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Ortopeders upplevelser av vilka faktorer som motiverar en främre korsbandsoperation och sjukgymnastens roll i beslutfattandet
2011 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [en]

The anterior cruciate ligament (ACL) is one of the most important stabilizing structures in the knee. An ACL injury is the most common ligament injury affecting the knee and can in some cases result in permanent reduction of function. Professional opinions differ about appropriate selection of patients for surgery versus conservative treatment. In the decision-making concerning surgery there are several factors to take into account. Regardless of which treatment chosen physiotherapeutic rehabilitation is substantial to increase health and muscle strength. In addition, the physiotherapist´s role in this context is unclear and needs clarification. The aim of this study was to describe orthopaedics experiences of factors, including the motives of these, who are perceived to be critical to the decision to implement an ACL surgery and the physiotherapist’s role in this decision-making. Method: 10 orthopaedic surgeons with 1 - 30 years' experience of ACL surgery were interviewed. The data was analyzed with a qualitative content analysis. Result: Decisive factors for surgeries were categorized into four categories; conditions before surgery, instability issues, social conditions in young individuals and orthopaedics clinical experiences. The physiotherapists’ role was categorized into seven different roles that the physiotherapist had before the decision about surgery. Conclusion: Motivation and compliance in practice and ability to increase strength were the conditions that must be met before the decision of surgery is taken. Instability issues, social conditions and orthopedic clinical experience were decisive factors for the decision to implement an ACL surgery. The physiotherapist had an important role in the decision- making process before surgery. The physiotherapist was responsible for the pre- and postoperative rehabilitation and was an expert advisory to the orthopedist. In addition, the physiotherapist had a clear role in the common decision making with the orthopedist and experienced physiotherapists could have an overall responsibility in decision making. The physiotherapist was also a therapeutic and educational supervisor for the patient and could assist inexperienced orthopedists.

Place, publisher, year, edition, pages
2011.
Keyword [en]
Medicine
Keyword [sv]
Medicin
Identifiers
URN: urn:nbn:se:ltu:diva-42519Local ID: 08557fa2-5970-48bc-8677-14328fc287b5OAI: oai:DiVA.org:ltu-42519DiVA: diva2:1015742
Subject / course
Student thesis, at least 15 credits
Educational program
Physiotherapy, master's level
Supervisors
Examiners
Note
Validerat; 20110810 (anonymous)Available from: 2016-10-04 Created: 2016-10-04Bibliographically approved

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CiteExportLink to record
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Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
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