Jay R Ebert1, Kate E Webster2, Peter K Edwards3, Brendan K Joss4, Peter D'Alessandro5, Greg Janes6, Peter Annear6. 1. School of Human Sciences (Exercise and Sport Science), University of Western Australia, Crawley, Western Australia, Australia; HFRC Rehabilitation Clinic, Nedlands, Western Australia, Australia. Electronic address: jay.ebert@uwa.edu.au. 2. School of Allied Health, La Trobe University, Melbourne, Victoria, Australia. 3. School of Human Sciences (Exercise and Sport Science), University of Western Australia, Crawley, Western Australia, Australia; HFRC Rehabilitation Clinic, Nedlands, Western Australia, Australia. 4. HFRC Rehabilitation Clinic, Nedlands, Western Australia, Australia. 5. Coastal Orthopaedics, Bethesda Hospital, Claremont, Western Australia, Australia. 6. Perth Orthopaedic and Sports Medicine Centre, West Perth, Western Australia, Australia.
Abstract
OBJECTIVES: To investigate views and practices of Australian therapists on rehabilitation and return to sport (RTS) after anterior cruciate ligament reconstruction (ACLR). DESIGN: Survey-based study. SETTING: Online survey platform. PARTICIPANTS: Australian Physiotherapists and Accredited Exercise Physiologists (n = 223). MAIN OUTCOME MEASURES: 1) perceived benefit, timing and frequency of rehabilitation, 2) timing of RTS and information on RTS evaluation and discharge criteria. RESULTS: Therapists preferred to consult patients for the first time at 1-4 days (27.8%), ≤7 days (25.6%) or 7-14 days (30.5%) post-surgery. Within the first 6 weeks, 82.1% of therapists preferred patient visitation 1-2 times per week. Between 3 and 6 months, therapists mainly recommended less frequent visitation with a focus on home exercises. While 22.0% and 53.8% of therapists were willing to discharge patients for sport at 6-9 and 9-12 months, respectively, 22.9% preferred 12-18 months. Common RTS considerations were functional capacity (98.7%), strength (87.0%), lower limb and trunk mechanics (96.0%) and psychological readiness (87.9%). Knee strength was evaluated via manual muscle testing (33.0%), hand held (26.7%) and isokinetic (11.8%) dynamometry. For functional evaluation, 84.3% of therapists employed a hop battery (≥2 hop tests). CONCLUSIONS: This survey revealed variation in beliefs and practices surrounding rehabilitation and RTS evaluation in Australian therapists.
OBJECTIVES: To investigate views and practices of Australian therapists on rehabilitation and return to sport (RTS) after anterior cruciate ligament reconstruction (ACLR). DESIGN: Survey-based study. SETTING: Online survey platform. PARTICIPANTS: Australian Physiotherapists and Accredited Exercise Physiologists (n = 223). MAIN OUTCOME MEASURES: 1) perceived benefit, timing and frequency of rehabilitation, 2) timing of RTS and information on RTS evaluation and discharge criteria. RESULTS: Therapists preferred to consult patients for the first time at 1-4 days (27.8%), ≤7 days (25.6%) or 7-14 days (30.5%) post-surgery. Within the first 6 weeks, 82.1% of therapists preferred patient visitation 1-2 times per week. Between 3 and 6 months, therapists mainly recommended less frequent visitation with a focus on home exercises. While 22.0% and 53.8% of therapists were willing to discharge patients for sport at 6-9 and 9-12 months, respectively, 22.9% preferred 12-18 months. Common RTS considerations were functional capacity (98.7%), strength (87.0%), lower limb and trunk mechanics (96.0%) and psychological readiness (87.9%). Knee strength was evaluated via manual muscle testing (33.0%), hand held (26.7%) and isokinetic (11.8%) dynamometry. For functional evaluation, 84.3% of therapists employed a hop battery (≥2 hop tests). CONCLUSIONS: This survey revealed variation in beliefs and practices surrounding rehabilitation and RTS evaluation in Australian therapists.
Authors: David C Flanigan; Seth L Sherman; Brian Chilelli; Wayne Gersoff; Deryk Jones; Cassandra A Lee; Alison Toth; Caryn Cramer; Victor Zaporojan; James Carey Journal: Cartilage Date: 2020-10-30 Impact factor: 3.117
Authors: Alexander W Brinlee; Scott B Dickenson; Airelle Hunter-Giordano; Lynn Snyder-Mackler Journal: Sports Health Date: 2021-12-13 Impact factor: 4.355
Authors: Alli Gokeler; Alberto Grassi; Roy Hoogeslag; Albert van Houten; Caroline Bolling; Matthew Buckthorpe; Grant Norte; Anne Benjaminse; Pieter Heuvelmans; Stefano Di Paolo; Igor Tak; Francesco Della Villa Journal: J Exp Orthop Date: 2022-07-30
Authors: Bjarki T Haraldsson; Christoffer H Andersen; Katrine T Erhardsen; Mette K Zebis; Jéssica K Micheletti; Carlos M Pastre; Lars L Andersen Journal: Int J Environ Res Public Health Date: 2021-03-09 Impact factor: 3.390