Survey Finds ‘Considerable Variation’ in Postsurgery ACL Rehab

Authors of a new study say that while guidelines exist for rehabilitation after anterior cruciate ligament (ACL) reconstruction, there remains “a large degree of variation in rehabilitation progression” among physical therapists (PTs), particularly when it comes to timing of the progression, strength assessment, and use of patient-reported outcome measures

Those conclusions, published in the Journal of Orthopaedic and Sports Physical Therapy were based on results of an online survey of 1, 074 members of APTA’s Academy of Orthopaedic Physical Therapy, American Academy of Sports Physical Therapy, and Private Practice Section. Authors believe that this is the first time PTs’ private practice patterns in this area have been studied.

As for the respondent pool, the majority of PTs treated patients in a private practice or hospital-based outpatient facility. Just over half (52.5%) held American Board of Physical Therapy Specialties certifications in either orthopaedic or sports physical therapy, and 92.5% were APTA members. Authors of the study also classified respondents by the volume of post anterior cruciate ligament repair (ACLR) patients they treated annually, with 32.3% falling into the “low volume” category of 1 to 5 per year, 28.8% grouped into a “medium volume” category of 6 to 10 patients per year, and 37.9% categorized as “high volume,” with 11 or more post-ACLR patients per year. Researchers also tracked respondents by years in practice.

Full story at APTA