Protocol-based Rehabilitation Versus Problem Based Rehabilitation in ACL Reconstruction – Cross over Study with Evidence

Adhering to standard protocols following surgeries are routinely practiced, whereas patient-specific therapy can facilitate earlier restoration of function in a quicker time frame. An increasing ACL – reconstruction surgeries are globally done. Aims & Objectives of this original cross over research was to compare protocol based exercises versus patient-centric exercises in a subject post ACL – reconstructive surgery. This original study where 40-year-old Male having undergone ACL – reconstruction (ACL – R) at Coimbatore where (Phase – I) 8 weeks of post-operative protocol based physiotherapy was carried from 13.12.2017 to 10.02.2018. Next 8 weeks (Phase – II) the same subject was treated with evaluation and patients problem-based exercises from 16.02.2018 to 17.04.2018 in Chennai. Results of Phase - I and Phase – II were analyzed statistically and discussed with evidence. With results showing P<.05 for Phase – I and P<.001 for Phase II. Conclusion: Apart from protocol, subjects individual evaluation and functional needs to be given priority for early an effective and enhanced rehabilitation