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Rehabilitation strategies of Flemish physical therapists before and after anterior cruciate ligament reconstruction: An online survey
Affiliation:1. Reval Rehabilitation Research Centre, Faculty of Rehabilitation Sciences, Hasselt University, Diepenbeek, Belgium;2. Department of Orthopedic Surgery, Ziekenhuis Oost-Limburg, Genk, Belgium;3. Faculty of Medicine and Life Sciences, Hasselt University, Diepenbeek, Belgium;4. Exercise Science & Neuroscience, Department Exercise & Health, Faculty of Science, Paderborn University, Paderborn, Germany;5. Amsterdam Collaboration on Health & Safety in Sports, Department of Public and Occupational Health and Amsterdam Public Health Research Institute, Amsterdam University Medical Centres, VU Medical Center, Amsterdam, the Netherlands;1. Biomechanics Department, Faculty of Physical Therapy, Cairo University, Giza, Egypt;2. Department of Kinesiology, School of Public health, Indiana University, Bloomington, IN, United States;1. Department of Rehabilitation Sciences, Jordan University of Science and Technology (JUST), P.O.Box 3030, Irbid, 22110, Jordan;2. Jordan University of Science and Technology (JUST), Department of Special Surgery, College of Medicine, P.O.Box 3030, Irbid, 22110, Jordan;3. Medical Faculty, Yarmouk University, Irbid, 21163, Jordan;4. Department of Physical Therapy, University of Delaware, USA. 540 South College Avenue, 19713, Newark, DE, USA;5. Department of Physical Therapy, University of the Sciences, Philadelphia, PA, USA. 600 South 43rd Street, Philadelphia, 19104-4495, PA, USA;1. Department of Kinesiology. University of Virginia, Memorial Gymnasium Rm 206 210 Emmet St So, Charlottesville, VA, 22903, USA;2. Department of Orthopaedic Surgery. University of Virginia, 400 Ray C. Hunt Drive, Suite 330 PO Box 800159, 22908, Charlottesville, VA, USA;3. Public Health Sciences, University of Virginia, P.O. Box 800717, Health System West Complex, Room 3193, Charlottesville, VA, 22908, USA;2. Coastal Therapy, Savannah, GA;3. Gundersen Health System, LaCrosse, WI;1. Athlete Health and Performance Research Centre, Aspetar Orthopaedic and Sports, Medicine Hospital, Doha, Qatar;2. Institute of Sport Exercise and Health, London, UK;3. Division of Surgery & Interventional Science, University College London, UK;4. School of Sport and Exercise Sciences, University of Gloucestershire, UK;5. Qatar University, Physiotherapy Program, Qatar University, Doha, Qatar;6. La Trobe University, Discipline of Podiatry, College of Science, Health and Engineering, La Trobe Sport and Exercise Medicine Research Centre, Victoria, Australia
Abstract:ObjectivesThe primary objective of the study was to investigate rehabilitation strategies of Flemish physical therapists before and after anterior cruciate ligament (ACL) reconstruction. Secondly, we aimed to investigate physical therapists’ preferences on continuing education and evaluate their self-rated confidence and competence when treating patients before and after ACL reconstruction.DesignSurvey-based study.SettingOnline survey platform.ParticipantsFlemish physical therapists (n = 283).Main outcome measuresThe online survey consisted of a combination of 40 open- and closed-ended questions, divided across 5 sections: (1) participant demographics and clinical practice information, (2) patient population information, (3) continued education practices, (4) rehabilitation strategies, and (5) physical therapist self-rated confidence and competence to treat patients with ACL reconstruction.ResultsA wide variability in rehabilitation strategies were found across the whole ACL rehabilitation continuum, which were in general not in line with best available evidence. Nevertheless, the overall self-rated confidence and competence of physical therapists treating patients before and after ACL reconstruction were high.ConclusionOur findings indicate a need to improve rehabilitation practices before and after ACL reconstruction. Advanced research dissemination and implementation are required to achieve better rehabilitation outcomes.
Keywords:Anterior cruciate ligament reconstruction  Evidence-based rehabilitation  Physical therapy  Survey
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