 1–90 and 91–180

N/A

Mid (0–6)

Mean 2.8 ± 1.8 years

Revisions within 6 months

Lim et al. (2019) [42]

Prospective

26

35.5

M 18

F 8

HS

Not stated

Home-based: 0 (0)

Supervised: 48 (2)

Low

High

Mid (0–6)

Pre-operative and 6

Isokinetic Fl and ext (60deg/sec and 180 deg/sec), Biodex stability system SD OSI

Miller et al. (2017) [43]

Retrospective

660

29.4

M 389

F 271

Not stated

Not stated

Minimal: < 9

Moderate: 9–14

High: > 15

Unable to determine

Mid (3+)

Admission and last formal PT visit

KOS-ADL, NPRS, age, sex, intervention charges, ACL revision rate, area deprivation index, payer mix

Przybylak et al. (2018) [44]

Prospective

50

30.5

M 37

F 13

HS/BPTB

Recreational athletes

Home: 6 (0.12)

Supervised: 48 (0.92)

Low

High

Late (0–12)

Pre-operative and 12

Kujal’s Scoring questionnaire, Tegner activity scale, KOOS, ROM, FMS

Revenas et al. (2009) [45]

RCT

51

22.5

M 33

F 18

HS / BPTB

Not stated

Guided therapy: 3 (0.07)

Knee class: 15 (0.33)

Low

Mod

Late (1.5–12)

Pre-operative 6 and 12

IKDC knee evaluation form, Lysholm knee score, Tegner activity level scale, isometric ext (90deg), single hop for distance, ROM

Schenck et al. (1997) [46]

RCT

37

23.5

M 28

F 9

BPTB

Not stated

Home: 2.85 (0.12)Clinic: 14.2 (0.6)

Low

High

Mid (0–6)

Pre-operative, 3 and 12

ROM, Lysholm knee score, VAS pain, single hop for distance, KT-1000, SIP, level of activity, surgery satisfaction

Tracey et al. (1997) [47]

Retrospective

39

25.2

M 54

F 15

BPTB

Competitive recreational athletes (80%)

Home: 7.3 (0.30)

Minimally compliant subgroup: 12 (0.5)

Clinic: 60 (2.5)

Non-compliant subgroup: 1.7 (0.07)

Mod

Mod

High

Low

Mid (0–6)

16 (12–30)

ROM, anterior draw, Lachman's, pivot shift, Lysholm knee score, activity level (4 levels), surgery satisfaction

Ugutmen et al. (2008) [48]

RCT

104

31.5

M 103

F 1

HS

Not stated

Home: unspecified

Clinic: unspecified

Unspecified

0–8

Mean 21.1 (12–66)

Xray, MRI, subjective comments from patients, thigh atrophy

NPRS, effusion, ROM, KT-1000

PFJ pain and crepitation, Lachman's, pivot shift, anterior drawer, Lysholm knee score, HSS, IKDC knee evaluation form

Yu et al. (2017) [49]

Retrospective

42

21.4

M 39

F 3

BPTB

Not stated

Rupture: 18 (0.35)

No rupture: 18.6 (0.36)

Mod

Mod

0–12

N/A

Re-rupture

  1. ACL anterior cruciate ligament, ADLs activities daily living, BPTB bone-patella-tendon-bone, deg degree, ext extension, F female, Fl flexion, FMS functional movement screen, HS hamstring, HSQ Health status questionnaire, HSS hospital of special surgery, IKDC International knee documentation committee, KOOS knee injury and osteoarthritis outcome score, KOS-ADL knee outcome survey–activities of daily living, K-SES knee–self-efficacy scale, m metre, M male, MCS mental component summary, MRI magnetic resonance image, NPRS numeric pain rating scale, OSI overall stability index, PCS physical component summary, PFJ patellofemoral joint, RCT randomised controlled trial, ROM range of motion, RTS return to sport, sec seconds, SF-36 short form-36, SIP sickness impact profile, VAS visual analog scale