Use of rating of perceived exertion during anterior cruciate ligament reconstruction and knee osteoarthritis rehabilitation: a scoping review protocol

• Published in: BMJ open Vol. 11; no. 12; p. e055786
• Main Authors: Germano Maciel, Daniel, Cerqueira, Mikhail Santos, Brito Vieira, Wouber Hérickson de
• Format: Journal Article
• Language: English
• Published: England British Medical Journal Publishing Group 14.12.2021; BMJ Publishing Group LTD; BMJ Publishing Group
• Series: Protocol
• Subjects: Anterior Cruciate Ligament - surgery; Anterior Cruciate Ligament Injuries - diagnosis; Anterior Cruciate Ligament Reconstruction; Arthritis; Exercise intensity; Humans; Intervention; Knee; Ligaments; musculoskeletal disorders; orthopaedic & trauma surgery; orthopaedic sports trauma; Osteoarthritis; Osteoarthritis, Knee - surgery; Physical Exertion; Rehabilitation; Sports and Exercise Medicine; Systematic review; Systematic Reviews as Topic; orthopaedic sports trauma; knee; musculoskeletal disorders; orthopaedic & trauma surgery
• ISSN: 2044-6055; 2044-6055
• DOI: 10.1136/bmjopen-2021-055786

IntroductionAnterior cruciate ligament (ACL) tear and knee osteoarthritis (KOA) are the most prevalent musculoskeletal disorders of the knee. Rehabilitation with progressive resistance training is recommended for both disorders. Rating of perceived exertion (RPE) is widely used to prescribe, monitor, and control exercise load. However, the lack of detailed methodological description and variability in the use of RPE may hinder its validity. This scoping review summarises methodological aspects of the use of RPE in resistance exercises during ACL reconstruction and KOA rehabilitation. We also aim to identify possible methodological issues related to the use of RPE and provide recommendations for future studies.Methods and analysisThis scoping review protocol was developed following the Joanna Briggs Institute and Preferred Reporting Items for Systematic Reviews and Meta-Analyses Statement extension for Scoping Reviews. The search will be conducted in Medline/PubMed, Embase, CINAHL, PEDro, Central and SPORTDiscus databases. The terms “anterior cruciate ligament rehabilitation”, “knee osteoarthritis” and “resistance exercise” and their synonymous will be used isolated and combined (boolean operators AND/OR/NOT). Two reviewers will independently conduct title and abstract screening and evaluate full texts of potentially eligible articles. Data related to study design, sample, intervention characteristics and RPE outcomes will be extracted, summarised and qualitatively analysed.Ethics and disseminationThe proposed scoping review does not require ethical approval since it will synthesise information from publicly available studies. Regarding dissemination activities, results will be submitted for publication in a scientific journal and presented at conferences in the field.