Clinicians’ Attitudes, Perspectives, and Clinical Practices on Gait Retraining After Anterior Cruciate Ligament Reconstruction

Author:

Southall Kyle1,Vogtle Laura2,Singh Harshvardhan1ORCID,Ithurburn Matthew P.13ORCID,Bickel C. Scott4,Hurt Christopher P.1ORCID

Affiliation:

1. Department of Physical Therapy, The University of Alabama at Birmingham, Birmingham, AL, USA

2. Department of Occupational Therapy, The University of Alabama at Birmingham, Birmingham, AL, USA

3. The American Sports Medicine Institute, Birmingham, AL, USA

4. Department of Physical Therapy, Samford University, Birmingham, AL, USA

Abstract

Introduction: It has been shown that 45%–85% of patients with anterior cruciate ligament reconstruction (ACLR) will have early-onset arthritis within 10–12 years following surgery. Over the past two decades, the amount of literature regarding ACLR, gait maladaptations after ACLR and their potential link to early-onset arthritis, and rehabilitation techniques has grown exponentially; however, long-term patient outcomes remain modest. Methods: To evaluate current clinicians’ attitudes, perspectives, and clinical practice approach for rehabilitation of patients following ACLR, a survey questionnaire was designed using the Delphi technique. Results: Of the 263 respondents, 84.4% (n = 226) reported that they believed gait training to be “Very” or “Extremely Important.” However, only 35.7% (n = 94) reported objectively measuring gait during ACLR rehabilitation. Of the total respondents, only 6.8% (n = 18) assessed gait during rehabilitation using two-dimensional or three-dimensional motion capture technologies. Discussion: Our results suggest that while gait evaluation was perceived as important, most respondents did not objectively measure gait metrics as a clinical outcome during ACLR rehabilitation. These findings provide a prospective rehabilitation target to potentially mitigate a known risk factor of early-onset arthritis (gait maladaptations) in individuals following ACLR.

Publisher

Human Kinetics

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