Background

Adherence to the use of recommended measures/criteria for return to sport clearance after anterior cruciate ligament reconstruction is crucial for successful rehabilitation.

Objectives

The purpose of this study was to describe the current clinical practice of Brazilian physical therapists that treat patients after anterior cruciate ligament reconstruction, including the measures/criteria used to support the decision-making process regarding return to sport. The secondary aim was to investigate factors associated with the use of the most recommended measures/criteria for return to sport.

Methods

An electronic survey questionnaire was sent to Brazilian physical therapists. The survey consisted of questions about demographics and professional and clinical practice data related to anterior cruciate ligament reconstruction postoperative rehabilitation and return to sport criteria. Descriptive statistics and chi-square tests were used for analyses.

Results

A sample of 439 professionals participated in the survey. Only 6.4% of the physical therapists use the most recommended measures/criteria for return to sport after anterior cruciate ligament reconstruction. Professional certification in Sports Physical Therapy was the only factor associated with the use of these recommended measures/criteria (p = 0.02). The measures most used for return to sport clearance were related to physical factors (65.3% to 75.1%), such as range of motion and muscle strength. A small number of professionals use questionnaires to assess functional (16.6%) and psychological (19.1%) aspects of their patients to support the decision-making process.

Conclusion

In their clinical practice, most Brazilian physical therapists do not use the recommended measures/criteria for return to sport after anterior cruciate ligament reconstruction.

中文翻译：

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前交叉韧带重建后的当前临床实践和恢复运动标准：对巴西物理治疗师的调查

背景

坚持使用推荐的措施/标准在前交叉韧带重建后恢复运动间隙对于成功康复至关重要。

目标

本研究的目的是描述巴西物理治疗师在前交叉韧带重建后治疗患者的当前临床实践，包括用于支持有关重返运动的决策过程的措施/标准。次要目的是调查与使用最推荐的恢复运动的措施/标准相关的因素。

方法

向巴西物理治疗师发送了一份电子调查问卷。调查包括与前交叉韧带重建术后康复和重返运动标准相关的人口统计学和专业和临床实践数据的问题。描述性统计和卡方检验用于分析。

结果

439 名专业人士参与了调查。只有 6.4% 的物理治疗师使用最推荐的措施/标准在前交叉韧带重建后恢复运动。运动物理治疗专业认证是与使用这些推荐措施/标准相关的唯一因素 ( p  =  0.02)。最常用于恢复运动间隙的措施与身体因素有关（65.3% 至 75.1%），例如运动范围和肌肉力量。少数专业人员使用问卷来评估患者的功能 (16.6%) 和心理 (19.1%) 方面，以支持决策过程。

结论

在他们的临床实践中，大多数巴西物理治疗师在前交叉韧带重建后不使用推荐的措施/标准来恢复运动。