Utilization of Rehabilitation Prior to Surgery Among Patients With Anterior-cruciate Ligament Knee Injury

Study Overview
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Brief Summary
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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).

Detailed Description
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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

Official Title
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Utilization of Rehabilitation Prior to Surgery Among Patients With Anterior-cruciate Ligament Knee Injury: a Retrospective Review of the French National Health Database (Prehab-ACL)

Conditions
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Anterior-cruciate Ligament Knee Injury

Intervention / Treatment
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* Behavioral: Rehabilitation before knee surgery (prehab)
* Behavioral: Post-surgery rehabilitation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: - First episod of ACL-surgery Exclusion Criteria: No history or previous ACL-surgery No rehabilitation after surgery

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Prehab<br>Patients awaiting a knee surgical procedure, and after the surgery | Behavioral: Rehabilitation before knee surgery (prehab)<br>* Physiotherapy strategies for preparing the patient awaiting the surgical procedure<br>Behavioral: Post-surgery rehabilitation<br>* Physiotherapy strategies to manage post-surgery recovery<br>|
| Control<br>Patients after the surgery | Behavioral: Post-surgery rehabilitation<br>* Physiotherapy strategies to manage post-surgery recovery<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | 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 | 

Secondary Outcome Measures

| Outcome Measure | 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) | 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 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Rehabilitation, Surgery, Health consumption