Temporal Utilization of Physical Therapy Visits After Anterior Cruciate Ligament Reconstruction.
Temporal Utilization of Physical Therapy Visits After Anterior Cruciate Ligament Reconstruction.
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前交叉韧带重建术后物理治疗就诊的时间利用情况
DOI：
10.1177/2325967120982293
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发表时间：
2021-03
影响因子：
2.6
通讯作者：
Gardner EC
中科院分区：
文献类型：
--
作者：
Burroughs PJ;Kahan JB;Moore HG;Grauer JN;Gardner EC
前交叉韧带重建（ACLR）后，物理治疗（PT）康复对取得良好效果至关重要。包括专项运动练习在内的后期康复对于恢复高水平的膝关节功能日益受到重视。然而，在历史上，有监督的物理治疗就诊在ACLR后的恢复早期较为集中。
为了评估一个全国队列中ACLR后物理治疗就诊的次数和时间利用情况。我们假设物理治疗就诊会在术后早期较为集中。
描述性流行病学研究。
检索了Humana PearlDiver数据库，以确定2007年至2017年间接受ACLR的患者。排除了同时治疗其他结构的患者。确定了ACLR后52周内每位患者物理治疗就诊次数的均值±标准差、中位数和四分位距（IQR）以及范围。还根据患者年龄和性别评估了随时间推移的物理治疗就诊情况。
总共有11518名接受ACLR的患者符合纳入标准；平均年龄为32.62±13.70岁，42.7%为女性患者。在这个研究队列中，10381人（90.4%）术后有记录的物理治疗；物理治疗就诊次数范围为0到121次。平均而言，患者在ACLR后有16.90±10.60次物理治疗就诊（中位数[IQR]，16[9 - 22]）。患者在术后前6周平均完成了52%的物理治疗就诊，前10周完成75%，前16周完成90%。10 - 19岁的患者物理治疗就诊次数最多（均值±标准差，19.67±12.09；中位数[IQR]，18[12 - 25]），显著多于其他年龄组（P <.001）。
ACLR后的物理治疗集中在术后早期。医生、治疗师和患者可能会考虑调整有限的物理治疗途径以优化患者的恢复。
由于有监督的物理治疗就诊可能有限，必须最大限度地合理利用有监督的物理治疗就诊时间。需要制定策略以确保有针对后期神经肌肉和特定活动康复的疗程。
Physical therapy (PT) rehabilitation is critical to successful outcomes after anterior cruciate ligament reconstruction (ACLR). Later-stage rehabilitation, including sport-specific exercises, is increasingly recognized for restoring high-level knee function. However, supervised PT visits have historically been concentrated during the early stages of recovery after ACLR. To assess the number and temporal utilization of PT visits after ACLR in a national cohort. We hypothesized that PT visits would be concentrated early in the postoperative period. Descriptive epidemiological study. The Humana PearlDiver database was searched to identify patients who underwent ACLR between 2007 and 2017. Patients with additional structures treated were excluded. The mean ± SD, median and interquartile range (IQR), and range of number of PT visits for each patient were determined for the 52 weeks after ACLR. PT visits over time were also assessed in relation to patient age and sex. In total, 11,518 patients who underwent ACLR met the inclusion criteria; the mean age was 32.62 ± 13.70 years, and 42.7% were female patients. Of this study cohort, 10,381 (90.4%) had documented PT postoperatively; the range of PT visits was 0 to 121. On average, patients had 16.90 ± 10.60 PT visits (median [IQR], 16 [9-22]) after ACLR. Patients completed a mean of 52% of their PT visits in the first 6 weeks, 75% in the first 10 weeks, and 90% in the first 16 weeks after surgery. Patients aged 10 to 19 years had the highest number of PT visits (mean ± SD, 19.67 ± 12.09; median [IQR], 18 [12-25]), significantly greater than other age groups (P < .001). PT after ACLR is concentrated in the early postoperative period. Physicians, therapists, and patients may consider adjusting the limited access to PT to optimize patient recovery. As supervised PT visits may be limited, the appropriate temporal utilization of supervised PT visits must be maximized. Strategies to ensure sessions for later neuromuscular and activity-specific rehabilitation are needed.
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影响因子：
4.8
作者：
Grant, John A.;Mohtadi, Nicholas G. H.
通讯作者：
Mohtadi, Nicholas G. H.
影响因子：
1.1
作者：
Harris, Joshua D.;Abrams, Geoffrey D.;Cole, Brian J.
通讯作者：
Cole, Brian J.
DOI：
10.2519/jospt.1998.27.2.134
发表时间：
1998-02-01
影响因子：
6.1
作者：
Beard, DJ;Dodd, CAF
通讯作者：
Dodd, CAF
DOI：
10.1007/s00167-015-3546-3
发表时间：
2015-05
期刊：
Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
影响因子：
--
作者：
Herbst E;Hoser C;Hildebrandt C;Raschner C;Hepperger C;Pointner H;Fink C
通讯作者：
Fink C
影响因子：
2.3
作者：
Dunphy E;Hamilton FL;Spasić I;Button K
通讯作者：
Button K