Department of Physical Therapy, College of Medical Rehabilitation Sciences, Taibah University, Madinah, Saudi Arabia.
Department of Physical Therapy, College of Applied Medical Sciences, Taif University, Taif, Saudi Arabia.
J Sport Rehabil. 2023 Dec 18;33(2):114-120. doi: 10.1123/jsr.2023-0260. Print 2024 Feb 1.
With the high prevalence of anterior cruciate ligament rupture among young and active individuals, rehabilitation after the injury and surgery should meet the current evidence-based recommendations to restore knee function and reduce the risk of further injury. This study aimed to investigate the current rehabilitation practices and return to sports (RTS) criteria after anterior cruciate ligament reconstruction (ACLR) among physical therapists in Saudi Arabia.
Online cross-sectional survey-based study.
A total of 177 physical therapists in Saudi Arabia participated in this survey. The survey included questions about the preferred postoperative timing and frequency of rehabilitation, current views on the importance of preoperative and postoperative rehabilitation to the overall outcomes, the timeframe of RTS, and the decision-making process to RTS.
Most therapists (96.6%) believed preoperative rehabilitation was essential/important to postoperative outcomes. Two-thirds encouraged patients to start rehabilitation program within 1 to 4 days immediately post-ACLR. RTS was permitted 6 to 9 months post-ACLR by 60% of therapists if satisfied with patient progress and capacity. Factors considered before RTS included knee strength (72.9%), functional capacity (86.4%), lower limb and trunk mechanics (62.7%), and psychological readiness (42.2%). Knee strength was assessed by manual muscle testing (39%), handheld dynamometry (15.3%), and isokinetic dynamometer (13.6%). While 60% of the therapists used single-limbed hop for distance for evaluating functional capacity, only 27.1% used a hop test battery.
The surveyed physical therapists in Saudi Arabia demonstrated variations in the current rehabilitation practices and RTS criteria post-ACLR. Over half of the surveyed therapists considered preoperative rehabilitation essential to postoperative outcomes. However, the therapists should update their perspective with current evidence-based practice regarding the RTS timeframe, psychological readiness assessment for RTS, and knee strength evaluation using objective measurements.
由于年轻且活跃人群中前交叉韧带断裂的高发率，损伤和手术后的康复应符合当前循证推荐，以恢复膝关节功能并降低进一步损伤的风险。本研究旨在调查沙特阿拉伯物理治疗师在进行前交叉韧带重建（ACLR）后的当前康复实践和重返运动（RTS）标准。
基于在线横断面调查的研究。
沙特阿拉伯共有 177 名物理治疗师参与了这项调查。调查包括有关术后康复的首选时机和频率、对术前和术后康复对整体结果的重要性的当前观点、RTS 的时间框架以及RTS 的决策过程的问题。
大多数治疗师（96.6%）认为术前康复对术后结果至关重要/重要。三分之二的治疗师鼓励患者在 ACLR 后立即的 1 至 4 天内开始康复计划。如果患者的进展和能力令人满意，60%的治疗师允许在 ACLR 后 6 至 9 个月进行 RTS。在进行 RTS 之前考虑的因素包括膝关节力量（72.9%）、功能能力（86.4%）、下肢和躯干力学（62.7%）和心理准备（42.2%）。膝关节力量通过手动肌肉测试（39%）、手持测力计（15.3%）和等速测力计（13.6%）进行评估。虽然 60%的治疗师使用单腿跳跃距离来评估功能能力，但只有 27.1%的治疗师使用跳跃测试组合。
沙特阿拉伯调查的物理治疗师在 ACLR 后表现出康复实践和 RTS 标准的差异。超过一半的调查治疗师认为术前康复对术后结果至关重要。然而，治疗师应该更新他们的观点，采用当前基于证据的实践，包括 RTS 时间框架、RTS 的心理准备评估以及使用客观测量评估膝关节力量。
