Rehabilitation and return-to-sport after anterior cruciate ligament injury and reconstruction: Exploring physical therapists’ approaches in Argentina

Objectives: To investigate the current clinical practice regarding pre- and post-surgical rehabilitation and return to sport (RTS) criteria following anterior cruciate ligament reconstruction (ACLR). Design: Cross-sectional design. Online survey. Setting: Survey platform. Participants: Argen...

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Autores principales: Tondelli, Eduardo, Feroldi, Alejo, García, Felipe, Meza, Franco, Dingenen, Bart
Formato: Artículo
Lenguaje:Inglés
Publicado: else 2024
Materias:
REHABILITACION
FISIOTERAPIA
DEPORTES
LIGAMENTO CRUZADO ANTERIOR
Acceso en línea:https://repositorio.uca.edu.ar/handle/123456789/19190
Aporte de:
Repositorio Institucional de la Universidad Católica Argentina (UCA) de Universidad Católica Argentina
id I33-R139-123456789-19190
record_format dspace
spelling I33-R139-123456789-191902024-12-07T05:02:16Z Rehabilitation and return-to-sport after anterior cruciate ligament injury and reconstruction: Exploring physical therapists’ approaches in Argentina Tondelli, Eduardo Feroldi, Alejo García, Felipe Meza, Franco Dingenen, Bart REHABILITACION FISIOTERAPIA DEPORTES LIGAMENTO CRUZADO ANTERIOR Objectives: To investigate the current clinical practice regarding pre- and post-surgical rehabilitation and return to sport (RTS) criteria following anterior cruciate ligament reconstruction (ACLR). Design: Cross-sectional design. Online survey. Setting: Survey platform. Participants: Argentinian physical therapists (PTs). Outcome measures: The survey consisted of a combination of 39 open- and closed-ended questions, divided across 3 sections: (1) demographic and professional information, (2) clinical practice and rehabilitation strategies, and (3) return-to-running (RTR) and RTS. Results: A total of 619 PTs completed the survey. Considerable variability was observed in preoperative reha bilitation, criteria used for rehabilitation progression and RTS decision-making criteria used by PTs. From the total surveyed, 336 (54.3%) carried out RTS assessment in their clinical practice. Most of PTs (53.3%) use visual estimation to assess knee range of motion. Only 20% of the PTs reported incorporating patient-reported outcome measures in their decision-making. From PTs who use strength assessment as a criterion of RTS (68.8%), 16.6% extrapolate this from jump tests and 15.3% use manual muscle testing. Less than the 50% of the PTs recom mended nine months or more to allow patients to RTS. Conclusions: Current rehabilitation practices of Argentinian PTs following ACLR are largely variable and not aligned with current evidence and scientific guidelines. To achieve better rehabilitation and RTS practices better knowledge dissemination and implementation are required. 2024-12-06T14:30:20Z 2024-12-06T14:30:20Z 2024 Artículo 1466-853X (impreso) 1873-1600 (online) https://repositorio.uca.edu.ar/handle/123456789/19190 10.1016/j.ptsp.2024.04.007 eng Atribución-NoComercial-CompartirIgual 4.0 Internacional http://creativecommons.org/licenses/by-nc-sa/4.0/ application/pdf Argentina else Physical Therapy in Sport. 2024 (67)
institution Universidad Católica Argentina
institution_str I-33
repository_str R-139
collection Repositorio Institucional de la Universidad Católica Argentina (UCA)
language Inglés
topic REHABILITACION
FISIOTERAPIA
DEPORTES
LIGAMENTO CRUZADO ANTERIOR
spellingShingle REHABILITACION
FISIOTERAPIA
DEPORTES
LIGAMENTO CRUZADO ANTERIOR
Tondelli, Eduardo
Feroldi, Alejo
García, Felipe
Meza, Franco
Dingenen, Bart
Rehabilitation and return-to-sport after anterior cruciate ligament injury and reconstruction: Exploring physical therapists’ approaches in Argentina
topic_facet REHABILITACION
FISIOTERAPIA
DEPORTES
LIGAMENTO CRUZADO ANTERIOR
description Objectives: To investigate the current clinical practice regarding pre- and post-surgical rehabilitation and return to sport (RTS) criteria following anterior cruciate ligament reconstruction (ACLR). Design: Cross-sectional design. Online survey. Setting: Survey platform. Participants: Argentinian physical therapists (PTs). Outcome measures: The survey consisted of a combination of 39 open- and closed-ended questions, divided across 3 sections: (1) demographic and professional information, (2) clinical practice and rehabilitation strategies, and (3) return-to-running (RTR) and RTS. Results: A total of 619 PTs completed the survey. Considerable variability was observed in preoperative reha bilitation, criteria used for rehabilitation progression and RTS decision-making criteria used by PTs. From the total surveyed, 336 (54.3%) carried out RTS assessment in their clinical practice. Most of PTs (53.3%) use visual estimation to assess knee range of motion. Only 20% of the PTs reported incorporating patient-reported outcome measures in their decision-making. From PTs who use strength assessment as a criterion of RTS (68.8%), 16.6% extrapolate this from jump tests and 15.3% use manual muscle testing. Less than the 50% of the PTs recom mended nine months or more to allow patients to RTS. Conclusions: Current rehabilitation practices of Argentinian PTs following ACLR are largely variable and not aligned with current evidence and scientific guidelines. To achieve better rehabilitation and RTS practices better knowledge dissemination and implementation are required.
format Artículo
author Tondelli, Eduardo
Feroldi, Alejo
García, Felipe
Meza, Franco
Dingenen, Bart
author_facet Tondelli, Eduardo
Feroldi, Alejo
García, Felipe
Meza, Franco
Dingenen, Bart
author_sort Tondelli, Eduardo
title Rehabilitation and return-to-sport after anterior cruciate ligament injury and reconstruction: Exploring physical therapists’ approaches in Argentina
title_short Rehabilitation and return-to-sport after anterior cruciate ligament injury and reconstruction: Exploring physical therapists’ approaches in Argentina
title_full Rehabilitation and return-to-sport after anterior cruciate ligament injury and reconstruction: Exploring physical therapists’ approaches in Argentina
title_fullStr Rehabilitation and return-to-sport after anterior cruciate ligament injury and reconstruction: Exploring physical therapists’ approaches in Argentina
title_full_unstemmed Rehabilitation and return-to-sport after anterior cruciate ligament injury and reconstruction: Exploring physical therapists’ approaches in Argentina
title_sort rehabilitation and return-to-sport after anterior cruciate ligament injury and reconstruction: exploring physical therapists’ approaches in argentina
publisher else
publishDate 2024
url https://repositorio.uca.edu.ar/handle/123456789/19190
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AT garciafelipe rehabilitationandreturntosportafteranteriorcruciateligamentinjuryandreconstructionexploringphysicaltherapistsapproachesinargentina
AT mezafranco rehabilitationandreturntosportafteranteriorcruciateligamentinjuryandreconstructionexploringphysicaltherapistsapproachesinargentina
AT dingenenbart rehabilitationandreturntosportafteranteriorcruciateligamentinjuryandreconstructionexploringphysicaltherapistsapproachesinargentina
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