The conservative management of anterior cruciate ligament deficiency. A nationwide survey of current practice
Beard DJ., Fergusson CM.
To provide a database and direct further research, a nationwide postal survey of 30 centres was carried out to investigate the current non-surgical treatment of anterior cruciate ligament deficient (ACLD) patients. The response rate was 87%. All of the centres surveyed treated ACLD patients and 68% received the referral from consultants. Conclusions were that few centres (17%) had a defined protocol for ACLD. Only 5% of centres received the patients within three months of sustaining the injury. Centres that received more than 30 referrals per year were more likely to have an organised protocol and tended to use a class format to treat these patients. The main objective of treatment for most centres was to increase muscle strength (72%) while only 12% had the objective of obtaining dynamic stability. Traditional non-proprioceptive muscle strengthening methods were the main form of treatment utilised (96%) and function was considered the main outcome measure for the treatment (52%). Dynamic stability and proprioceptive treatment methods were employed by only 28% of centres surveyed.