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Functional ACL bracing. A survey of current opinion and practice
L C Decoster1, J C Vailas, W G Swartz
1New Hampshire Musculoskeletal Institute, USA.
Most orthopedic sports medicine physicians prescribe functional anterior cruciate ligament (ACL) braces, often custom-made, for nine months post-reconstruction. However, some are decreasing brace usage, highlighting the need for further research on optimal ACL bracing efficacy.
Area of Science:
- Orthopedic Sports Medicine
- Biomechanics
- Rehabilitation
Background:
- Efficacy of functional anterior cruciate ligament (ACL) bracing remains debated due to equivocal study results.
- Clinical practice patterns for ACL bracing are not well-documented.
Purpose of the Study:
- To survey orthopedic sports medicine physicians regarding their current practices in prescribing functional bracing for ACL patients.
- To identify trends and recent changes in ACL bracing prescription habits among physicians.
Main Methods:
- A mailed survey was distributed to orthopedic sports medicine physicians.
- The survey assessed brace prescription practices, including type of brace, duration of use, and recent changes in protocols.
Main Results:
- A 56% response rate was achieved (114/205 physicians).
- The majority of physicians utilize functional braces for ACL patients, with a preference for custom-made braces.
- Most physicians prescribe bracing for nine months post-reconstruction.
- Thirty-six percent of respondents reported recent modifications to their bracing practices, with some reducing brace utilization.
Conclusions:
- Orthopedic sports medicine physicians widely adopt functional bracing for ACL reconstruction, favoring custom braces for extended periods.
- A notable percentage of physicians are re-evaluating and potentially reducing their reliance on bracing, indicating evolving clinical perspectives.
- Further research is essential to establish evidence-based guidelines for ACL bracing regimens and clarify its efficacy.
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