The current local practice for rehabilitation of patients with anterior cruciate ligament injuries

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The current local practice for rehabilitation of patients with anterior cruciate ligament injuries


Author: Li, Yin-yee Agatha
Title: The current local practice for rehabilitation of patients with anterior cruciate ligament injuries
Degree: M.Sc.
Year: 2004
Subject: Hong Kong Polytechnic University -- Dissertations
Anterior cruciate ligament -- Wounds and injuries -- Physical therapy
Department: Dept. of Rehabilitation Sciences
Pages: ix, 81 leaves ; 30 cm.
InnoPac Record:
Abstract: The first local survey of Anterior Cruciate Ligament (ACL) rehabilitation was conducted eight years ago which revealed some interesting findings of the local practice differing from the overseas practice. Due to the rapid change of ACL rehabilitation approaches, there is a need to review our current local practice in order to evaluate our services. Method: Questionnaires were sent to hospitals and rehabilitation centers in Kong Kong asking about their management regime of ACL cases from 1 January 2003 to 31 December 2003. Results: Forty-seven questionnaires were sent and 34 were returned. From the returned responses, 89.3% of ACL injuries happened during sports with 74.1% in male aged 18-30. 75% of the centers have defined rehabilitation protocol for surgical cases but only 35.7% have defined protocol for non-surgical cases. Patients are usually managed surgically with patellar tendon or hamstring autografts and 25% of the centers have separate rehabilitation protocols for these grafts. The local protocols are comparable to the accelerated rehabilitation program for patellar tendon autografts except we have slower progress in agility training and return to sports. The protocols in hamstring autografts are generally in line with overseas programs but we have earlier start of hamstring exercises. The timing of muscle training and sports specific activities varied among centers. Some respondentsc(60%) suggested that treatment outcome may be improved by therapists spending more time on the patients. Conclusion: There are more centers in the present study with defined rehabilitation protocols for surgical ACL cases, but not for the non-surgical cases. The practice of ACL rehabilitation in Hong Kong is generally comparable to that of overseas.

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