OBJECTIVES: To evaluate the effect of functional movement screen (FMS) based functional exercise in patients after anterior cruciate ligament reconstruction (ACLR). DESIGN: Randomized controlled single-blind trial. SETTING: Institutional, single center. PATIENTS: A total of 38 patients who underwent ACLR were recruited and randomly assigned to group 1 (n = 19) or group 2 (n = 19). INTERVENTIONS: Both groups received 6-month routine rehabilitation immediately after surgery. From the postoperative 4th to 6th month, group 1 received FMS-based functional exercise plus routine rehabilitation and group 2 received routine rehabilitation only. The FMS-based functional exercise was individualized and customized functional corrective exercise, which was designed based on the 3-month postoperative FMS results. The frequency of rehabilitation was one hour per session, twice a week, for a total duration of 6 months. MAIN OUTCOME MEASURES: At 3 months and 6 months postoperatively, patients were evaluated by FMS scoring, Lysholm Knee Score, and International Knee Documentation Committee (IKDC) 2000 Score. RESULTS: After the intervention, both groups had significantly increased FMS, Lysholm Knee Score, and IKDC score. Group 1 had significantly greater changes in FMS (median 4 versus 3, p < 0.001), Lysholm Knee score (median 24 versus 16, p = 0.001), and IKDC (median 22 versus 8, p < 0.001) than group 2 CONCLUSIONS: The application of FMS-based functional exercise to patients after ACLR resulted in significant improvement in knee function and movements. We suggested integrating FMS evaluation and FMS-based training into post-ACLR routine rehabilitation program.
Copyright Human Kinetics. Reprinted with permission from Human Kinetics (Champaign, IL).

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