Is it time to develop specific return to running criteria for ACL rehabilitation? An international survey of physiotherapists criteria for return to running following ACL injury

IF 2.2 3区医学 Q1 REHABILITATION

Physical Therapy in Sport Pub Date : 2024-03-01 DOI:10.1016/j.ptsp.2024.02.005

Timothy A. Sayer , Nicky van Melick , Jerome Riera , Jeremy Jackson , Adam Bryant , Rob Bogie , Nicholas Cross , Pascal Edouard , Alexandre Rambaud

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引用次数: 0

Abstract

Objective

To determine return to running criteria currently used by physiotherapists following anterior cruciate ligament (ACL) injury.

Design

Self-reported online international survey.

Methods

An online survey of physiotherapists across Australia, the Netherlands and France.

Results

A total of 476 respondants participated in the survey across Australia (n = 153), the Netherlands (n = 162), and France (n = 161). For return to running criteria following a non-operative approach, the majority of respondents chose swelling (40.55%, n = 193/476), pain (38.24%, n = 182/476), knee extensor strength (34.34%, n = 163/476), single leg squat (31.93%, n = 152/476) and knee flexor strength (29.83%, n = 142/476). After ACL reconstruction, the highest responses were also swelling (41.18%, n = 196/476), pain (37.18%, n = 177/476), knee extensor strength (37.18%, n = 177/476) and single leg squat (33.19%, n = 158/476). From the identified themes the most common cutoff variables were pain between 0 and 3/10, swelling < grade 1+ and limb symmetry on strength and hop tests >70 %.

Conclusion

Physiotherapists in Australia, France, and the Netherlands use many different return to running criteria and most of them use more than one criterion. Despite this, there was little consensus on the cut-off physiotherapists use to apply these criteria.

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是时候为前交叉韧带康复制定具体的恢复跑步标准了吗？物理治疗师对前交叉韧带损伤后恢复跑步标准的国际调查

确定前交叉韧带（ACL）损伤后理疗师目前使用的恢复跑步标准。自我报告在线国际调查。对澳大利亚、荷兰和法国的物理治疗师进行在线调查。澳大利亚（153人）、荷兰（162人）和法国（161人）共有476名受访者参与了调查。对于非手术治疗后恢复跑步的标准，大多数受访者选择肿胀（40.55%，n = 193/476）、疼痛（38.24%，n = 182/476）、膝关节伸肌力量（34.34%，n = 163/476）、单腿深蹲（31.93%，n = 152/476）和膝关节屈肌力量（29.83%，n = 142/476）。前交叉韧带重建后，反应最多的也是肿胀（41.18%，n = 196/476）、疼痛（37.18%，n = 177/476）、膝关节伸展力量（37.18%，n = 177/476）和单腿深蹲（33.19%，n = 158/476）。在已确定的主题中，最常见的临界变量是疼痛介于 0 和 3/10 之间、肿胀 < 1+ 级、力量和跳跃测试的肢体对称性 >70 %。澳大利亚、法国和荷兰的物理治疗师使用了许多不同的恢复跑步标准，其中大多数使用了一个以上的标准。尽管如此，物理治疗师们在应用这些标准时，对截断点的选择几乎没有达成共识。

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来源期刊

Physical Therapy in Sport 医学-康复医学

CiteScore

4.50

自引率

8.30%

发文量

125

审稿时长

39 days

期刊介绍： Physical Therapy in Sport is an international peer-reviewed journal that provides a forum for the publication of research and clinical practice material relevant to the healthcare professions involved in sports and exercise medicine, and rehabilitation. The journal publishes material that is indispensable for day-to-day practice and continuing professional development. Physical Therapy in Sport covers topics dealing with the diagnosis, treatment, and prevention of injuries, as well as more general areas of sports and exercise medicine and related sports science. The journal publishes original research, case studies, reviews, masterclasses, papers on clinical approaches, and book reviews, as well as occasional reports from conferences. Papers are double-blind peer-reviewed by our international advisory board and other international experts, and submissions from a broad range of disciplines are actively encouraged.