Assessment instruments after anterior cruciate ligament reconstruction

Abstract

Clinical trials focused on anterior cruciate ligament reconstruction (ACLR) use multiple assessment methods to determine the effectiveness of the interventions; however, the tests used depend on the authors' criteria. The purpose of this study was to determine the assessment tools used in ACLR with autograft or allograft clinical trials. A search of the Cochrane, Scielo, Pubmed, Epistemonikos and PEDro databases was performed until May 10, 2024. Inclusion criteria focused on systematic reviews or meta-analyses from the last five years that specified the type of graft, included follow-up details, and were in English or Spanish. Exclusion criteria contained studies without population numbers, description of sex or no available access. There are post-surgical follow-up times to assess strength that exceed 24 months. The evaluation instruments used included the Limb Symmetry Index (LSI), isokinetic and isometric strength tests; clinical tests such as Lachman, Pivot Shift Test. Functional assessments such as Sigle leg Hop Test; Ccestionaries associated with surgery and function such as the IKDC, Lysholm, Tegner, Shellbourne Trumper; and finally, subjective assessments such as anterior knee pain, pain on kneeling, Active Join Position Sense Assessment. Numerous assessment tools are available after ACL reconstruction, but it is essential to identify the most effective ones in clinical settings.