Underutilization of coper/non-coper screening in anterior cruciate ligament injuries management in Italy: an online survey

IntroductionTotal and sub-total lesions of the anterior cruciate ligament (ACL) are one of the most frequent and performance-limiting injuries to the knee joint within the active population. Early surgical management, often regarded as the primary management strategy, has recently been shown to have...

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Main Authors: Luca Macrelli, Luca Mallia, Gabriele Thiebat, Jacopo Emanuele Rocchi, Lee Herrington, Sebastiano Nutarelli
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Rehabilitation Sciences
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Online Access:https://www.frontiersin.org/articles/10.3389/fresc.2024.1497828/full
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author Luca Macrelli
Luca Mallia
Gabriele Thiebat
Jacopo Emanuele Rocchi
Jacopo Emanuele Rocchi
Lee Herrington
Lee Herrington
Sebastiano Nutarelli
Sebastiano Nutarelli
author_facet Luca Macrelli
Luca Mallia
Gabriele Thiebat
Jacopo Emanuele Rocchi
Jacopo Emanuele Rocchi
Lee Herrington
Lee Herrington
Sebastiano Nutarelli
Sebastiano Nutarelli
author_sort Luca Macrelli
collection DOAJ
description IntroductionTotal and sub-total lesions of the anterior cruciate ligament (ACL) are one of the most frequent and performance-limiting injuries to the knee joint within the active population. Early surgical management, often regarded as the primary management strategy, has recently been shown to have similar outcomes when compared with an initial rehabilitative approach followed by surgical ACL reconstruction if higher levels of functionality are needed. The primary objective of the study was to investigate the physiotherapists and orthopedic surgeons’ “coper/non-coper” screening application in the clinical management of the patient after ACL injury. Second, the authors aimed to investigate the cooperation between physiotherapists and orthopedic surgeons when dealing with patients with ACL injuries.MethodsAn online survey consisting of 12 questions on the clinical practice of the surveyed physiotherapists (n = 803) and orthopedic surgeons (n = 201), and the relation between these healthcare professionals, was distributed. The answers were stratified depending on clinical experience in dealing with ACL injuries.ResultsBoth physiotherapists and orthopedic surgeons showed a low degree of confidence and application of the “coper/non-coper” screening when managing ACL lesions. The sub-population of ACL experts reported a good level of interprofessional interaction. Nevertheless, an updated level of knowledge regarding the recent evidence on the non-surgical management of ACL lesions is still lacking.ConclusionsThe study findings indicate the need to improve the collaboration between Italian physiotherapists and orthopedic surgeons as well as their knowledge of the non-surgical approaches to ACL lesions.
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spelling doaj-art-6f7a2c5984b1497b9ea67f192b52e3742025-01-15T06:10:45ZengFrontiers Media S.A.Frontiers in Rehabilitation Sciences2673-68612025-01-01510.3389/fresc.2024.14978281497828Underutilization of coper/non-coper screening in anterior cruciate ligament injuries management in Italy: an online surveyLuca Macrelli0Luca Mallia1Gabriele Thiebat2Jacopo Emanuele Rocchi3Jacopo Emanuele Rocchi4Lee Herrington5Lee Herrington6Sebastiano Nutarelli7Sebastiano Nutarelli8Musculoskeletal Physical Therapy, University of Bologna, Bologna, ItalyDepartment of Movement, Human and Health Sciences, Foro Italico University of Rome, Rome, ItalySport Traumatology and Minimally Invasive Surgery Center, IRCCS Istituto Ortopedico Galeazzi, Milan, ItalyDepartment of Movement, Human and Health Sciences, Foro Italico University of Rome, Rome, ItalyFIFA Medical Centre of Excellence, Villa Stuart Sport Clinic, Rome, ItalyManchester Institute for Health and Performance, English Institute of Sport, Manchester, United KingdomCentre for Health, Sport and Rehabilitation Sciences, University of Salford, Salford, United KingdomDepartment of Surgery, EOC, Service of Orthopaedics and Traumatology, Lugano, SwitzerlandSchool of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin, IrelandIntroductionTotal and sub-total lesions of the anterior cruciate ligament (ACL) are one of the most frequent and performance-limiting injuries to the knee joint within the active population. Early surgical management, often regarded as the primary management strategy, has recently been shown to have similar outcomes when compared with an initial rehabilitative approach followed by surgical ACL reconstruction if higher levels of functionality are needed. The primary objective of the study was to investigate the physiotherapists and orthopedic surgeons’ “coper/non-coper” screening application in the clinical management of the patient after ACL injury. Second, the authors aimed to investigate the cooperation between physiotherapists and orthopedic surgeons when dealing with patients with ACL injuries.MethodsAn online survey consisting of 12 questions on the clinical practice of the surveyed physiotherapists (n = 803) and orthopedic surgeons (n = 201), and the relation between these healthcare professionals, was distributed. The answers were stratified depending on clinical experience in dealing with ACL injuries.ResultsBoth physiotherapists and orthopedic surgeons showed a low degree of confidence and application of the “coper/non-coper” screening when managing ACL lesions. The sub-population of ACL experts reported a good level of interprofessional interaction. Nevertheless, an updated level of knowledge regarding the recent evidence on the non-surgical management of ACL lesions is still lacking.ConclusionsThe study findings indicate the need to improve the collaboration between Italian physiotherapists and orthopedic surgeons as well as their knowledge of the non-surgical approaches to ACL lesions.https://www.frontiersin.org/articles/10.3389/fresc.2024.1497828/fullACL deficientrehabilitationnon-surgicalorthopedic surgeonphysiotherapist
spellingShingle Luca Macrelli
Luca Mallia
Gabriele Thiebat
Jacopo Emanuele Rocchi
Jacopo Emanuele Rocchi
Lee Herrington
Lee Herrington
Sebastiano Nutarelli
Sebastiano Nutarelli
Underutilization of coper/non-coper screening in anterior cruciate ligament injuries management in Italy: an online survey
Frontiers in Rehabilitation Sciences
ACL deficient
rehabilitation
non-surgical
orthopedic surgeon
physiotherapist
title Underutilization of coper/non-coper screening in anterior cruciate ligament injuries management in Italy: an online survey
title_full Underutilization of coper/non-coper screening in anterior cruciate ligament injuries management in Italy: an online survey
title_fullStr Underutilization of coper/non-coper screening in anterior cruciate ligament injuries management in Italy: an online survey
title_full_unstemmed Underutilization of coper/non-coper screening in anterior cruciate ligament injuries management in Italy: an online survey
title_short Underutilization of coper/non-coper screening in anterior cruciate ligament injuries management in Italy: an online survey
title_sort underutilization of coper non coper screening in anterior cruciate ligament injuries management in italy an online survey
topic ACL deficient
rehabilitation
non-surgical
orthopedic surgeon
physiotherapist
url https://www.frontiersin.org/articles/10.3389/fresc.2024.1497828/full
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