title: Physiotherapists' experiences of the management of anterior cruciate ligament injuries.
abstract: BACKGROUND
  While extensive research has been reported for management of anterior cruciate ligament (ACL) injuries, variation in treatment by physiotherapists is evident.
  
  
  OBJECTIVE
  To explore physiotherapists' experiences regarding ACL injury rehabilitation and factors that influenced physiotherapists' decision making for ACL rehabilitation, and to elicit what research physiotherapists perceived would support their management of these patients.
  
  
  METHODS
  Qualitative study.
  
  
  METHODS
  Fifteen physiotherapists from six private clinics in New Zealand participated in semi-structured interviews. The interviews were recorded, transcribed verbatim and the general inductive approach was used to develop key themes.
  
  
  RESULTS
  Participant's management strengths were evident by their intent and commitment to provide expert rehabilitation, using a biopsychosocial approach and evidence-informed practice. The lengthy management process (including prolonged rehabilitation and referral processes) and interprofessional disconnect concerned participants. Translational research was needed for clear directions for exercise prescription and milestones for return to sports and occupation following ACL injury.
  
  
  CONCLUSIONS
  Participants provided a biopsychosocial and evidence-based approach to ACL injury management. Potential areas of improvement include simplifying the referral process and enhancing communication between physiotherapists and other health professionals. Future research should focus on clarifying areas of ACL rehabilitation uncertainty, or collating results in an accessible and usable format for clinical practice.
authors.affiliation: Center for Health, Activity and Rehabilitation Research, School of Physiotherapy, University of Otago, New Zealand.
authors.forename: Arlene V
authors.initials: AV
authors.lastname: von Aesch
authors.affiliation: Center for Health, Activity and Rehabilitation Research, School of Physiotherapy, University of Otago, New Zealand.
authors.forename: Meredith
authors.initials: M
authors.lastname: Perry
authors.affiliation: Center for Health, Activity and Rehabilitation Research, School of Physiotherapy, University of Otago, New Zealand. Electronic address: Gisela.sole@otago.ac.nz.
authors.forename: Gisela
authors.initials: G
authors.lastname: Sole
mesh_terms: D000070598:Anterior Cruciate Ligament Injuries / Q000534:rehabilitation*; D019468:Disease Management; D055317:Evidence-Based Practice; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D009520:New Zealand; D059825:Physical Therapists; D026741:Physical Therapy Modalities; D036301:Qualitative Research; D020127:Recovery of Function
keywords: Anterior cruciate ligament; Physiotherapy; Qualitative study; Rehabilitation