{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T01:34:31Z","timestamp":1784252071885,"version":"3.55.0"},"reference-count":27,"publisher":"Human Kinetics","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,2,1]]},"abstract":"<jats:p><jats:italic><jats:bold>Context<\/jats:bold>:<\/jats:italic> With the high prevalence of anterior cruciate ligament rupture among young and active individuals, rehabilitation after the injury and surgery should meet the current evidence-based recommendations to restore knee function and reduce the risk of further injury. This study aimed to investigate the current rehabilitation practices and return to sports (RTS) criteria after anterior cruciate ligament reconstruction (ACLR) among physical therapists in Saudi Arabia. <jats:italic><jats:bold>Design<\/jats:bold>:<\/jats:italic> Online cross-sectional survey-based study. <jats:italic><jats:bold>Methods<\/jats:bold>:<\/jats:italic> A total of 177 physical therapists in Saudi Arabia participated in this survey. The survey included questions about the preferred postoperative timing and frequency of rehabilitation, current views on the importance of preoperative and postoperative rehabilitation to the overall outcomes, the timeframe of RTS, and the decision-making process to RTS. <jats:italic><jats:bold>Results<\/jats:bold>:<\/jats:italic> Most therapists (96.6%) believed preoperative rehabilitation was essential\/important to postoperative outcomes. Two-thirds encouraged patients to start rehabilitation program within 1 to 4\u00a0days immediately post-ACLR. RTS was permitted 6 to 9\u00a0months post-ACLR by 60% of therapists if satisfied with patient progress and capacity. Factors considered before RTS included knee strength (72.9%), functional capacity (86.4%), lower limb and trunk mechanics (62.7%), and psychological readiness (42.2%). Knee strength was assessed by manual muscle testing (39%), handheld dynamometry (15.3%), and isokinetic dynamometer (13.6%). While 60% of the therapists used single-limbed hop for distance for evaluating functional capacity, only 27.1% used a hop test battery. <jats:italic><jats:bold>Conclusions<\/jats:bold>:<\/jats:italic> The surveyed physical therapists in Saudi Arabia demonstrated variations in the current rehabilitation practices and RTS criteria post-ACLR. Over half of the surveyed therapists considered preoperative rehabilitation essential to postoperative outcomes. However, the therapists should update their perspective with current evidence-based practice regarding the RTS timeframe, psychological readiness assessment for RTS, and knee strength evaluation using objective measurements.<\/jats:p>","DOI":"10.1123\/jsr.2023-0260","type":"journal-article","created":{"date-parts":[[2023,12,18]],"date-time":"2023-12-18T17:10:26Z","timestamp":1702919426000},"page":"114-120","source":"Crossref","is-referenced-by-count":5,"title":["Current Rehabilitation Practices and Return to Sports Criteria After Anterior Cruciate Ligament Reconstruction: A Survey of Physical Therapists in Saudi Arabia"],"prefix":"10.1123","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0443-5514","authenticated-orcid":true,"given":"Yasir S.","family":"Alshehri","sequence":"first","affiliation":[{"name":"Department of Physical Therapy, College of Medical Rehabilitation Sciences, Taibah University, Madinah, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0286-8087","authenticated-orcid":true,"given":"Marwan M.A.","family":"Aljohani","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, College of Medical Rehabilitation Sciences, Taibah University, Madinah, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4383-115X","authenticated-orcid":true,"given":"Hosam","family":"Alzahrani","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, College of Applied Medical Sciences, Taif University, Taif, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4233-9673","authenticated-orcid":true,"given":"Msaad","family":"Alzhrani","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy and Health Rehabilitation, College of Applied Medical Sciences, Majmaah University, Majmaah, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7630-5471","authenticated-orcid":true,"given":"Khalid M.","family":"Alkhathami","sequence":"additional","affiliation":[{"name":"Department of Health Rehabilitation, Shaqra University, Shaqra, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5939-5340","authenticated-orcid":true,"given":"Adel","family":"Alshahrani","sequence":"additional","affiliation":[{"name":"Department of Medical Rehabilitation Sciences-Physiotherapy Program, College of Applied Medical Sciences, Najran University, Najran, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2038-7033","authenticated-orcid":true,"given":"Osama A.","family":"Khaled","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, College of Medical Rehabilitation Sciences, Taibah University, Madinah, Saudi Arabia"},{"name":"Basic Science Department, Faculty of Physical Therapy, Cairo University, Giza, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"100","reference":[{"issue":"2","key":"r1","series-title":"Curr Rev Musculoskelet Med","doi-asserted-by":"publisher","first-page":"114","DOI":"10.1007\/s12178-016-9329-8","article-title":"Basic biomechanic principles of knee instability","volume":"9","author":"Zlotnicki JP","year":"2016","unstructured":"Zlotnicki JP, Naendrup JH, Ferrer GA, Debski RE. 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