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Fouasson-Chailloux A, Crenn V, Louguet B, Grondin J, Menu P, Dauty M. Therapeutic Patient Education after Anterior Cruciate Ligament Reconstruction: Evaluation of the Knowledge and Certitudes with a Self-Report Questionnaire. Healthcare (Basel) 2022; 10:934. [PMID: 35628073 PMCID: PMC9140942 DOI: 10.3390/healthcare10050934] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2022] [Revised: 05/11/2022] [Accepted: 05/17/2022] [Indexed: 01/15/2023] Open
Abstract
Therapeutic education aims to help patients acquire skills and knowledge, and to improve psychosocial aspects to manage chronic disease. After anterior cruciate ligament reconstruction (ACLR), only 35 to 60% of the patients are able to go back to their previous sport. Return to sport depends on the motivation of the patient. No therapeutic education has already been proposed. We aimed to evaluate the effect of therapeutic education sessions on knowledge improvement during inpatient rehabilitation after ACLR, compared to patients operated with the same surgical technic, but who had no therapeutic education because of outpatient rehabilitation. Sessions were performed by a multidisciplinary team. The evaluation of the knowledge was performed with a true or false 12-items self-report questionnaire. Fifty-four patients were studied and compared to 54 patients with no therapeutic education. The educated and the non-educated groups were comparable. The number of correct answers increased from 73% before therapeutic education to 95% at the end of the hospitalization (p < 0.001). This improvement persisted over time with 91.5% of correct answers at four months (p = 0.94). The non-educated group had 70% of correct answers. This was significantly lower than the results obtained from the educated group at four months (p < 0.001). It was comparable to the result obtained before therapeutic education (p = 0.91). Therapeutic patient education performed during hospitalization for rehabilitation enables patients to have a better knowledge of the stages from rehabilitation to return to sport and the risks of complication after ACLR.
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Affiliation(s)
- Alban Fouasson-Chailloux
- Service de Médecine Physique et Réadaptation Locomotrice, Nantes University, University Hospital of Nantes, Hôpital St. Jacques, 85 Rue Saint Jacques, 44093 Nantes, France; (J.G.); (P.M.); (M.D.)
- Service de Médecine du Sport, Nantes University, University Hospital of Nantes, Hôpital St. Jacques, 85 Rue Saint Jacques, 44093 Nantes, France;
- INSERM UMR 1229, RMeS, Regenerative Medicine and Skeleton, Nantes University, 44000 Nantes, France
- IRMS, Institut Régional de Médecine du Sport, Hôpital St. Jacques, 85 Rue Saint Jacques, 44093 Nantes, France
| | - Vincent Crenn
- Clinique Chirurgicale Orthopédique et Traumatologique, Nantes University, Hôtel-Dieu, 44000 Nantes, France;
| | - Bastien Louguet
- Service de Médecine du Sport, Nantes University, University Hospital of Nantes, Hôpital St. Jacques, 85 Rue Saint Jacques, 44093 Nantes, France;
- IRMS, Institut Régional de Médecine du Sport, Hôpital St. Jacques, 85 Rue Saint Jacques, 44093 Nantes, France
| | - Jérôme Grondin
- Service de Médecine Physique et Réadaptation Locomotrice, Nantes University, University Hospital of Nantes, Hôpital St. Jacques, 85 Rue Saint Jacques, 44093 Nantes, France; (J.G.); (P.M.); (M.D.)
- Service de Médecine du Sport, Nantes University, University Hospital of Nantes, Hôpital St. Jacques, 85 Rue Saint Jacques, 44093 Nantes, France;
| | - Pierre Menu
- Service de Médecine Physique et Réadaptation Locomotrice, Nantes University, University Hospital of Nantes, Hôpital St. Jacques, 85 Rue Saint Jacques, 44093 Nantes, France; (J.G.); (P.M.); (M.D.)
- Service de Médecine du Sport, Nantes University, University Hospital of Nantes, Hôpital St. Jacques, 85 Rue Saint Jacques, 44093 Nantes, France;
- INSERM UMR 1229, RMeS, Regenerative Medicine and Skeleton, Nantes University, 44000 Nantes, France
- IRMS, Institut Régional de Médecine du Sport, Hôpital St. Jacques, 85 Rue Saint Jacques, 44093 Nantes, France
| | - Marc Dauty
- Service de Médecine Physique et Réadaptation Locomotrice, Nantes University, University Hospital of Nantes, Hôpital St. Jacques, 85 Rue Saint Jacques, 44093 Nantes, France; (J.G.); (P.M.); (M.D.)
- Service de Médecine du Sport, Nantes University, University Hospital of Nantes, Hôpital St. Jacques, 85 Rue Saint Jacques, 44093 Nantes, France;
- INSERM UMR 1229, RMeS, Regenerative Medicine and Skeleton, Nantes University, 44000 Nantes, France
- IRMS, Institut Régional de Médecine du Sport, Hôpital St. Jacques, 85 Rue Saint Jacques, 44093 Nantes, France
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