A new case series published in Cureus investigates how different rehabilitation strategies affect recovery following anterior cruciate ligament reconstruction (ACLR).
The patients adhered to protocols from Oxford Knee Services, Mass General Brigham, Fowler Kennedy Sports Medicine, and the Schlechter Protocol of Youth Sports and Ortho. Researchers monitored progress using pain scores, range of motion (ROM), manual muscle testing (MMT), and functional assessments like KOOS and LEFS.
“All patients showed improvement,” the authors note, “but the rate and extent of progress varied notably.”
Patient 3, who followed the Fowler Kennedy Sports Medicine protocol, experienced the most rapid and significant recovery, with improvements in strength, pain reduction, and ROM. This protocol emphasized early mobilization and aggressive strengthening.
In contrast, Patient 4, using the more conservative Schlechter Protocol, showed the least improvement, suggesting that slower progression may delay recovery.
“These results underline the importance of individualized rehabilitation strategies,” the authors concluded.
While standardized programs provide structure, tailoring protocols to a patient’s injury severity, fitness level, and recovery goals may lead to better outcomes.
Though limited by a small sample size and short follow-up period, this study adds to the growing body of evidence supporting customized rehab in ACL recovery. Further research with larger cohorts and longer monitoring is needed to establish best practices and optimize care for ACL patients.
Read the full study here!