Online Physical Therapy Protocol Quality, Variability, and Availability in Achilles Tendon Repair

Foot & Ankle Specialist
Harry M LightseyJ Turner Vosseller

Abstract

Substantial progress has been made in characterizing the benefit of early functional rehabilitation following Achilles tendon repair (ATR). However, standardized ATR rehabilitation guidelines have yet to be produced. Furthermore, as patients increasingly use the Internet to independently retrieve health care content, access to standardized, clinically effective rehabilitation protocols is necessary. Online ATR physical therapy protocols from US academic orthopaedic programs were reviewed. A comprehensive scoring rubric was designed after reviewing all identified protocols and was used to assess each protocol for both the presence of various rehabilitation components as well as when those components were introduced. Twenty-two of 155 US academic orthopaedic programs published postoperative Achilles rehabilitation protocols online, with a total of 27 individual protocols available for review. Twenty-one protocols (78%) recommended immediate postoperative splinting. Only one protocol recommended short-leg casting. Twenty-six protocols (96%) advised immediate nonweightbearing with progression to weightbearing as tolerated at an average of 3.0 weeks (range, 1-8 weeks) and to full weightbearing at an average of 7.3 weeks (range, 2-12...Continue Reading

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Citations

Dec 18, 2018·Foot & Ankle Specialist·Henrik C BäckerJ Turner Vosseller
Apr 3, 2019·Orthopaedic Journal of Sports Medicine·Harry M LightseyChristopher S Ahmad

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