Statistics from Altmetric.com
Alarming underutilisation of rehabilitation after ACL reconstruction (ACLR) was highlighted in a recent study.1 These Australian trends are not unique, but support the emerging realisation that athletes may be overtreated with ACLR surgery, but undertreated when it comes to rehabilitation. We use the term undertreated to describe insufficient rehabilitation—either because athletes are discharged too soon or because the rehabilitation content is inadequate.
Among non-elite athletes with ACLR, only 5% received rehabilitation1 that followed evidence-based guidelines2: ≥6 months’ rehabilitation, including agility and landing exercises, and a structured return to sport (RTS). Most athletes were undertreated: 45% (50 of 111) never saw a clinician after the third postoperative month and 70% (78 of 111) never did agility or landing exercises.1 When clinical practice does not follow evidence-based guidelines, we are not offering the best to our athletes.
Evidence-based rehabilitation restores function
Outcomes following ACLR are mainly dictated by the athlete, the rehabilitation clinician and the orthopaedic surgeon. And the rehabilitation clinician might be the central player in this trifecta.1 Almost a year …
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.