Department of Physical Therapy, College of Medical Rehabilitation Sciences, Taibah University, Madinah, Saudi Arabia.
Medicine (Baltimore). 2024 Apr 19;103(16):e37861. doi: 10.1097/MD.0000000000037861.
Preoperative rehabilitation is an important stage to both physically and mentally prepare patients for anterior cruciate ligament reconstruction (ACLR) and postoperative rehabilitation. This study aimed to investigate the current preoperative rehabilitation practice after anterior cruciate ligament injury among licensed physical therapists in Saudi Arabia. This was an online-based cross-sectional survey. A total of 114 physical therapists completed the survey. The survey consisted of 16 mandatory questions about management strategies, prescribed exercises, patients' physical and psychological concerns, and discussions about nonoperative management. The majority of the respondents used the following preoperative interventions: education (89.5%), closed kinetic chain exercises (66.7%), stretches (63.2%), open kinetic chain exercises (61.4%), proprioceptive exercises (59.6%), cold (56.1%), and activity modification advice (52.6%). More than half of the respondents would recommend patients awaiting ACLR to complete the exercises 2 to 4 times weekly (56.1%) for up to 8 weeks (80.7%) before ACLR. The respondents (73.7%) reported that patients awaiting ACLR did not receive preoperative rehabilitation due to 2 primary factors: the orthopedic team did not refer patients to rehabilitation specialists, and there was a lack of awareness about preoperative rehabilitation. Most therapists (86%) would discuss conservative management if a patient returned to their preinjury level of function before surgery. The surveyed physical therapists reported using various interventions and preoperative rehabilitation lengths with patients awaiting ACLR. The majority of the therapists indicated that patients awaiting ACLR did not receive preoperative rehabilitation. Future studies are needed to establish a consensus on the optimal preoperative rehabilitation program.
术前康复是为前交叉韧带重建 (ACLR) 和术后康复在身体和心理上为患者做准备的重要阶段。本研究旨在调查沙特阿拉伯持照物理治疗师在 ACL 损伤后目前的术前康复实践情况。这是一项基于网络的横断面调查。共有 114 名物理治疗师完成了调查。该调查包括 16 个关于管理策略、规定练习、患者身体和心理问题以及非手术管理讨论的强制性问题。大多数受访者使用了以下术前干预措施：教育（89.5%）、闭链运动（66.7%）、伸展（63.2%）、开链运动（61.4%）、本体感觉运动（59.6%）、冷敷（56.1%）和活动修改建议（52.6%）。超过一半的受访者会建议即将接受 ACLR 的患者在 ACLR 前最多 8 周内每周完成 2-4 次（56.1%）的练习。由于两个主要因素，受访者（73.7%）报告说，即将接受 ACLR 的患者没有接受术前康复：骨科团队没有将患者转介给康复专家，并且对术前康复缺乏认识。如果患者在手术前恢复到受伤前的功能水平，大多数治疗师（86%）会讨论保守治疗。接受调查的物理治疗师报告说，他们正在为等待 ACLR 的患者使用各种干预措施和术前康复时间。大多数治疗师表示，即将接受 ACLR 的患者没有接受术前康复。未来需要进行更多研究，以确定最佳的术前康复方案。
