J Knee Surg 2008; 21(3): 225-234
DOI: 10.1055/s-0030-1247823
Review Article

© 2008 Thieme Medical Publishers

A Systematic Review of Anterior Cruciate Ligament Reconstruction Rehabilitation – Part II: Open Versus Closed Kinetic Chain Exercises, Neuromuscular Electrical Stimulation, Accelerated Rehabilitation, and Miscellaneous Topics

Rick W. Wright1 , Emily Preston2 , Braden C. Fleming3 , Annunziato Amendola4 , Jack T. Andrish5 , John A. Bergfeld5 , Warren R. Dunn2 , Chris Kaeding6 , John E. Kuhn2 , Robert G. Marx7 , Eric C. McCarty8 , Richard C. Parker5 , Kurt P. Spindler2 , Michelle Wolcott8 , Brian R. Wolf4 , Glenn N. Williams4
  • 1The Department of Orthopedic Surgery, Washington University School of Medicine at Barnes-Jewish Hospital, St Louis, Mo
  • 2The Vanderbilt Sports Medicine Center, Nashville, Tenn
  • 3The Department of Orthopedic Surgery, Brown Medical School, Providence, RI
  • 4The University of Iowa Hospitals and Clinics, Iowa City, Iowa
  • 5The Cleveland Clinic Foundation, Cleveland, Ohio
  • 6The Ohio State Sports Medicine Center, Columbus, Ohio
  • 7The Hospital for Special Surgery, New York, NY
  • 8The Department of Orthopedic Surgery, University of Colorado School of Medicine, Denver, Colo
Further Information

Publication History

Publication Date:
14 January 2010 (online)


Anterior cruciate ligament (ACL) reconstruction is a common surgical knee procedure that requires intensive postoperative rehabilitation by the patient. A variety of randomized controlled trials have investigated aspects of ACL reconstruction rehabilitation. A systematic review of English language level 1 and 2 studies identified 54 appropriate randomized controlled trials of ACL rehabilitation. This part of the article discusses open versus closed kinetic chain exercises, neuromuscular electrical stimulation, accelerated rehabilitation, and miscellaneous topics.