Abstract

Purpose

The aim of this study was to report current rehabilitation recommendations after ACL reconstruction in ESSKA community, with a particular focus on the specific criteria utilized to guide activity progression

Methods

A web-based survey was developed to investigate preferences between time-based and functional ACL reconstruction rehabilitation progression milestones of ESSKA community.

Results

Eight hundred and twenty completed questionnaires were received. Responders were from 86 different countries worldwide, 63% of them from European countries. Functional criteria were considered more appropriate to decide if a patient can start specific activities/exercises by 67% of the responders. Good core and lower extremity neuromuscular control were the most often used functional criteria for decision-making regarding readiness for sport-specific rehabilitation (66%), sport-specific drills without (65%) and with contact (66%). Strength assessed with an isokinetic dynamometer was considered by about half of the responders a determinant to initiate sport-specific drills without (51%—isokinetic strength, LSI > 80%) and with contact (58%—isokinetic strength, LSI > 85–90%). To determine readiness for sport-specific drills, hop tests were used by 40% of respondents for drills without contact and 48% of respondents for drills with contact.

Conclusion

The results of this survey involving mainly orthopaedic surgeons indicate that functional measures are considered more appropriate than milestones based on time from surgery to guide progression through the postoperative rehabilitation process after ACLR. The main clinical relevance of this study is that updated information on collective agreement could be useful for clinicians and physiotherapists to delineate their postoperative treatments after ACLR. These results should be interpreted with caution, as this sample represents only a small portion of ESSKA community involved in knee surgery and treating patients following ACLR.

Level of evidence

III.

中文翻译：

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前十字韧带重建后的功能进展里程碑比基于时间的标准更合适：ESSKA中的一项调查

摘要

目的

这项研究的目的是报告在ESSKA社区进行ACL重建后当前的康复建议，特别关注用于指导活动进展的特定标准

方法

进行了基于网络的调查，以调查ESSKA社区基于时间的ACL重建和功能性ACL重建康复进展里程碑之间的偏好。

结果

共收到820份问卷。响应者来自全球86个不同的国家，其中63％来自欧洲国家。67％的应答者认为功能标准更适合决定患者是否可以开始特定活动/锻炼。良好的核心和下肢神经肌肉控制是决策制定中最常用的功能标准，包括针对运动康复的准备程度（66％），不进行运动训练的个人（65％）和接触运动的准备情况（66％）。用等速测功机评估的力量被大约一半的响应者认为是在没有（51％等运动强度，LSI> 80％）和接触（58％等运动强度，LSI> 85-90）的情况下启动运动专用钻的决定因素％）。为了确定运动专用演习的准备情况，

结论

这项调查主要涉及整形外科医生，其结果表明，基于手术时间来指导ACLR术后康复进程的进展，功能性措施被认为比里程碑更合适。这项研究的主要临床意义是，关于集体协议的最新信息可能对临床医生和理疗师描述ACLR后的术后治疗有用。应谨慎解释这些结果，因为该样本仅代表参与膝盖手术和ACLR术后治疗的ESSKA社区的一小部分。

证据水平

三，