Physical therapy in sport : official journal of the Association of Chartered Physiotherapists in Sports Medicine · 2024
Rehabilitation and assessment practices following anterior cruciate ligament injury: A survey of Australian physiotherapists.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Edwards Peter K, Leembruggen Katrina, Peers Chelsea, Lindahl Martin, Law Yee Xi, Hughes Mick, Gibson Mark, Ebert Jay R
Аннотация
OBJECTIVE: This study aimed to investigate the current beliefs and practices among Australian physiotherapists regarding the management of anterior cruciate ligament (ACL) injuries.
DESIGN: Cross-sectional survey.
SETTING: Online survey.
PARTICIPANTS: Australian physiotherapists.
OUTCOME MEASURES: The survey assessed beliefs and practices regarding non-operative management, ACL reconstruction, pre- and post-operative rehabilitation, and return to sport (RTS) criteria. Frequencies and percentages summarized survey responses, and chi-square or Fisher's exact tests assessed whether beliefs and practices were influenced by experience (≤6 years or >6 years) and annual caseload (<6 or ≥6 patients).
RESULTS: In total, 419 physiotherapists were included, with 367 completing the survey in its entirety. Most physiotherapists (86.8%) consider non-surgical management alternatives for patients. Two-thirds (59.8%) recommend a minimum of 9-12 months before RTS, emphasizing recovery of knee strength (93.9%) and psychological readiness (93.9%). Of those who assessed strength, 32.5% use manual muscle testing, and 37.4% assess strength from hop testing. The 63.5% of respondents who reported barriers to implementing best practice ACL management, cited lack of resources (69.1%) and patient non-compliance (67.8%) as the most common reasons.
CONCLUSION: This survey of Australian physiotherapists showed alignment with evidence-based ACL guidelines but highlighted differences from international practices and variations by experience and caseload.
DESIGN: Cross-sectional survey.
SETTING: Online survey.
PARTICIPANTS: Australian physiotherapists.
OUTCOME MEASURES: The survey assessed beliefs and practices regarding non-operative management, ACL reconstruction, pre- and post-operative rehabilitation, and return to sport (RTS) criteria. Frequencies and percentages summarized survey responses, and chi-square or Fisher's exact tests assessed whether beliefs and practices were influenced by experience (≤6 years or >6 years) and annual caseload (<6 or ≥6 patients).
RESULTS: In total, 419 physiotherapists were included, with 367 completing the survey in its entirety. Most physiotherapists (86.8%) consider non-surgical management alternatives for patients. Two-thirds (59.8%) recommend a minimum of 9-12 months before RTS, emphasizing recovery of knee strength (93.9%) and psychological readiness (93.9%). Of those who assessed strength, 32.5% use manual muscle testing, and 37.4% assess strength from hop testing. The 63.5% of respondents who reported barriers to implementing best practice ACL management, cited lack of resources (69.1%) and patient non-compliance (67.8%) as the most common reasons.
CONCLUSION: This survey of Australian physiotherapists showed alignment with evidence-based ACL guidelines but highlighted differences from international practices and variations by experience and caseload.