Table of Contents
ISRN Rehabilitation
Volume 2012, Article ID 938974, 11 pages
Review Article

Prehabilitation: The Void in the Management of Anterior Cruciate Ligament Injuries—A Clinical Review

1Royal College of Surgeons in Ireland, 123 St. Stephens Green, Dublin 2, Ireland
2Schoolof Health and Human Performance, Dublin City University, Dublin 9, Ireland
3Department of Orthopaedic Surgery, Sports Surgery Clinic, Santry Demesne, Dublin 9, Ireland
4Department of Orthopaedic Surgery, Cappagh National Orthopaedic Hospital, Finglas, Dublin 11, Ireland

Received 18 January 2012; Accepted 16 February 2012

Academic Editors: S. Ristanis, T. E. Towheed, and P. Wretenberg

Copyright © 2012 S. R. Shaarani et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


The rehabilitation of patients undergoing anterior cruciate ligament (ACL) reconstruction requires symmetry in bilateral quadriceps strength and adequate proprioception capabilities prior to return to preoperative level of activity or sport. This is the limiting factor and can delay the time that patients can return to play. There is little literature on pre-operative physiotherapy or prehabilitation of patient with ACL injury. This paper discusses the anatomy, biomechanics, surgical decision making, and the current knowledge of preoperative training or “prehabilitation” in patients awaiting ACL reconstruction.