TY - GEN A1 - Pieper, Dawid A1 - Behnke, Eva‐Maria A1 - Dumke, Rieke A1 - Kehr‐Fuckel, Christel A1 - Radow, Carolin A1 - Schulze, Nils A1 - Follmann, Markus A1 - Schaefer, Corinna A1 - Prill, Robert A1 - Kopkow, Christian A1 - Bahns, Carolin A1 - Choi, Kyung‐Eun (Anna) A1 - Fischer, Lena T1 - Awareness of adapting clinical practice guidelines to a local context T2 - Clinical and public health guidelines N2 - Background Guideline recommendations are often not implemented in practice. This can be attributed to factors such as patient preferences and characteristics, structural conditions, personnel or other resources, as well as cultural or ethical aspects. Adaptations to the local context (e.g., regional or hospital) result in so-called locally adapted guidelines (LAGL), which could improve implementation. We aimed to assess the awareness of LAGL among guideline developers in Germany. Methods An online survey was conducted via LimeSurvey in May 2024. The questionnaire, designed based on literature and expert opinions, consisted of 23 items, predominantly with dichotomous response options. Recruitment was conducted via email. Direct contact addresses were identified using the German guideline registry (n = 397). Additionally, a mailing list distribution was conducted through the guidelines working group of the German Network for Evidence-Based Medicine (n = 316). Only fully completed questionnaires were included in the analysis. Data cleaning and descriptive analysis were performed using Excel. Results A total of 63 questionnaires were fully completed. The most represented groups were physicians (65%) and methodologists (24%), most frequently in coordination (76%) or as group members (62%). The most judicious reasons for developing a LAGL were differences in patient populations (48%), currency of recommendations (46%), and patient values and preferences (44%). The most commonly cited likely reasons for developing a LAGL were economic considerations (32%), differences in patient populations (30%), and currency of recommendations (30%). Many respondents (59%) were aware of the possibility of adapting existing guidelines to the local context. Among these, approximately half (49%) had already locally adapted a guideline, with 75% using an adaptation framework. Discussion LAGLs are known among guideline developers in Germany and are generally developed using adaptation frameworks. Potential reasons for preparing LAGLs are diverse, with some discrepancies between perceived valid and likely reasons. Highlights Over half (59%) of surveyed clinical practice guideline (CPG) developers in Germany were aware of the possibility of adapting CPGs to local contexts, and nearly half of them had practical experience doing so. Although several adaptation frameworks exist, only 44% of experienced adaptors were familiar with them, and among users, many found them only partly helpful. Differences in patient populations, outdated recommendations, and patient values were rated as the most valid reasons for local CPG adaptation, while economic factors were seen as the most likely driver in practice. Despite existing awareness, guideline adaptation to local settings remains underutilized and lacks structured implementation, highlighting the need for clearer definitions, better resources, and more practical examples. KW - Leitlinien Y1 - 2025 U6 - https://doi.org/10.1002/gin2.70025 SN - 2836-3973 VL - 2 IS - 3 SP - 1 EP - 7 PB - Wiley CY - Hobken, New Jersey ER - TY - GEN A1 - Jahnke, Sonja A1 - Prill, Robert A1 - Królikowska, Aleksandra A1 - Oleksy, Łukasz A1 - Cruysen, Caren A1 - Daszkiewicz, Maciej A1 - Kowal, Mateusz A1 - Kentel, Monika A1 - Kentel, Maciej A1 - Michel, Sven A1 - Reichert, Paweł A1 - Becker, Roland T1 - Test learning effects influence coordinative but not strength-related tasks in patients six months after anterior cruciate ligament reconstruction T2 - Journal of clinical medicine N2 - Background: A comprehensive rehabilitation program is recommended following anterior cruciate ligament reconstruction (ACLR) to restore function, strength and lower limb stability. Despite advancements in surgical techniques, high reinjury rates highlight the need to refine rehabilitation strategies. This study investigates performance across various physically demanding tasks and compares outcomes between the injured and uninjured leg, using a modified Back in Action (BIA) test battery. It is hypothesized that due to test learning effects patients exhibit faster improvement in coordinatively demanding tasks compared to strength-related tasks. Methods: Thirty-two patients (aged 18–40) following primary unilateral ACLR participated in a prospective cross-sectional study within the context of a larger trial. Participants completed a modified BIA test battery, including stability, countermovement jump (CMJ), drop landing, speedy jumps, and quick-feet test (QFT). Each test was conducted in three sets, with three immediate repetitions. Self-reported outcomes were also collected. Results: Patients showed significant within-session improvements in coordinative tasks, with 32% in the injured and 26% in the uninjured limb during the speedy jumps [p < 0.05]. No significant learning effects were observed in strength-related tasks (drop landing, stability test, CMJ). Patients with lower baseline performance exhibited greater improvement than patients with higher performance level from baseline. Furthermore, a correlation between self-assessed abilities and actual performance was identified. Conclusions: This study showed that improvement of coordinative tasks after Return to Sport (RTS) testing of ACLR patients are rather affected by test learning effects. In contrast, this phenomenon is not seen in strength-related tasks. Rehabilitation programs should integrate both types of exercises while considering individual baseline abilities. Tailoring rehabilitation to individual needs, establishing sport-specific rehabilitation programs and incorporating self-assessment tools can enhance patient-centered care and reduce reinjury risks. KW - Anterior cruciate ligament reconstruction (ACLR) KW - Return to Sport (RTS) KW - Back in Action (BIA) KW - Coordination KW - Neuromuscular adaption KW - Kinematics Y1 - 2025 U6 - https://doi.org/10.3390/jcm14176308 SN - 2077-0383 VL - 14 IS - 17 SP - 1 EP - 14 PB - MDPI CY - Basel ER -