title: Evaluation of the Effectiveness of Preoperative Physiotherapy Using the Lysholm-Gillquist Scale in Patients Qualified for Surgical Arthroscopic Anterior Cruciate Ligament Reconstruction - Pilot Study.
abstract: BACKGROUND
  Recent years have seen a noticeable increase in the number of people experiencing total damage to the anterior cruciate ligament in the knee joint. The causes are many, but increased sporting activity among people who generally lead a hypokinetic lifestyle is regarded as the most important factor. Researchers are seeking to optimize the surgical treatment and rehabilitation.
  
  
  OBJECTIVE
  To evaluate the effectiveness of preoperative physiotherapy according to the Lysholm and Gillquist scale in patients scheduled for arthroscopic anterior cruciate ligament reconstruction.
  
  
  METHODS
  The study involved a random sample of 30 patients with confirmed complete rupture of anterior cruciate ligament (ACL) qualified for surgical ACL reconstruction. Within this group, an experimental group consisted of 15 patients (mean age 41.0 ± 7 years) who attended physiotherapy before surgery based on recognized therapeutic models. A control group consisted of 15 patients (mean age 39.0 ± 9 years). The Lysholm and Gillquist 100-point scale was used for assessment. Student's t test, the Mann-Whitney U test and the Wilcoxon test were used for statistical analysis. The level of statistical significance was set at p < 0.05.
  
  
  RESULTS
  The operated knee improved functionally in both the experimental and control group. In the experimental group, the difference was 20 points and was statistically significant at p = 0.000. In the control group, the difference was 6 points, which was also within the limit of statistical significance at p = 0.002.
  
  
  CONCLUSIONS
  1. Patients with total ACL rupture attending a pre-operative rehabilitation program led by a physiotherapist (experimental group) achieved greater improvement in functional status compared with the control group. 2. These results indicate a need to analyze the impact ofpreoperative rehabilitation on the final outcome of patients after complete ACL rupture.
authors.affiliation: AVI Imaging Diagnosis and Rehabilitation, Warsaw, Poland.
authors.forename: Sebastian
authors.initials: S
authors.lastname: Zduński
authors.affiliation: Division of Rehabilitation, Department of Physiotherapy, 2nd Medical Faculty, Warsaw University of Medicine, Poland.
authors.forename: Witold
authors.initials: W
authors.lastname: Rongies
authors.affiliation: MediQ Clinic and Hospital, Legionowo, Poland.
authors.forename: Marcin
authors.initials: M
authors.lastname: Ziółkowski
authors.affiliation: AVI Imaging Diagnosis and Rehabilitation, Warsaw, Poland.
authors.forename: Tomasz
authors.initials: T
authors.lastname: Kozieł
authors.affiliation: Division of Rehabilitation, Department of Physiotherapy, 2nd Medical Faculty, Warsaw University of Medicine, Poland.
authors.forename: Bartosz
authors.initials: B
authors.lastname: Słomka
authors.affiliation: AVI Imaging Diagnosis and Rehabilitation, Warsaw, Poland.
authors.forename: Piotr
authors.initials: P
authors.lastname: Kazimierski
authors.affiliation: AVI Imaging Diagnosis and Rehabilitation, Warsaw, Poland.
authors.forename: Dominika
authors.initials: D
authors.lastname: Chruścielewska
authors.affiliation: MediQ Orthopaedics and Rehabilitation in Sport, Warsaw, Poland.
authors.forename: Rafał
authors.initials: R
authors.lastname: Hałaj
authors.affiliation: Division of Medical Informatics and Telemedicine, Warsaw University of Medicine, Poland.
authors.forename: Janusz
authors.initials: J
authors.lastname: Sierdziński
mesh_terms: D000328:Adult; D016118:Anterior Cruciate Ligament / Q000601:surgery*; D059549:Anterior Cruciate Ligament Reconstruction / Q000379:methods*; D001182:Arthroscopy / Q000379:methods*; D005260:Female; D006801:Humans; D007718:Knee Injuries / Q000601:surgery*; D007719:Knee Joint / Q000503:physiopathology; D065466:Lysholm Knee Score; D008297:Male; D008875:Middle Aged; D026741:Physical Therapy Modalities; D010865:Pilot Projects; D011300:Preoperative Care / Q000379:methods*; D012421:Rupture / Q000601:surgery; D013710:Tendons / Q000601:surgery*; D055815:Young Adult