A survey on the rehabilitative management for the anterior cruciate ligament (ACL) injuries in Hong Kong

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A survey on the rehabilitative management for the anterior cruciate ligament (ACL) injuries in Hong Kong


Author: Lai, Edward Tak-sing
Title: A survey on the rehabilitative management for the anterior cruciate ligament (ACL) injuries in Hong Kong
Degree: M.Sc.
Year: 1997
Subject: Anterior cruciate ligament -- Wounds and injuries -- Physical therapy
Anterior cruciate ligament -- Wounds and injuries -- Patients -- Rehabilitation
Hong Kong Polytechnic University -- Dissertations
Department: Multi-disciplinary Studies
Pages: viii, 98 leaves : ill. ; 30 cm
Language: English
InnoPac Record: http://library.polyu.edu.hk/record=b1410563
URI: http://theses.lib.polyu.edu.hk/handle/200/2846
Abstract: Surveys on anterior cruciate ligament (ACL) rehabilitation have been performed in other countries to improve their management of ACL injuries. However, no similar study has been conducted in the local community. This study investigated the current clinical rehabilitative management of ACL injured patients in Hong Kong. Sixty-two self-administered questionnaires were sent to experienced physiotherapists in treating ACL patients in various physiotherapy centres in Hong Kong. The return rate was 87.1%. Results indicated that the progress of local rehabilitation for surgical ACL patients is comparable to the Accelerated Programmes in the literature. There is no obvious consensus on the rehabilitation protocol among non-surgical programmes. Rehabilitative equipment such as continuous passive motion, isokinetic machine and knee braces are not widely used by local clinicians. Return to preinjury sports is not a common outcome for non-surgically treated ACL patients and the criteria for returning the surgical ACL patients to preinjury sports are only used by a few centres. Open-kinetic chain exercise of quadriceps muscle at 90o to 0o knee flexion is initiated by most centres at 4 weeks post-operatively which is the most aggressive among all the existing programmes in the literature. Most clinicians regarded patient's motivation and compliance could influence clinical outcomes and further research is needed to improve ACL rehabilitation.

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