Current clinical practice and return-to-sport criteria after anterior cruciate ligament reconstruction: a survey of Brazilian physical therapists

被引:16
作者
Aquino, Cecilia Ferreira [1 ,2 ,3 ]
Ocarino, Juliana Melo [1 ]
Cardoso, Vanessa Aparecida [1 ]
Resende, Renan Alves [1 ]
Souza, Thales Rezende [1 ]
Rabelo, Lais Menezes [2 ]
Fonseca, Sergio Teixeira [1 ]
机构
[1] Univ Fed Minas Gerais UFMG, Sch Phys Educ Phys Therapy & Occupat Therapy, Dept Phys Therapy, Belo Horizonte, MG, Brazil
[2] Univ Jose Rosario Vellano, Dept Phys Therapy, Divinopolis, MG, Brazil
[3] Univ Estado Minas Gerais, Divinopolis, MG, Brazil
关键词
Rehabilitation; Sports injury; Clinical decision-making; Physical therapy; Knee injury; REPORTED KNEE FUNCTION; RUPTURE; REHABILITATION; KINESIOPHOBIA; QUESTIONNAIRE; TRANSLATION; VALIDATION; PREDICTORS; GUIDELINES; IMPACT;
D O I
10.1016/j.bjpt.2020.05.014
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Background: Adherence to the use of recommended measures/criteria for return to sport clearance after anterior cruciate ligament reconstruction is crucial for successful rehabilitation. Objectives: The purpose of this study was to describe the current clinical practice of Brazilian physical therapists that treat patients after anterior cruciate ligament reconstruction, including the measures/criteria used to support the decision-making process regarding return to sport. The secondary aim was to investigate factors associated with the use of the most recommended measures/criteria for return to sport. Methods: An electronic survey questionnaire was sent to Brazilian physical therapists. The survey consisted of questions about demographics and professional and clinical practice data related to anterior cruciate ligament reconstruction postoperative rehabilitation and return to sport criteria. Descriptive statistics and chi-square tests were used for analyses. Results: A sample of 439 professionals participated in the survey. Only 6.4% of the physical therapists use the most recommended measures/criteria for return to sport after anterior cruciate ligament reconstruction. Professional certification in Sports Physical Therapy was the only factor associated with the use of these recommended measures/criteria (p = 0.02). The measures most used for return to sport clearance were related to physical factors (65.3% to 75.1%), such as range of motion and muscle strength. A small number of professionals use questionnaires to assess functional (16.6%) and psychological (19.1%) aspects of their patients to support the decision-making process. Conclusion: In their clinical practice, most Brazilian physical therapists do not use the recommended measures/criteria for return to sport after anterior cruciate ligament reconstruction. (C) 2020 Associaco Brasileira de Pesquisa e Pos-Graduacao em Fisioterapia. Published by Elsevier Editora Ltda. All rights reserved.
引用
收藏
页码:242 / 250
页数:9
相关论文
共 46 条
[1]   The international knee documentation committee subjective knee evaluation form - Normative data [J].
Anderson, AF ;
Irrgang, JJ ;
Kocher, MS ;
Mann, BJ ;
Harrast, JJ .
AMERICAN JOURNAL OF SPORTS MEDICINE, 2006, 34 (01) :128-135
[2]   The impact of psychological readiness to return to sport and recreational activities after anterior cruciate ligament reconstruction [J].
Ardern, Clare L. ;
Osterberg, Annika ;
Tagesson, Sofi ;
Gauffin, Hakan ;
Webster, Kate E. ;
Kvist, Joanna .
BRITISH JOURNAL OF SPORTS MEDICINE, 2014, 48 (22) :1613-U50
[3]   Psychological Responses Matter in Returning to Preinjury Level of Sport After Anterior Cruciate Ligament Reconstruction Surgery [J].
Ardern, Clare L. ;
Taylor, Nicholas F. ;
Feller, Julian A. ;
Whitehead, Timothy S. ;
Webster, Kate E. .
AMERICAN JOURNAL OF SPORTS MEDICINE, 2013, 41 (07) :1549-1558
[4]   Factors Used to Determine Return to Unrestricted Sports Activities After Anterior Cruciate Ligament Reconstruction [J].
Barber-Westin, Sue D. ;
Noyes, Frank R. .
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, 2011, 27 (12) :1697-1705
[5]   Objective Criteria for Return to Athletics After Anterior Cruciate Ligament Reconstruction and Subsequent Reinjury Rates: A Systematic Review [J].
Barber-Westin, Sue D. ;
Noyes, Frank R. .
PHYSICIAN AND SPORTSMEDICINE, 2011, 39 (03) :100-110
[6]   Factors Affecting Return to Play After Anterior Cruciate Ligament Reconstruction: A Review of the Current Literature [J].
Bauer, Matthew ;
Feeley, Brian T. ;
Wawrzyniak, John R. ;
Pinkowsky, Gregory ;
Gallo, Robert A. .
PHYSICIAN AND SPORTSMEDICINE, 2014, 42 (04) :71-79
[7]   Gait mechanics and second ACL rupture: Implications for delaying return-to-sport [J].
Capin, Jacob J. ;
Khandha, Ashutosh ;
Zarzycki, Ryan ;
Manal, Kurt ;
Buchanan, Thomas S. ;
Snyder-Mackler, Lynn .
JOURNAL OF ORTHOPAEDIC RESEARCH, 2017, 35 (09) :1894-1901
[8]   The "Ligamentization" Process in Anterior Cruciate Ligament Reconstruction What Happens to the Human Graft? A Systematic Review of the Literature [J].
Claes, Steven ;
Verdonk, Peter ;
Forsyth, Ramses ;
Bellemans, Johan .
AMERICAN JOURNAL OF SPORTS MEDICINE, 2011, 39 (11) :2476-2483
[9]   ACL Return to Sport Guidelines and Criteria [J].
Davies G.J. ;
McCarty E. ;
Provencher M. ;
Manske R.C. .
Current Reviews in Musculoskeletal Medicine, 2017, 10 (3) :307-314
[10]   Optimization of the Return-to-Sport Paradigm After Anterior Cruciate Ligament Reconstruction: A Critical Step Back to Move Forward [J].
Dingenen, Bart ;
Gokeler, Alli .
SPORTS MEDICINE, 2017, 47 (08) :1487-1500