Factors and criteria considered by Saudi physical therapists for a safe return to sport after anterior cruciate ligament reconstruction: a mixed model approach

Abstract

Objective Anterior cruciate ligament (ACL) injury is common among athletes, especially those engaged in high levels of physical activities. The prevalence of re-injury after ACL reconstruction is frequently reported among athletes. This study aims to identify the significant factors considered and criteria used by Saudi physical therapists for safe return to sport (RTS) after anterior cruciate ligament reconstruction (ACLR). Methods This research examined physical therapists’ knowledge and practices related to helping patients safely RTS after ACLR surgery. The study design involved a mixed-method approach, using both online questionnaires and in-person interviews with physical therapists. We developed the questions asked based on items from other research and had them reviewed by experienced physical therapists for accuracy and relevance. A total of 252 physical therapists participated in the study. Results We found that most specialist therapists suggest that age, psychological support, and patient adherence to rehabilitation are crucial for a safe RTS. They believe RTS should be 6 to 9 months after ACLR. Other factors that could influence the safe RTS are checking the isokinetic muscle strength before RTS and ensuring adequate knee range of motion (ROM). Conclusions The most crucial factors used by Saudi physical therapists for a safe RTS included the patient’s adherence to a suitable rehabilitation program (safe RTS could be 6–9 months after ACLR), the patient’s age, and proper psychological support.

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