Spinal Cord Injury Rehabilitation Evidence: Methods of the SCIRE Systematic Review. Kinematic predictors of subjective outcome after anterior cruciate ligament reconstruction: an in vivo motion analysis study The Effectiveness of Exercise on Recovery and Clinical Outcomes in Patients With Soft Tissue Injuries of the Hip, Thigh, or Knee: A Systematic Review by the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration. Review article: Methodology for the ‘rapid review’ series on musculoskeletal injuries in the emergency department Summarizing systematic reviews: methodological development, conduct and reporting of an umbrella review approach INVITED COMMENTARY: Rating the Quality of Trials in Systematic Reviews of Physical Therapy Interventions Effectiveness of workplace interventions in rehabilitating musculoskeletal disorders and preventing its consequences among workers with physical and sedentary employment: systematic review protocol Evidence for physiotherapy practice: a survey of the Physiotherapy Evidence Database (PEDro). Instruction of Jump-Landing Technique Using Videotape Feedback A test of an adherence-enhancing adjunct to physiotherapy steeped in the protection motivation theory A Description of the Trials, Reviews, and Practice Guidelines Indexed in the PEDro Database Evaluation of a comprehensive rehabilitation program for post-treatment patients with cancer. Effects of disease severity on response to lateral wedged shoe insole for medial compartment knee osteoarthritis. [Ankle arthrodesis: critical analysis of three techniques]. novel Award Second Prize Paper. Functional monitoring during rehabilitation following anterior cruciate ligament reconstruction. Feedback of ankle joint angle and soleus electromyography in the rehabilitation of hemiplegic gait. Comparison between Single- and Double-Bundle Anterior Cruciate Ligament Reconstruction
The Spinal Cord Injury Rehabilitation Evidence ( SCIRE ) is a synthesis of the research evidence underlying rehabilitation interventions to improve the health of people living with SCI . SCIRE covers a comprehensive set of topics and in this issue we present six papers relevant to SCI rehabilitation clinicians ( SCI inpatient rehabilitation practice s , gait strategies , upper extremity reconstructive surgery , spasticity treatments , cardiovascular health and bone health ) . The SCIRE used a systematic and well-defined protocol to assess and synthesize the evidence . Each article was scored for its method ological quality using either the Physiotherapy Evidence Data base ( PEDro ) Score for r and omized controlled trials or the Downs and Black Tool for other types of studies . Following the individual study assessment , conclusions were drawn about the accumulated studies for each topic of interest based on the levels of evidence , quality of studies and concurring evidence . The SCIRE project was design ed for health professionals to inform them of best practice Purpose The purpose of this study was to test whether rotational knee kinematics during dynamic pivoting activities are predictive of subjective functional outcome ( IKDC , Lysholm ) , objective laxity scores ( KT max ) , and activity levels ( Tegner ) in patients after anterior cruciate ligament reconstruction ( ACLR ) . Methods Thirty-one patients with single-bundle ACLR were evaluated prospect ively with 3D-motion analysis during ( 1 ) descending a stairway and pivoting and ( 2 ) l and ing from a jump and pivoting . The side-to-side difference of tibial rotation range of motion ( SSDTR )  between the ACLR and the contralateral intact knee was calculated for the pivoting phase of each task . Linear regression models were applied with SSDTR , for each task predictors of the subjective IKDC score , Lysholm score , anterior tibial translation , and Tegner activity level . Results SSDTR for descending and l and ing were predictive of the IKDC subjective score ( R2 = 0.46 , p < 0.001 and R2 = 0.40 , p < 0.001 , respectively ) with “ medium ” effect sizes and of the Lysholm score ( R2 = 0.13 , p < 0.05 and R2 = 0.09 , n.s . ) with “ small ” to “ none ” effect sizes . SSDTR was not predictive of anterior translation or Tegner activity level ( n.s . ) . Conclusions Restoring rotational kinematics during dynamic pivoting activities after ACLR is predictive of functional outcome . The ability of the athlete after ACLR to control tibial rotation during pivoting activities may be predictive of functional outcome .Level of evidence Case series study . Level IV OBJECTIVE The purpose of this systematic review was to determine the effectiveness of exercise for the management of soft tissue injuries of the hip , thigh , and knee . METHODS We conducted a systematic review and search ed MEDLINE , EMBASE , PsycINFO , the Cochrane Central Register of Controlled Trials , and CINAHL Plus with Full Text from January 1 , 1990 , to April 8 , 2015 , for r and omized controlled trials ( RCTs ) , cohort studies , and case-control studies evaluating the effect of exercise on pain intensity , self-rated recovery , functional recovery , health-related quality of life , psychological outcomes , and adverse events . R and om pairs of independent review ers screened titles and abstract s and assessed risk of bias using the Scottish Intercollegiate Guidelines Network criteria . Best evidence synthesis methodology was used . RESULTS We screened 9494 citations . Eight RCTs were critically appraised , and 3 had low risk of bias and were included in our synthesis . One RCT found statistically significant improvements in pain and function favoring clinic-based progressive combined exercises over a " wait and see " approach for patellofemoral pain syndrome . A second RCT suggests that supervised closed kinetic chain exercises may lead to greater symptom improvement than open chain exercises for patellofemoral pain syndrome . One RCT suggests that clinic-based group exercises may be more effective than multimodal physiotherapy in male athletes with persistent groin pain . CONCLUSION We found limited high- quality evidence to support the use of exercise for the management of soft tissue injuries of the lower extremity . The evidence suggests that clinic-based exercise programs may benefit patients with patellofemoral pain syndrome and persistent groin pain . Further high- quality research is needed Musculoskeletal injuries are a common presentation to the ED , with significant costs involved in the management of these injuries , variances in care within the ED and associated morbidity . A series of rapid review papers were completed to guide best practice for the assessment and management of common musculoskeletal injuries presenting to the ED . This paper presents the methodology used across the rapid review s. PubMed , CINAHL , EMBASE , TRIP and the grey literature , including relevant organisational websites , were search ed in 2015 . The search was repeated consistently for each topic area ( injuries of the foot and ankle , knee , h and and wrist , elbow , shoulder , lumbar spine and cervical spine ) . English- language primary studies , systematic review s and guidelines that were published in the last 10 years and addressed acute musculoskeletal injury management were considered for inclusion . Data extraction of each included article was conducted , followed by a quality appraisal . The extracted data from each article was synthesis ed to group similar evidence together . For each rapid review , the evidence has been organised in a way that a clinician can direct their attention to a specific component of the clinical cycle of care in the ED , such as the assessment , diagnostic tests , management and follow-up considerations from ED . The series of rapid review s are design ed to foster evidence -based practice within the ED , targeting the injuries most commonly presenting . The review s provide clinicians in EDs with rapid access to the best current evidence , which has been synthesis ed and organised to assist decision-making Aims : With the increase in the number of systematic review s available , a logical next step to provide decision makers in healthcare with the evidence they require has been the conduct of review s of existing systematic review s. Syntheses of existing systematic review s are referred to by many different names , one of which is an umbrella review . An umbrella review allows the findings of review s relevant to a review question to be compared and contrasted . An umbrella review 's most characteristic feature is that this type of evidence synthesis only considers for inclusion the highest level of evidence , namely other systematic review s and meta-analyses . A methodology working group was formed by the Joanna Briggs Institute to develop method ological guidance for the conduct of an umbrella review , including diverse types of evidence , both quantitative and qualitative . The aim of this study is to describe the development and guidance for the conduct of an umbrella review . Methods : Discussion and testing of the elements of methods for the conduct of an umbrella review were held over a 6-month period by members of a methodology working group . The working group comprised six participants who corresponded via teleconference , e-mail and face-to-face meeting during this development period . In October 2013 , the methodology was presented in a workshop at the Joanna Briggs Institute Convention . Workshop participants , review authors and method ologists provided further testing , critique and feedback on the proposed methodology . Results : This study describes the methodology and methods developed for the conduct of an umbrella review that includes published systematic review s and meta-analyses as the analytical unit of the review . Details are provided regarding the essential elements of an umbrella review , including presentation of the review question in a Population , Intervention , Comparator , Outcome format , nuances of the inclusion criteria and search strategy . A critical appraisal tool with 10 questions to help assess risk of bias in systematic review s and meta-analyses was also developed and tested . Relevant details to extract from included review s and how to best present the findings of both quantitative and qualitative systematic review s in a reader friendly format are provided . Conclusions : Umbrella review s provide a ready means for decision makers in healthcare to gain a clear underst and ing of a broad topic area . The umbrella review methodology described here is the first to consider review s that report other than quantitative evidence derived from r and omized controlled trials . The methodology includes an easy to use and informative summary of evidence table to readily provide decision makers with the available , highest level of evidence relevant to the question posed & NA ; Physical therapists seeking to use evidence to guide their practice may have limited time to read research reports . One way to reduce the time required to identify and read about the research that is relevant to a particular clinical question is to read a systematic review that summarizes multiple studies . This paper explains the process that is used to conduct systematic review s , which includes the establishment of a protocol , comprehensive search ing , appraisal of the quality of the included studies , data extraction and meta analysis , and consideration of the clinical and research implication s of the findings . We also consider how the reader of a systematic review can determine whether the review is likely to provide an unbiased ( believable ) estimate of the treatment effect . A systematic review of r and omized trials of a  cardiopulmonary physical therapy intervention is used as an example . The issue of appraisal of quality is then discussed further , with a demonstration of how one vali date d tool for quality appraisal ‐‐the PEDro scale‐‐can be used to evaluate a r and omized trial in cardiopulmonary physical therapy Background Musculoskeletal disorders ( MSDs ) are the leading cause of work disability and sickness absence worldwide . The prevalence of MSDs increases with age , consequently challenging sustainable employability among the growing ageing workforce . Knowledge of feasible and efficient workplace-based interventions to rehabilitate MSD or prevent its consequences is therefore warranted . This systematic review will evaluate the effectiveness of workplace-based interventions on MSDs and its consequences among adult workers with physical and sedentary work tasks , respectively . Methods We will search the following bibliographic data bases : PubMed ( including the data base ‘ MEDLINE ’ ) and Web of Science Core Collection ( including the data bases ‘ Science Citation Index Exp and ed ’ , ‘ Social Sciences Citation Index ’ and ‘ Arts & Humanities Citation Index ’ ) . Manual search es will also be performed . We will include r and omised controlled trials ( RCTs ) and non- RCTs reported in English in which ( 1 ) participants are adult workers with MSD , ( 2 ) interventions are aim ing at rehabilitating pain symptoms of MSD or preventing the consequences of MSD and ( 3 ) interventions are initiated and /or carried out at the workplace . The review will adhere to the ‘ Preferred Reporting Items for Systematic review s and Meta-Analyses ’ ( PRISMA ) guidelines for reporting systematic review s and the Institute for Work and Health ( IWH ) guidelines for workplace-based interventions . For the primary evaluation of the review , the quality assessment and evidence synthesis will conform to the IWH guidelines . Secondary evaluation will include a meta- analysis ( unless the included studies do not allow this due to heterogeneity ) and employ the risk of bias domains recommended by Cochrane along with the Grading of Recommendations , Assessment , Development and Evaluations ( GRADE ) approach on the studies with pain intensity as an outcome . Discussion This systematic review will provide knowledge on effective workplace-based interventions among physical and sedentary workers with MSD . RCTs are considered the most powerful experimental design in clinical trials , but solely including these may be too restrictive to underst and effective workplace-based interventions where r and omised and carefully controlled trials ( RCTs ) are not always possible . In order to maximize practical relevance , the selection process will , therefore , include both RCTs and non- RCTs and the quality assessment and evidence synthesis will conform to IWH guidelines focusing on developing practical guidelines for stakeholders . The result of this work will form the basis for industry-specific evidence -based recommendations on effective workplace-based interventions for rehabilitation of MSDs and its consequences that will later be operationalised into concrete and user-friendly practical tools for workplaces . Systematic review registration International Prospect i ve Register of Systematic Review s ( PROSPERO ) number CRD42018116752 Evidence -based practice involves the use of evidence from systematic review s and r and omised controlled trials , but the extent of this evidence in physiotherapy has not previously been surveyed . The aim of this survey is to describe the quantity and quality of r and omised controlled trials and the quantity of systematic review s relevant to physiotherapy . The Physiotherapy Evidence Data base ( PEDro ) was search ed . The quality of trials was assessed with the PEDro scale . The search identified a total of 2,376 r and omised controlled trials and 332 systematic review s. The first trial was published in 1955 and the first review was published in 1982 . Since that time , the number of trials and review s has grown exponentially . The mean PEDro quality score has increased from 2.8 in trials published between 1955 and 1959 to 5.0 for trials published between 1995 and 1999 . There is a substantial body of evidence about the effects of physiotherapy . However , there remains scope for improvements in the quality of the conduct and reporting of clinical trials Background Anterior cruciate ligament injury prevention programs have used videotapes of jump-l and ing technique as a key instructional component to improve l and ing performance . Hypothesis All videotape feedback model groups will increase knee flexion angles at initial contact and overall knee flexion motion and decrease peak vertical ground reaction forces and peak proximal anterior tibial shear forces to a greater extent than will a nonfeedback group . The secondary hypothesis is that the videotape feedback using the combination of the expert and self models will create the greatest change in each variable . Study Design Controlled laboratory study . Methods Knee kinematics and kinetics of college-aged recreational athletes r and omly placed in 3 different videotape feedback model groups ( expert only , self only , combination of expert and self ) and a nonfeedback group were collected while participants performed a basketball jump-l and ing task on 3 testing occasions . Results All feedback groups significantly increased knee angular displacement flexion angles [ F(6,70 ) = 8.03 , P = . 001 ] and decreased peak vertical ground reaction forces [ F(6,78 ) = 2.68 , P = . 021 ] during performance and retention tests . The self and combination groups significantly increased knee angular displacement flexion angles more than the control group did ; the expert model group did not change significantly more than the control group did . All feedback groups and the nonfeedback group significantly reduced peak vertical forces across performance and retention tests . There were no statistically significant changes in knee flexion angle at initial ground contact ( P = . 111 ) and peak proximal anterior tibial shear forces ( P = . 509 ) for both testing sessions for each group . Conclusion The use of self or combination videotape feedback is most useful for increasing knee angular displacement flexion angles and reducing peak vertical forces during l and ing . Clinical Relevance The use of self or combination modeling is more effective than is expert-only modeling for the implementation of instructional programs aim ed at reducing the risk of jump-l and ing anterior cruciate ligament injuries The primary aim of this study was to test the effect of a Protection Motivation Theory (PMT)-based patient education intervention on physiotherapy patients ' beliefs about their injury and physiotherapy , intentions to adhere , rehabilitation adherence , and ankle function . A secondary aim was to explore the relationships between the patients ' injury and physiotherapy beliefs , intentions , adherence behaviours , and ankle function . A r and omized controlled trial was undertaken in New Zeal and ; 71 people with ankle sprains were allocated to either PMT present video information or two control groups ( non-PMT information about ankle sprains and no formal information ) before commencing their course of physiotherapy . The two information groups watched a video about ankle sprains and physiotherapy before answering the Beliefs about Ankle Sprains and Physiotherapy Scale and behavioural intentions question naires that measured the PMT constructs . Adherence was assessed at each treatment and ankle function was measured before and after the physiotherapy program . After viewing the video , the PMT present information group 's beliefs about severity , vulnerability , and response efficacy were significantly higher than the other two groups . The groups did not differ significantly on their self-efficacy , intentions , rehabilitation adherence , and post-physiotherapy program ankle function . Significant correlations existed between the patients ' PMT-based beliefs and intentions , intentions and adherence , and adherence and post-physiotherapy ankle function . With the exception of self-efficacy , the findings indicate that persuasive information grounded in PMT does enhance physiotherapy patients ' beliefs about their injury and treatment This perspective provides an overview of the r and omized controlled trials , systematic review s , and evidence -based clinical practice guidelines in physical therapy . Data from the Physiotherapy Evidence Data base ( PEDro ) are used to describe key events in the history of physical therapy research and the growth of evidence of effects of interventions used in the various subdisciplines of physical therapy . The 11,494 records that were identified reveal a rich history of physical therapy research dating back to the first trial in 1929 . Most of the r and omized controlled trials , systematic review s , and evidence -based clinical practice guidelines in physical therapy have been published since the year 2000 . This rapid growth presents a challenge for physical therapists who want to keep up to date in clinical practice PURPOSE / OBJECTIVES To evaluate the effects of a rehabilitation program on quality of life , fatigue , fear of movement ( kinesiophobia ) , distress , anxiety , depression , and physical condition . DESIGN Pretest/post-test . SETTING An outpatient rehabilitation setting in the Oncology Centre at the University Hospital Brussels in Belgium . SAMPLE 36 patients who had completed cancer treatment with a curative potential . METHODS Participants completed a question naire and underwent a physical test at baseline and at the end of the program . The measurement instruments used included the European Organisation for Research and Treatment of Cancer Quality -of-Life Question naire-Core 30 , Functional Assessment of Cancer Therapy-Fatigue , Hospital Anxiety and Depression Scale , R AND -36 , Tampa Scale for Kinesiophobia , Distress Barometer , and Tecumseh Step Test . MAIN RESEARCH VARIABLES Quality of life , fatigue , kinesiophobia , distress , anxiety , depression , and physical condition . FINDINGS Significant improvement was observed in quality of life ( p < 0.001 ) , physical condition ( p = 0.007 ) , fatigue ( p = 0.01 ) , and depression ( p = 0.012 ) . In contrast , kinesiophobia ( p = 0.229 ) , distress ( p = 0.344 ) , and anxiety ( p = 0.101 ) did not change significantly . CONCLUSIONS A general and significant improvement in all aspects affecting quality of life and rehabilitation was observed , but less so for aspects that might be influenced by prognostic concerns . The relative contribution of the program versus spontaneous recovery and long-term impact need to be determined further in a prospect i ve r and omized study . IMPLICATION S FOR NURSING Multidisciplinary rehabilitation should become part of the total care plan for patients with cancer OBJECTIVE To determine the effects of lateral wedged insoles on knee kinetics and kinematics during walking , according to radiographic severity of medial compartment knee osteoarthritis ( OA ) . DESIGN A prospect i ve case control study of patients with medial compartment OA of the knee . SETTING Gait analysis laboratory in a university hospital . PARTICIPANTS Forty-six medial compartment knees with OA of 23 patients with bilateral disease and 38 knees of 19 age-matched healthy subjects as controls . INTERVENTIONS Not applicable . MAIN OUTCOME MEASURES We measured the peak external adduction moment at the knee during the stance phase of gait and the first acceleration peak after heel strike at the lateral side of the femoral condyles .  Kellgren and Lawrence grading system was used for radiographic assessment of OA severity . RESULTS The mean value of peak external adduction moment of the knee was higher in OA knees than the control . Application of lateral wedged insoles significantly reduced the peak external adduction moment in Kellgren-Lawrence grade s I and II knee OA patients . The first acceleration peak value after heel strike in these patients was relatively high compared with the control . Application of lateral wedged insoles significantly reduced the first acceleration peak in Kellgren-Lawrence grade s I and II knee OA patients . CONCLUSIONS The kinetic and kinematic effects of wearing of lateral wedged insoles were significant in Kellgren-Lawrence grade s I and II knee OA . The results support the recommendation of use of lateral wedged insoles for patients with early and mild knee OA The authors analyze the r and omized use of  three ankle arthrodesis techniques .  Indications for this procedure , which are pain , instability , deformity and articular degeneration , are common to the three groups . In group I the Gatellier-Adams technique was used by transfibular approach . In group II the Kenneth-Johnson technique was adopted , using Cal and ruccio external fixator . The same surgical procedure was adopted in group III , using crossed canulated screws as fixation device . The specific advantages and disadvantages of each method are discussed . The criteria for evaluation of the results are the final roentgenographic position of the foot and the achievement of union . The critical analysis conclude that the major indications for group I technique are cases of " in situ " arthrodesis , for group II infected cases and for group III cases with severe malalignment OBJECTIVE It was hypothesized that testing of ambulatory function  and more dem and ing activities  were more appropriate predictors of dynamic knee function before and after reconstruction of the anterior cruciate ligament  than conventional measures of functional evaluation . It was assumed that assessment of dynamic plantar pressure distribution would represent a practical tool for guidance of the rehabilitation process after anterior cruciate ligament reconstruction . DESIGN In a prospect i ve study , 10 patients with isolated anterior cruciate deficiency were examined before and after replacement of the anterior cruciate ( 6 , 12 , 24 weeks ) in a st and ardized technique . BACKGROUND Today , functional assessment following anterior cruciate ligament reconstruction relies on clinical examination supplemented by instrumented testing of knee laxity and on isokinetic evaluation of muscle performance . Gait analysis has not been used as a quantitative measure of rehabilitation progress after surgery . METHODS All patients were subjected to the same physiotherapy protocol . The clinical results were documented using the International Knee Documentation Committee ( IKDC ) protocol and the degree of knee laxity by an instrumented anterior drawer test . Muscular performance was evaluated by isokinetic testing . Dynamic pedography ( EMED-SF 4 ) was performed to compare the non-injured and the operated leg during level walking and while descending stairs . RESULTS Gait performance six weeks after surgery tended to be inferior to preoperative and late postoperative values . While the slight increase of maximum knee extensor torque in the operated leg and the improvement of the IKDC score during the rehabilitation period were not statistically significant , a significantly decreased gait asymmetry could be observed 12 weeks after surgery . The descending stairs test revealed functional deficits better than level walking . The latter test exhibited a strong correlation with the preoperative IKDC level and the maximum knee extensor deficit at 60 degrees /s . CONCLUSIONS Dynamic pedography during level walking and while descending stairs is a valuable tool for monitoring the rehabilitation process after anterior cruciate ligament reconstruction . RELEVANCE Due to the better resolution of functional deficits compared with indirect measures of function ( isokinetic testing ) assessment of the plantar pressure distribution may provide a more individualized adaptation for the rehabilitation program A computer-assisted feedback system was developed to present to walking subjects instantaneous feedback of their muscle activity or joint angular excursions during gait . Targets for muscle activity or joint motion were displayed on the feedback screen along with timing cues that prompted muscle activity or joint flexion/extension at specific times during the gait cycle . The purpose was to compare the effectiveness of joint angle and electromyographic ( EMG ) feedback to a focused program of physical therapy for gait . Eight hemiplegic stroke patients were treated with ankle joint angle feedback , EMG biofeedback from the soleus muscle , and conventional physical therapy for gait in a three-period crossover design . PT was given either first or last in the sequence of treatments . Gait analysis prior to and following each type of treatment revealed that the feedback treatments result ed in significant increases in stride length and walking velocity and in positive changes in push-off impulse , gait symmetry , and st and ing weight-bearing symmetry , as evaluated in a general linear model and paired t-tests . Overall , physical therapy produced no significant changes . However , when physical therapy was the first treatment of the sequence , significant increases in stride length and velocity were observed . When physical therapy was last , there were significant negative changes in gait symmetry and st and ing weight-bearing symmetry , and negative trends in stride length , walking velocity , and push-off impulse . It is concluded that computer-assisted feedback is an effective tool for retraining gait in stroke patients Background Double-bundle ACL reconstruction popularity is increasing with the aim to reproduce native ACL anatomy and improve ACL reconstruction outcome . However , to date , only a few r and omized clinical studies have been published . Purpose The aim of this study was to prospect ively compare the clinical results of single- and double-bundle ACL reconstruction . Study Design R and omized controlled clinical trial ; Level of evidence , 1 . Methods Seventy patients with a chronic unilateral ACL rupture who underwent arthroscopically assisted ACL reconstruction using a hamstring graft were r and omized to receive a single- ( SB ) or double-bundle ( DB ) reconstruction .  Both groups were comparable with regard to preoperative data . A double-incision surgical technique was adopted in both groups . The graft was fixed by looping the hamstring tendons around a bony ( DB ) or a metallic ( SB ) bridge on the tibial side and with interference screws reinforced with a staple on the femur . The same rehabilitation protocol was adopted . Outcome assessment was performed by a blinded , independent observer using the visual analog scale ( VAS ) score , the new International Knee Documentation Committee ( IKDC ) form , the Knee Injury and Osteoarthritis Outcome Score ( KOOS ) , and KT-1000 arthrometer evaluation . Results All the patients reached a minimum follow-up of 2 years . No differences between the 2 groups were observed in terms of KOOS and IKDC subjective score . A statistically significant difference in favor of the DB group was found with the VAS ( P < .03 ) . The objective IKDC final scores showed statistically significantly more “ normal knees ” in the DB group than in the SB group ( P = .03 ) . There was 1 stability failure in the DB group and 3 in the SB group . The KT-1000 arthrometer data showed a statistically significant decrease in the average anterior tibial translation in the DB group ( 1.2 mm DB vs 2.1 mm SB ; P < .03 ) . The incidence of a residual pivot-shift glide was 14 % in DB and 26 % in SB ( P = .08 ) . Conclusion In the 2-year minimum follow-up , DB ACL reconstructions showed better VAS , anterior knee laxity , and final objective IKDC scores than SB . However , longer follow-up and accurate instrumented in vivo rotational stability assessment are needed
No adverse events were reported .
Kinesiotape may produce different effects in healthy and injured ankles .
In healthy ankles , kinesiotape may increase postural control , whereas in injured ankles it may improve proprioception , plantarflexor endurance and the performance of activities .
CONCLUSIONS It is recommended that kinesiotape may be used in clinical practice to prevent lateral ankle injuries ( through its effects on postural control ) and manage lateral ankle injuries due to its positive effects on proprioception , muscle endurance and activity performance .
It appears that kinesiotape may not provide sufficient mechanical support to improve postural control in unstable ankles .
OBJECTIVE To identify , evaluate and synthesis e evidence on the effect of kinesiotape applied to the lateral aspect of the ankle , through a systematic review of quantitative studies .