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Titre : | Rehabilitation after ACL injury and reconstruction from the patients perspective (2022) |
Auteurs : | Sofi Sonesson ; Joanna Kvist |
Type de document : | Article |
Dans : | Physical therapy in sport (Vol. 53, January 2022) |
Article en page(s) : | p. 158-165 |
Note générale : | https://doi.org/10.1016/j.ptsp.2021.10.001 |
Langues: | Français |
Descripteurs : |
HE Vinci Adolescent ; Adulte ; Articulation du genou ; Chirurgie générale ; Etudes prospectives ; Femmes ; Humains ; Jeune adulte (19-24 ans) ; Ligament croisé antérieur ; Réadaptation ; Reconstruction du ligament croisé antérieur ; Traumatismes sportifs |
Mots-clés: | Anterior cruciate ligament ; Adherence ; Physical therapy |
Résumé : | Objectives To describe and compare patients? appraisal of the rehabilitation and adherence to the rehabilitation program after acute ACL injury treated with (ACLR) or without (non-ACLR) reconstruction. Design Prospective cohort study. Participants 275 patients (143 females; mean age 25 + 7 years) with acute ACL injury, of whom 166 patients had ACLR within 24 months. Main outcome Adherence to rehabilitation was assessed using the modified Sports Injury Rehabilitation Adherence Scale (SIRAS). Results Appraisal of rehabilitation was higher in the post-ACLR group compared to the non-ACLR group at 3 months (91% compared to 70% scored rehabilitation as necessary, p = 0.025) and at 6 months (87% compared to 70% scored it as necessary, p = 0.017). SIRAS score did not differ between 3 and 6 months for the non-ACLR group (median (IQR) 13 (2) vs 13 (2)) or the post-ACLR group (14 (1) vs 14 (2), p > 0.05). The post-ACLR group had a higher SIRAS score than the non-ACLR group at 3 and 6 months (p ? 0.001). Conclusion Patients treated with ACLR reported valuing their rehabilitation more and rated greater adherence to the rehabilitation programme than non-surgically treated patients. As rehabilitation is essential for good knee function, strategies to improve adherence after non-ACLR treatment should be implemented. Level of evidence Prospective cohort study, level II. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S1466853X21001607 |