Nantes Université, Movement-Interactions-Performance, MIP, UR 4334, Nantes, France.
Institut Sport Atlantique, ISA Clinic, Saint-Herblain, France.
J Sport Rehabil. 2024 Apr 5;33(4):289-296. doi: 10.1123/jsr.2023-0312. Print 2024 May 1.
Rehabilitation after an anterior cruciate ligament injury is recommended to be started soon after the injury. When surgery is required, research supports the delivery of physiotherapy before anterior cruciate ligament reconstruction (prehabilitation) to optimize recovery and positive outcomes. Individuals attending prehabilitation have never been questioned regarding their adherence to prehabilitation, perception of utility in meeting needs, upcoming events, or anticipated recovery goals.
Mixed methods cross-sectional study: Methods: 25 individuals before anterior cruciate ligament reconstruction (43% of eligible individuals from 12 clinics during the delivery period) were surveyed on their mindset and recovery expectancies. Semistructured interviews conducted in 9 of 25 participants assessed their lived experience of prehabilitation.
Participants reported that preventing a reinjury (96% of responses) and feeling confident during daily activities about their knee (92%) were the higher rating expectations at this stage of their treatment course. Three themes were developed from the interviews and analyses. (1) Participants reported that prehabilitation was a period full of challenges with memories of the injury and uncertainties. (2) They viewed prehabilitation as a step to move forward by finding support and self-motivating. (3) They believed that prehabilitation would have positive impacts on the treatment outcomes. Participants were confident that prehabilitation would accelerate the recovery of muscle volume (88%) and strength (84%).
Participants had positive experiences of prehabilitation, aligning with the findings on functional outcomes in the existing literature on prehabilitation.
建议在发生前交叉韧带损伤后尽快开始康复。当需要手术时，研究支持在进行前交叉韧带重建（术前康复）之前提供物理治疗，以优化恢复和积极结果。参加术前康复的个体从未被问及他们对术前康复的依从性、满足需求、即将发生的事件或预期恢复目标的感知有用性。
混合方法横断面研究：方法：对 25 名前交叉韧带重建前（在交付期间从 12 个诊所中筛选出的符合条件个体的 43%）进行思维模式和恢复预期调查。对 25 名参与者中的 9 名进行半结构化访谈，评估他们在前交叉韧带重建前的生活体验。
参与者报告说，预防再次受伤（96%的回答）和在日常生活中对膝盖有信心（92%）是他们治疗过程现阶段的较高期望。从访谈和分析中得出了三个主题。（1）参与者报告说，术前康复是一个充满挑战的时期，他们会回忆起受伤和不确定的经历。（2）他们认为术前康复是通过寻找支持和自我激励来向前迈进的一步。（3）他们相信术前康复会对治疗结果产生积极影响。参与者对术前康复会加速肌肉量（88%）和力量（84%）的恢复充满信心。
参与者对术前康复有积极的体验，与术前康复文献中关于功能结果的发现一致。
