ArticleFrontiers in sports and active living2025
Club-based vs. hospital-guided rehabilitation after ACL reconstruction in football participants: a two-year prospective cohort study.
Article in Frontiers in sports and active living, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Anterior cruciate ligament (ACL) injury is a common and serious sports injury in football. Although reconstruction surgery can restore joint stability, postoperative rehabilitation strategies play a critical role in long-term outcomes, particularly return to sport (RTS). However, comparative studies on the long-term efficacy of hospital-guided vs. club-based rehabilitation programs remain limited. Purpose: To compare the two-year clinical outcomes and RTS of hospital-guided and club-based rehabilitation programs following ACL reconstruction in football participants. Methods: This prospective cohort study enrolled 40 football participants who underwent primary ACL reconstruction. Participants were assigned to two groups based on rehabilitation modality: hospital-guided rehabilitation ( Results: The two groups were comparable at baseline. The club-based group demonstrated significantly better outcomes in TAS (8.5 ± 1.4 vs. 7.2 ± 1.0, Conclusion: Club-based rehabilitation led to superior subjective function, greater psychological readiness, and earlier return to sport compared to hospital-guided programs, without increasing re-injury risk. These findings support the effectiveness of sport-specific rehabilitation in football players after ACL reconstruction, though further studies are needed to evaluate long-term safety and cost-effectiveness.
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