PTSystematic ReviewInternational journal of sports physical therapy2026

Anterior Cruciate Ligament Reconstruction Rehabilitation Utilizing Gait Metrics as Outcomes - A Scoping Review.

Kyle Southall, Matthew P Ithurburn, C Scott Bickel and 3 others

PMID 41488380

WHAT IT FOUND

Few studies test gait-targeted rehabilitation after ACL reconstruction.

Some acute changes occurred, but several programs followed up for two years did not improve walking mechanics. There is no standard gait intervention ready for routine practice.

Key findings

0114 studies, with 404 total participants, met the review's eligibility requirements.

024 of the 11 prospective intervention studies reported a positive change in knee range of motion or knee joint kinetics.

03Strength, agility, plyometric, and secondary prevention training, with or without perturbation training, did not improve walking mechanics in men or women at up to 2 years after ACL reconstruction.

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

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What it does not show

The review did not appraise study quality, so it cannot say how reliable the included studies were. Only 14 studies were included, and they used many different interventions and outcome measures, so the results cannot be pooled. Most follow-up was under six months, which limits what can be said about long-term gait changes. The search may have missed studies because the terms used may not have matched studies written in other languages. The review defined therapeutic intervention as a physical clinician-delivered treatment, so it may have missed psychological interventions or bracing. Participants were limited to ages 18-35 and within five years of ACL reconstruction, so it says little about older adults or longer-standing reconstructions.

Declared interests

The authors declared no known competing financial interests or personal relationships.

The easy way to misread this

Do not conclude that a specific gait rehabilitation program after ACL reconstruction is proven. This scoping review found 14 studies, did not appraise their quality, and several programs followed up for two years did not improve walking mechanics.

Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →