Macrelli Luca, Mallia Luca, Thiebat Gabriele, Rocchi Jacopo Emanuele, Herrington Lee, Nutarelli Sebastiano
Musculoskeletal Physical Therapy, University of Bologna, Bologna, Italy.
Department of Movement, Human and Health Sciences, Foro Italico University of Rome, Rome, Italy.
Front Rehabil Sci. 2025 Jan 15;5:1497828. doi: 10.3389/fresc.2024.1497828. eCollection 2024.
Total and sub-total lesions of the anterior cruciate ligament (ACL) are one of the most frequent and performance-limiting injuries to the knee joint within the active population. Early surgical management, often regarded as the primary management strategy, has recently been shown to have similar outcomes when compared with an initial rehabilitative approach followed by surgical ACL reconstruction if higher levels of functionality are needed. The primary objective of the study was to investigate the physiotherapists and orthopedic surgeons' "coper/non-coper" screening application in the clinical management of the patient after ACL injury. Second, the authors aimed to investigate the cooperation between physiotherapists and orthopedic surgeons when dealing with patients with ACL injuries.
An online survey consisting of 12 questions on the clinical practice of the surveyed physiotherapists ( = 803) and orthopedic surgeons ( = 201), and the relation between these healthcare professionals, was distributed. The answers were stratified depending on clinical experience in dealing with ACL injuries.
Both physiotherapists and orthopedic surgeons showed a low degree of confidence and application of the "coper/non-coper" screening when managing ACL lesions. The sub-population of ACL experts reported a good level of interprofessional interaction. Nevertheless, an updated level of knowledge regarding the recent evidence on the non-surgical management of ACL lesions is still lacking.
The study findings indicate the need to improve the collaboration between Italian physiotherapists and orthopedic surgeons as well as their knowledge of the non-surgical approaches to ACL lesions.
前交叉韧带（ACL）的完全和不完全损伤是活跃人群中膝关节最常见且限制运动表现的损伤之一。早期手术治疗通常被视为主要治疗策略，但最近研究表明，如果需要更高的功能水平，与先进行康复治疗然后再进行ACL重建手术相比，其效果相似。本研究的主要目的是调查物理治疗师和骨科医生在ACL损伤患者临床管理中“应对者/非应对者”筛查的应用情况。其次，作者旨在调查物理治疗师和骨科医生在处理ACL损伤患者时的合作情况。
开展了一项在线调查，该调查包含12个关于被调查物理治疗师（n = 803）和骨科医生（n = 201）临床实践以及这些医疗专业人员之间关系的问题。答案根据处理ACL损伤的临床经验进行分层。
在管理ACL损伤时，物理治疗师和骨科医生对“应对者/非应对者”筛查的信心和应用程度都较低。ACL专家亚组报告了良好的跨专业互动水平。然而，对于ACL损伤非手术治疗的最新证据，他们仍缺乏更新的知识。
研究结果表明，意大利物理治疗师和骨科医生之间需要加强合作，同时也需要提高他们对ACL损伤非手术治疗方法的了解。
