Discipline of Physiotherapy, Graduate School of Health, University of Technology Sydney, Sydney, Australia.
Discipline of Physiotherapy, Graduate School of Health, University of Technology Sydney, Sydney, Australia.
Musculoskelet Sci Pract. 2023 Jun;65:102754. doi: 10.1016/j.msksp.2023.102754. Epub 2023 Apr 10.
To systematically search the internet for conservative rehabilitation protocols for people with an anterior cruciate ligament (ACL) injury and critically appraise the websites and exercise protocols.
Systematic review of online rehabilitation protocols.
We searched four online search-engines (Google, Yahoo, Bing, DuckDuckGo).
Rehabilitation protocols on active, English language websites aimed at conservative (non-surgical) management of an ACL injury.
We extracted descriptive information and assessed quality of the websites using the Journal of the American Medical Association (JAMA) benchmark criteria, the Health on the Net Code (HONcode) certificate, and the Flesch-Kincaid Reading Ease (FKRE). We assessed completeness of exercise protocol reporting using the Consensus on Exercise Reporting Template (CERT). We performed a descriptive analysis.
We found 14 websites that met our selection criteria. The protocols varied between 10 and 26 weeks duration, nine were from the United States, five targeted patients, and 13 used multiple phases with a variety of different criteria for progression. Three protocols scored good quality with the JAMA, two were HonCode certified, and ten had good readability according to the FKRE. Completeness of exercise protocol reporting in all but one protocol was poor according to the CERT.
Few rehabilitation protocols for conservative management of ACL injuries were available online. Most of the websites showed good readability, but poor quality and credibility with inadequate description of exercise protocols.
系统地在互联网上搜索用于前交叉韧带（ACL）损伤患者的保守康复方案，并批判性地评价这些网站和锻炼方案。
在线康复方案的系统评价。
我们在四个在线搜索引擎（Google、Yahoo、Bing、DuckDuckGo）中进行了检索。
针对 ACL 损伤的保守（非手术）管理的、基于活动的、英文网站上的康复方案。
我们使用《美国医学会杂志》（JAMA）基准标准、健康网络代码（HONcode）证书和 Flesch-Kincaid 阅读舒适度（FKRE）提取描述性信息并评估网站质量。我们使用共识运动报告模板（CERT）评估锻炼方案报告的完整性。我们进行了描述性分析。
我们发现了 14 个符合我们选择标准的网站。这些方案的持续时间从 10 周到 26 周不等，其中 9 个来自美国，5 个针对患者，13 个使用了多种不同的进展标准的多个阶段。三个方案在 JAMA 中获得了良好的质量评分，两个获得了 HONcode 认证，十个根据 FKRE 具有良好的可读性。除了一个方案外，所有方案的运动方案报告完整性都很差，根据 CERT。
在线上，保守治疗 ACL 损伤的康复方案很少。大多数网站具有良好的可读性，但质量和可信度较差，运动方案的描述不足。
