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This research aims to assess physiotherapy utilization in the treatment of patients with an anterior-cruciate ligament knee injury, when delivered before their surgery (prehab), and its potential effects on absence from work, and patients global health consumptions (before and after the surgery).
Based on the codes generated from French National health database, patients with prehab (+post-surgery rehabilitation) will be compared to patients receiving only post-surgery rehabilitation
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Prehab | Patients awaiting a knee surgical procedure, and after the surgery |
| |
| Control | Patients after the surgery |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Rehabilitation before knee surgery (prehab) | Behavioral | Physiotherapy strategies for preparing the patient awaiting the surgical procedure |
|
| Measure | Description | Time Frame |
|---|---|---|
| Consumption of physiotherapy services | Total number of sessions, frequency (/week) | - 3 months up to surgery |
| Consumption of physiotherapy services | Total number of sessions, frequency (/week) | from surgery up to 18 months later |
| Absence from work | Number of days | - 3 months up to surgery |
| Absence from work | Number of days | from surgery up to 18 months later |
| Measure | Description | Time Frame |
|---|---|---|
| Health consumption 1 | Appointments to MD, nurses (total number) | - 3 months up to surgery |
| Health consumption 1 | Appointments to MD, nurses (total number) |
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Inclusion Criteria:
- First episod of ACL-surgery
Exclusion Criteria:
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Preparing the patient for a surgical procedure had been well known in physiotherapy.
Presurgical exercise aiming to improve functional capacity before a surgical procedure leads to more rapid postoperative recovery compared with patients who remain physically inactive through the preoperative period
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU de Nantes | Nantes | 44093 | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39618085 | Derived | Le Sant G, Frouin A, Gachet L, Lacourpaille L, Nordez A, Bataille E, Gaultier A, Fournier JP. Effects of preoperative treatment on healthcare utilization and return to work for anterior cruciate ligament injuries: a real-world study using the French healthcare database. Phys Sportsmed. 2025 Apr;53(2):159-168. doi: 10.1080/00913847.2024.2435256. Epub 2024 Dec 1. |
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| Post-surgery rehabilitation | Behavioral | Physiotherapy strategies to manage post-surgery recovery |
|
| from surgery up to 18 months later |
| Health consumption 2 | Drugs and medical imaging (total number) | - 3 months up to surgery |
| Health consumption 2 | Drugs and medical imaging (total number) | from surgery up to 18 months later |
| Health consumption 3 | Hospital stay (number, length) | from surgery up to 18 months later |
| Health consumption 4 | Re-injury (surgery, number) | from surgery up to 18 months later |