Limits...
Functional assessments for decision-making regarding return to sports following ACL reconstruction. Part II: clinical application of a new test battery.

Herbst E, Hoser C, Hildebrandt C, Raschner C, Hepperger C, Pointner H, Fink C - Knee Surg Sports Traumatol Arthrosc (2015)

Bottom Line: After the first and second test, 15.9 and 17.4 % of the patients met the criteria for a "return to non-competitive sports".The most limiting factor was a poor LSI value of <90 % if the dominant leg was involved and <80 % if the non-dominant leg was involved.This should be considered in the future to determine when it is safe to return to sports and should avoid a premature return to competitive sports.

View Article: PubMed Central - PubMed

Affiliation: Department of Trauma Surgery and Sports Medicine, Medical University Innsbruck (MUI), Anichstraße 35, 6020, Innsbruck, Austria.

ABSTRACT

Purpose: The purpose of this study was to utilize a novel functional test system to facilitate determining the time of return to sports following ACL reconstruction.

Methods: Sixty-nine patients with unilateral ACL reconstruction were included in this pilot study. All the patients performed a standardized test battery consisting of one- and two-legged stability tests, counter movement jumps, speedy jumps, plyometric jumps and a quick feed test. The first test was administered on average 170.7 ± 75.1 days post-operatively, and the retest was administered on average 239.1 ± 79.7 days post-operatively. The values of the subtests were compared with the normative data of healthy gender- and age-matched controls to determine the functional capacities of patients following ACL reconstruction.

Results: After the first and second test, 15.9 and 17.4 % of the patients met the criteria for a "return to non-competitive sports". One patient fulfilled the criteria for a "return to competitive sports" after the second test battery. The most limiting factor was a poor LSI value of <90 % if the dominant leg was involved and <80 % if the non-dominant leg was involved.

Conclusion: This test battery demonstrates that, in terms of neuromuscular abilities, most patients, compared to healthy controls, are most likely not ready for a safe return to sports, even 8 months post-operatively. This should be considered in the future to determine when it is safe to return to sports and should avoid a premature return to competitive sports.

Level of evidence: III.

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Related in: MedlinePlus

Single-legged subtests: performance reached at the retest shown as percentage
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Related In: Results  -  Collection


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Fig4: Single-legged subtests: performance reached at the retest shown as percentage

Mentions: Figures 4 and 5 summarize the patients’ scores in the retest compared to those of the group of healthy subjects.Fig. 4


Functional assessments for decision-making regarding return to sports following ACL reconstruction. Part II: clinical application of a new test battery.

Herbst E, Hoser C, Hildebrandt C, Raschner C, Hepperger C, Pointner H, Fink C - Knee Surg Sports Traumatol Arthrosc (2015)

Single-legged subtests: performance reached at the retest shown as percentage
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4555207&req=5

Fig4: Single-legged subtests: performance reached at the retest shown as percentage
Mentions: Figures 4 and 5 summarize the patients’ scores in the retest compared to those of the group of healthy subjects.Fig. 4

Bottom Line: After the first and second test, 15.9 and 17.4 % of the patients met the criteria for a "return to non-competitive sports".The most limiting factor was a poor LSI value of <90 % if the dominant leg was involved and <80 % if the non-dominant leg was involved.This should be considered in the future to determine when it is safe to return to sports and should avoid a premature return to competitive sports.

View Article: PubMed Central - PubMed

Affiliation: Department of Trauma Surgery and Sports Medicine, Medical University Innsbruck (MUI), Anichstraße 35, 6020, Innsbruck, Austria.

ABSTRACT

Purpose: The purpose of this study was to utilize a novel functional test system to facilitate determining the time of return to sports following ACL reconstruction.

Methods: Sixty-nine patients with unilateral ACL reconstruction were included in this pilot study. All the patients performed a standardized test battery consisting of one- and two-legged stability tests, counter movement jumps, speedy jumps, plyometric jumps and a quick feed test. The first test was administered on average 170.7 ± 75.1 days post-operatively, and the retest was administered on average 239.1 ± 79.7 days post-operatively. The values of the subtests were compared with the normative data of healthy gender- and age-matched controls to determine the functional capacities of patients following ACL reconstruction.

Results: After the first and second test, 15.9 and 17.4 % of the patients met the criteria for a "return to non-competitive sports". One patient fulfilled the criteria for a "return to competitive sports" after the second test battery. The most limiting factor was a poor LSI value of <90 % if the dominant leg was involved and <80 % if the non-dominant leg was involved.

Conclusion: This test battery demonstrates that, in terms of neuromuscular abilities, most patients, compared to healthy controls, are most likely not ready for a safe return to sports, even 8 months post-operatively. This should be considered in the future to determine when it is safe to return to sports and should avoid a premature return to competitive sports.

Level of evidence: III.

Show MeSH
Related in: MedlinePlus