Rehabilitation and return-to-sport after anterior cruciate ligament injury and reconstruction: Exploring physical therapists’ approaches in Argentina

Autores
Tondelli, Eduardo; Feroldi, Alejo; García, Felipe; Meza, Franco; Dingenen, Bart
Año de publicación
2024
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Fil: Tondelli, Eduardo. Pontificia Universidad Católica Argentina. Facultad de Ciencias Médicas. Fisioterapia del Deporte; Argentina
Fil: Tondelli, Eduardo. Universidad de Buenos Aires. Facultad de Ciencias Médicas. Escuela de Fisioterapia. Fisioterapia del Deporte; Argentina
Fil: Feroldi, Alejo. Universidad de Buenos Aires. Facultad de Ciencias Médicas. Escuela de Fisioterapia. Fisioterapia del Deporte; Argentina
Fil: Feroldi, Alejo. Universidad Favaloro. Facultad de Ciencias Médicas. Anatomía Funcional y Biomecánica; Argentina
Fil: García, Felipe. Universidad de Buenos Aires. Facultad de Ciencias Médicas. Escuela de Fisioterapia. Fisioterapia del Deporte; Argentina
Fil: García, Felipe. New Performance Argentina Athletic Center, Buenos Aires; Argentina
Fil: Meza, Franco. Universidad de Buenos Aires. Facultad de Ciencias Médicas. Escuela de Fisioterapia. Fisioterapia del Deporte; Argentina
Fil: Meza, Franco. Club Atlético Huracán. Fisioterapia y Departamento Médico; Argentina
Fil: Dingenen, Bart. Hasselt University. Faculty of Rehabilitation Sciences. Reval Rehabilitation Research Centre; Bélgica
Objectives: To investigate the current clinical practice regarding pre- and post-surgical rehabilitation and return to sport (RTS) criteria following anterior cruciate ligament reconstruction (ACLR). Design: Cross-sectional design. Online survey. Setting: Survey platform. Participants: Argentinian physical therapists (PTs). Outcome measures: The survey consisted of a combination of 39 open- and closed-ended questions, divided across 3 sections: (1) demographic and professional information, (2) clinical practice and rehabilitation strategies, and (3) return-to-running (RTR) and RTS. Results: A total of 619 PTs completed the survey. Considerable variability was observed in preoperative reha bilitation, criteria used for rehabilitation progression and RTS decision-making criteria used by PTs. From the total surveyed, 336 (54.3%) carried out RTS assessment in their clinical practice. Most of PTs (53.3%) use visual estimation to assess knee range of motion. Only 20% of the PTs reported incorporating patient-reported outcome measures in their decision-making. From PTs who use strength assessment as a criterion of RTS (68.8%), 16.6% extrapolate this from jump tests and 15.3% use manual muscle testing. Less than the 50% of the PTs recom mended nine months or more to allow patients to RTS. Conclusions: Current rehabilitation practices of Argentinian PTs following ACLR are largely variable and not aligned with current evidence and scientific guidelines. To achieve better rehabilitation and RTS practices better knowledge dissemination and implementation are required.
Fuente
Physical Therapy in Sport. 2024 (67)
Materia
REHABILITACION
FISIOTERAPIA
DEPORTES
LIGAMENTO CRUZADO ANTERIOR
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc-sa/4.0/
Repositorio
Repositorio Institucional (UCA)
Institución
Pontificia Universidad Católica Argentina
OAI Identificador
oai:ucacris:123456789/19190

id RIUCA_479ebc50ddbc367deae1087db5ede613
oai_identifier_str oai:ucacris:123456789/19190
network_acronym_str RIUCA
repository_id_str 2585
network_name_str Repositorio Institucional (UCA)
spelling Rehabilitation and return-to-sport after anterior cruciate ligament injury and reconstruction: Exploring physical therapists’ approaches in ArgentinaTondelli, EduardoFeroldi, AlejoGarcía, FelipeMeza, FrancoDingenen, BartREHABILITACIONFISIOTERAPIADEPORTESLIGAMENTO CRUZADO ANTERIORFil: Tondelli, Eduardo. Pontificia Universidad Católica Argentina. Facultad de Ciencias Médicas. Fisioterapia del Deporte; ArgentinaFil: Tondelli, Eduardo. Universidad de Buenos Aires. Facultad de Ciencias Médicas. Escuela de Fisioterapia. Fisioterapia del Deporte; ArgentinaFil: Feroldi, Alejo. Universidad de Buenos Aires. Facultad de Ciencias Médicas. Escuela de Fisioterapia. Fisioterapia del Deporte; ArgentinaFil: Feroldi, Alejo. Universidad Favaloro. Facultad de Ciencias Médicas. Anatomía Funcional y Biomecánica; ArgentinaFil: García, Felipe. Universidad de Buenos Aires. Facultad de Ciencias Médicas. Escuela de Fisioterapia. Fisioterapia del Deporte; ArgentinaFil: García, Felipe. New Performance Argentina Athletic Center, Buenos Aires; ArgentinaFil: Meza, Franco. Universidad de Buenos Aires. Facultad de Ciencias Médicas. Escuela de Fisioterapia. Fisioterapia del Deporte; ArgentinaFil: Meza, Franco. Club Atlético Huracán. Fisioterapia y Departamento Médico; ArgentinaFil: Dingenen, Bart. Hasselt University. Faculty of Rehabilitation Sciences. Reval Rehabilitation Research Centre; BélgicaObjectives: To investigate the current clinical practice regarding pre- and post-surgical rehabilitation and return to sport (RTS) criteria following anterior cruciate ligament reconstruction (ACLR). Design: Cross-sectional design. Online survey. Setting: Survey platform. Participants: Argentinian physical therapists (PTs). Outcome measures: The survey consisted of a combination of 39 open- and closed-ended questions, divided across 3 sections: (1) demographic and professional information, (2) clinical practice and rehabilitation strategies, and (3) return-to-running (RTR) and RTS. Results: A total of 619 PTs completed the survey. Considerable variability was observed in preoperative reha bilitation, criteria used for rehabilitation progression and RTS decision-making criteria used by PTs. From the total surveyed, 336 (54.3%) carried out RTS assessment in their clinical practice. Most of PTs (53.3%) use visual estimation to assess knee range of motion. Only 20% of the PTs reported incorporating patient-reported outcome measures in their decision-making. From PTs who use strength assessment as a criterion of RTS (68.8%), 16.6% extrapolate this from jump tests and 15.3% use manual muscle testing. Less than the 50% of the PTs recom mended nine months or more to allow patients to RTS. Conclusions: Current rehabilitation practices of Argentinian PTs following ACLR are largely variable and not aligned with current evidence and scientific guidelines. To achieve better rehabilitation and RTS practices better knowledge dissemination and implementation are required.else2024info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfhttps://repositorio.uca.edu.ar/handle/123456789/191901466-853X (impreso)1873-1600 (online)10.1016/j.ptsp.2024.04.007Physical Therapy in Sport. 2024 (67)reponame:Repositorio Institucional (UCA)instname:Pontificia Universidad Católica ArgentinaengArgentinainfo:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/4.0/2025-07-03T11:00:05Zoai:ucacris:123456789/19190instacron:UCAInstitucionalhttps://repositorio.uca.edu.ar/Universidad privadaNo correspondehttps://repositorio.uca.edu.ar/oaiclaudia_fernandez@uca.edu.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:25852025-07-03 11:00:05.683Repositorio Institucional (UCA) - Pontificia Universidad Católica Argentinafalse
dc.title.none.fl_str_mv Rehabilitation and return-to-sport after anterior cruciate ligament injury and reconstruction: Exploring physical therapists’ approaches in Argentina
title Rehabilitation and return-to-sport after anterior cruciate ligament injury and reconstruction: Exploring physical therapists’ approaches in Argentina
spellingShingle Rehabilitation and return-to-sport after anterior cruciate ligament injury and reconstruction: Exploring physical therapists’ approaches in Argentina
Tondelli, Eduardo
REHABILITACION
FISIOTERAPIA
DEPORTES
LIGAMENTO CRUZADO ANTERIOR
title_short Rehabilitation and return-to-sport after anterior cruciate ligament injury and reconstruction: Exploring physical therapists’ approaches in Argentina
title_full Rehabilitation and return-to-sport after anterior cruciate ligament injury and reconstruction: Exploring physical therapists’ approaches in Argentina
title_fullStr Rehabilitation and return-to-sport after anterior cruciate ligament injury and reconstruction: Exploring physical therapists’ approaches in Argentina
title_full_unstemmed Rehabilitation and return-to-sport after anterior cruciate ligament injury and reconstruction: Exploring physical therapists’ approaches in Argentina
title_sort Rehabilitation and return-to-sport after anterior cruciate ligament injury and reconstruction: Exploring physical therapists’ approaches in Argentina
dc.creator.none.fl_str_mv Tondelli, Eduardo
Feroldi, Alejo
García, Felipe
Meza, Franco
Dingenen, Bart
author Tondelli, Eduardo
author_facet Tondelli, Eduardo
Feroldi, Alejo
García, Felipe
Meza, Franco
Dingenen, Bart
author_role author
author2 Feroldi, Alejo
García, Felipe
Meza, Franco
Dingenen, Bart
author2_role author
author
author
author
dc.subject.none.fl_str_mv REHABILITACION
FISIOTERAPIA
DEPORTES
LIGAMENTO CRUZADO ANTERIOR
topic REHABILITACION
FISIOTERAPIA
DEPORTES
LIGAMENTO CRUZADO ANTERIOR
dc.description.none.fl_txt_mv Fil: Tondelli, Eduardo. Pontificia Universidad Católica Argentina. Facultad de Ciencias Médicas. Fisioterapia del Deporte; Argentina
Fil: Tondelli, Eduardo. Universidad de Buenos Aires. Facultad de Ciencias Médicas. Escuela de Fisioterapia. Fisioterapia del Deporte; Argentina
Fil: Feroldi, Alejo. Universidad de Buenos Aires. Facultad de Ciencias Médicas. Escuela de Fisioterapia. Fisioterapia del Deporte; Argentina
Fil: Feroldi, Alejo. Universidad Favaloro. Facultad de Ciencias Médicas. Anatomía Funcional y Biomecánica; Argentina
Fil: García, Felipe. Universidad de Buenos Aires. Facultad de Ciencias Médicas. Escuela de Fisioterapia. Fisioterapia del Deporte; Argentina
Fil: García, Felipe. New Performance Argentina Athletic Center, Buenos Aires; Argentina
Fil: Meza, Franco. Universidad de Buenos Aires. Facultad de Ciencias Médicas. Escuela de Fisioterapia. Fisioterapia del Deporte; Argentina
Fil: Meza, Franco. Club Atlético Huracán. Fisioterapia y Departamento Médico; Argentina
Fil: Dingenen, Bart. Hasselt University. Faculty of Rehabilitation Sciences. Reval Rehabilitation Research Centre; Bélgica
Objectives: To investigate the current clinical practice regarding pre- and post-surgical rehabilitation and return to sport (RTS) criteria following anterior cruciate ligament reconstruction (ACLR). Design: Cross-sectional design. Online survey. Setting: Survey platform. Participants: Argentinian physical therapists (PTs). Outcome measures: The survey consisted of a combination of 39 open- and closed-ended questions, divided across 3 sections: (1) demographic and professional information, (2) clinical practice and rehabilitation strategies, and (3) return-to-running (RTR) and RTS. Results: A total of 619 PTs completed the survey. Considerable variability was observed in preoperative reha bilitation, criteria used for rehabilitation progression and RTS decision-making criteria used by PTs. From the total surveyed, 336 (54.3%) carried out RTS assessment in their clinical practice. Most of PTs (53.3%) use visual estimation to assess knee range of motion. Only 20% of the PTs reported incorporating patient-reported outcome measures in their decision-making. From PTs who use strength assessment as a criterion of RTS (68.8%), 16.6% extrapolate this from jump tests and 15.3% use manual muscle testing. Less than the 50% of the PTs recom mended nine months or more to allow patients to RTS. Conclusions: Current rehabilitation practices of Argentinian PTs following ACLR are largely variable and not aligned with current evidence and scientific guidelines. To achieve better rehabilitation and RTS practices better knowledge dissemination and implementation are required.
description Fil: Tondelli, Eduardo. Pontificia Universidad Católica Argentina. Facultad de Ciencias Médicas. Fisioterapia del Deporte; Argentina
publishDate 2024
dc.date.none.fl_str_mv 2024
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://repositorio.uca.edu.ar/handle/123456789/19190
1466-853X (impreso)
1873-1600 (online)
10.1016/j.ptsp.2024.04.007
url https://repositorio.uca.edu.ar/handle/123456789/19190
identifier_str_mv 1466-853X (impreso)
1873-1600 (online)
10.1016/j.ptsp.2024.04.007
dc.language.none.fl_str_mv eng
language eng
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-sa/4.0/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-sa/4.0/
dc.format.none.fl_str_mv application/pdf
dc.coverage.none.fl_str_mv Argentina
dc.publisher.none.fl_str_mv else
publisher.none.fl_str_mv else
dc.source.none.fl_str_mv Physical Therapy in Sport. 2024 (67)
reponame:Repositorio Institucional (UCA)
instname:Pontificia Universidad Católica Argentina
reponame_str Repositorio Institucional (UCA)
collection Repositorio Institucional (UCA)
instname_str Pontificia Universidad Católica Argentina
repository.name.fl_str_mv Repositorio Institucional (UCA) - Pontificia Universidad Católica Argentina
repository.mail.fl_str_mv claudia_fernandez@uca.edu.ar
_version_ 1836638375907426304
score 13.13397