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ACL Return to Sport Testing

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https://www.readbyqxmd.com/read/27904796/functional-hop-tests-and-tuck-jump-assessment-scores-between-female-division-i-collegiate-athletes-participating-in-high-versus-low-acl-injury-prone-sports-a-cross-sectional-analysis
#1
Philipp Hoog, Meghan Warren, Craig A Smith, Nicole J Chimera
BACKGROUND: Although functional tests including the single leg hop (SLH), triple hop (TH), cross over hop (COH) for distance, and the tuck jump assessment (TJA) are used for return to play (RTP) criteria for post anterior cruciate ligament (ACL) injury, sport-specific baseline measurements are limited. PURPOSE: The purpose of this study was to examine differences in SLH, TH, and COH distance and limb symmetry index (LSI), as well as total scores, number of jumps, and individual flaws of the TJA in 97 injury-free Division I (DI) collegiate female student athletes participating in ACL injury prone vs...
December 2016: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/27900339/an-ecological-study-of-anterior-cruciate-ligament-reconstruction-part-1-clinical-tests-do-not-correlate-with-return-to-sport-outcomes
#2
Timothy M McGrath, Gordon Waddington, Jennie M Scarvell, Nick Ball, Rob Creer, Kevin Woods, Damian Smith, Roger Adams
BACKGROUND: Additional high-quality prospective studies are needed to better define the objective criteria used in relation to return-to-sport decisions after synthetic (ligament advanced reinforcement system [LARS]) and autograft (hamstring tendon [2ST/2GR]) anterior cruciate ligament (ACL) reconstruction in active populations. PURPOSE: To prospectively investigate and describe the recovery of objective clinical outcomes after autograft (2ST/2GR) and synthetic (LARS) ACL reconstructions, as well as to investigate the relationship between these clinimetric test outcomes and return-to-sport activity (Tegner activity scale [TAS] score) at 12 and 24 months postoperatively...
November 2016: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/27859527/gait-mechanics-and-second-acl-rupture-implications-for-delaying-return-to-sport
#3
Jacob J Capin, Ashutosh Khandha, Ryan Zarzycki, Kurt Manal, Thomas S Buchanan, Lynn Snyder-Mackler
Second anterior cruciate ligament rupture is a common and devastating injury among young women who return to sport after ACL reconstruction, but it is inadequately understood. The purpose of this study was to compare gait biomechanics and return-to-sport time frames in a matched cohort of young female athletes who, after primary ACLR, returned to sport without re-injury or sustained a second ACL injury. Approximately 6 months after primary reconstruction, 14 young women (age 16 ± 2 years) involved in jumping, cutting, and pivoting sports underwent motion analysis testing after physical therapy and impairment resolution...
November 9, 2016: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
https://www.readbyqxmd.com/read/27855310/between-leg-differences-in-challenging-single-limb-balance-performance-one-year-following-anterior-cruciate-ligament-reconstruction
#4
Anna L Hatton, Kay M Crossley, Ross A Clark, Timothy S Whitehead, Hayden G Morris, Adam G Culvenor
Following anterior cruciate ligament (ACL) rupture, reconstructive surgery (ALCR) is often performed to mechanically stabilise the knee, however functional deficits often persist long after surgery. Impaired single-limb standing balance has been observed in the ACLR limb compared to healthy individuals. However, it remains inconclusive as to whether these same balance deficits exist between the injured and contralateral uninjured limbs, during challenging balance tasks, and at a time when patients are permitted to return to sport...
November 11, 2016: Gait & Posture
https://www.readbyqxmd.com/read/27837221/femoral-avulsion-fracture-of-acl-proximal-attachment-in-male-scuba-diver-case-report-and-review-of-the-literature
#5
Sebastian Zabierek, Krzysztof Nowak, Marcin Domzalski
Femoral ACL avulsion fractures were not well described in the literature, and there were only several reports describing mostly immature patients. A case of 50-year-old man with ACL femoral attachment avulsion fracture after pivoting knee injury during skiing was presented. The bony attachment was reduced and fixed arthroscopically with screws. Four months after surgery, patient was allowed to return to full sport activity with full range of motion. He was able to perform a one-leg-hop test without limitation, and the strength of quadriceps muscle was comparable to contralateral side...
November 11, 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/27815015/arthroscopic-anterior-cruciate-ligament-repair-for-proximal-anterior-cruciate-ligament-tears-in-skeletally-immature-patients-surgical-technique-and-preliminary-results
#6
Marco Bigoni, Diego Gaddi, Massimo Gorla, Daniele Munegato, Marco Pungitore, Massimiliano Piatti, Marco Turati
BACKGROUND: Anterior cruciate ligament (ACL) tears in children are increasingly common and present difficult treatment decisions due to the risk of growth disturbance. Although open primary ACL repair was abandoned in the historical literature, recent studies have suggested that there is a role for arthroscopic primary repair in patients with proximal tears. METHODS: This is a retrospective review of five consecutive patients aged 9.2years (range 8 to 10) who underwent suture anchor ACL reinsertion...
November 2, 2016: Knee
https://www.readbyqxmd.com/read/27734019/predictors-of-revision-surgery-after-primary-anterior-cruciate-ligament-reconstruction
#7
Mohammad A Yabroudi, Haukur Björnsson, Andrew D Lynch, Bart Muller, Kristian Samuelsson, Majd Tarabichi, Jón Karlsson, Freddie H Fu, Christopher D Harner, James J Irrgang
BACKGROUND: Revision anterior cruciate ligament (ACL) reconstruction surgery occurs in 5% to 15% of individuals undergoing ACL reconstruction. Identifying predictors for revision ACL surgery is of essence in the pursuit of creating adequate prevention programs and to identify individuals at risk for reinjury and revision. PURPOSE: To determine predictors of revision ACL surgery after failed primary ACL reconstruction. STUDY DESIGN: Case-control study; Level of evidence, 3...
September 2016: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/27676866/evolution-of-the-anteroposterior-laxity-by-gnrb-at-6-9-and-12-months-post-surgical-anterior-cruciate-ligament-reconstruction
#8
Bertrand Semay, Alexandre Rambaud, Rémi Philippot, Pascal Edouard
OBJECTIVE: This study aimed to analyze the evolution of the tibiofemoral anterior laxity during the return to sport after anterior cruciate ligament reconstruction. PATIENTS AND METHODS: Twenty patients (11 women, 9 men) with mean age of 22.4±5.1 years, operated for ACL reconstruction by a hamstring technique, competitors in a pivot-contact sport, were enrolled between September 2014 and March 2016. They were evaluated at 6 (n=20), 9 (n=13) and 12 (n=13) months postoperatively by laximetry to 250N using laximètre GnRB(®) (GenouROB, Laval, France)...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27676865/functional-tests-can-they-help-in-the-decision-to-return-to-sports-after-anterior-cruciate-ligament-example-with-hop-tests
#9
Alexandre Rambaud, Pierre Samozino, Pascal Edouard
OBJECTIVE: After anterior cruciate ligament (ACL) tear, the ACL reconstruction (ACLR) is the standard treatment to return to pivots/contacts sports. The goal of rehabilitation programs is to guide the functional recovery and the safe return to sport without additional knee injury or other injuries. Functional tests, like Hop tests and their side to-side difference index [limb symmetry index (LSI)], are commonly used following ACLR to help return to sport decision making. However, the most commonly used criterion to return to sport is the postoperative time: return to light activities (RtlA) at 3 or 4 month mark and return to sport with contacts and side-cuttings (RtS) between 6 and 9 month mark...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27671473/patient-based-decision-for-resuming-activity-after-acl-reconstruction-a-single-centre-experience
#10
Jean-Yves Jenny, Xavier Clement
PURPOSE: The purpose of the study was to report the functional outcome following anterior cruciate ligament (ACL) reconstruction in patients who decide when to resume work and normal sporting activity post-operatively. The hypothesis tested was that patient-based decision to return to work and sport was possible without compromising functional outcome and increased the rate of repeat rupture in comparison with the existing literature. METHODS: This was a monocentric, retrospective study...
September 26, 2016: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/27539507/evidence-based-clinical-practice-update-practice-guidelines-for-anterior-cruciate-ligament-rehabilitation-based-on-a-systematic-review-and-multidisciplinary-consensus
#11
Nicky van Melick, Robert E H van Cingel, Frans Brooijmans, Camille Neeter, Tony van Tienen, Wim Hullegie, Maria W G Nijhuis-van der Sanden
AIM: The Royal Dutch Society for Physical Therapy (KNGF) instructed a multidisciplinary group of Dutch anterior cruciate ligament (ACL) experts to develop an evidence statement for rehabilitation after ACL reconstruction. DESIGN: Clinical practice guideline underpinned by systematic review and expert consensus. DATA SOURCES: A multidisciplinary working group and steering group systematically reviewed the literature and wrote the guideline...
December 2016: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/27539403/translation-and-cross-cultural-adaptation-of-the-anterior-cruciate-ligament-return-to-sport-after-injury-acl-rsi-scale-into-turkish
#12
Gulcan Harput, Damla Tok, Burak Ulusoy, Leyla Eraslan, Taha Ibrahim Yildiz, Elif Turgut, Serdar Demirci, Irem Duzgun, Volga Bayrakci Tunay, Gul Baltaci, Nevin Ergun
PURPOSE: To translate and culturally adapt the anterior cruciate ligament-return to sport after injury (ACL-RSI) scale into Turkish (ACL-RSI-Tr) and examine and evaluate the psychometric properties of the Turkish version in individuals who have undergone anterior cruciate ligament (ACL) reconstruction. METHODS: The ACL-RSI was forward- and back-translated, culturally adapted and validated on ninety-three Turkish individuals who had undergone ACL reconstruction (5 females, 88 males; age 28...
August 18, 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/27532454/asymmetry-and-thigh-muscle-coactivity-in-fatigued-acl-reconstructed-elite-skiers
#13
Matthew J Jordan, Per Aagaard, Walter Herzog
PURPOSE: The acute effects of fatigue on functional inter-limb asymmetry and quadriceps/hamstring muscle activity levels including preparatory co-activation during squat jump takeoff and landing was evaluated in elite alpine ski racers with/without anterior cruciate ligament (ACL) reconstruction (ACLR). METHODS: Twenty-two elite ski racers (ACLR: n=11; Control: n=11) performed an 80-second repeated squat jump test (jump-test) on a dual force plate system with simultaneous electromyography (EMG) recordings in vastus lateralis (VL), vastus medialis (VM), semitendinosus (ST) and biceps femoris (BF)...
August 17, 2016: Medicine and Science in Sports and Exercise
https://www.readbyqxmd.com/read/27530387/return-to-knee-strenuous-sport-after-anterior-cruciate-ligament-reconstruction-a-report-from-a-rehabilitation-outcome-registry-of-patient-characteristics
#14
Eric Hamrin Senorski, Kristian Samuelsson, Christoffer Thomeé, Susanne Beischer, Jón Karlsson, Roland Thomeé
PURPOSE: To characterise patients who returned to knee-strenuous sports after an anterior cruciate ligament (ACL) reconstruction. METHODS: Data from isotonic tests of muscle function and patient-reported outcome measures, Tegner activity scale (Tegner and Lysholm in Clin Orthop Relat Res 198:43-49, 1985), physical activity scale, knee injury and osteoarthritis scale and knee self-efficacy scale were extracted from a registry. The 157 included patients, 15-30 years of age, had undergone primary ACL reconstruction and were all involved in knee-strenuous sports, i...
August 16, 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/27511467/extra-articular-tenodesis-combined-with-an-anterior-cruciate-ligament-reconstruction-in-acute-anterior-cruciate-ligament-tear-in-elite-female-football-players
#15
Matteo Guzzini, Daniele Mazza, Mattia Fabbri, Riccardo Lanzetti, Andrea Redler, Carlo Iorio, Edoardo Monaco, Andrea Ferretti
PURPOSE: The growing popularity of elite soccer among female participants has led to increased incidents of anterior cruciate ligament (ACL) ruptures. Many authors underline a positive glide after ACL reconstruction (ACLR), especially in women. In fact, an isolated intra-articular ACLR may be inadequate to control rotational instability after a combined injury of the ACL and the peripheral structures of the knee. Extra-articular procedures are sometimes used in primary cases displaying excessive antero-lateral rotatory instability...
October 2016: International Orthopaedics
https://www.readbyqxmd.com/read/27489418/epidemiological-profile-of-sports-related-knee-injuries-in-northern-india-an-observational-study-at-a-tertiary-care-centre
#16
R John, M S Dhillon, K Syam, S Prabhakar, P Behera, H Singh
BACKGROUND: Sports-related knee injuries occur commonly in athletes. However, there is no published epidemiological study from India till date. OBJECTIVES: The purpose of this study was to identify common injuries sustained by Indian athletes participating in different sports and to study various associated demographic features. A secondary objective was to investigate different factors, which may affect return to sport by the athlete. STUDY DESIGN: Cross-sectional study (observational study)...
July 2016: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/27485123/mri-based-acl-graft-maturity-does-not-predict-clinical-and-functional-outcomes-during-the-first-year-after-acl-reconstruction
#17
Hong Li, Jiwu Chen, Hongyun Li, Ziying Wu, Shiyi Chen
PURPOSE: To determine whether magnetic resonance image (MRI)-based graft maturity predicts clinical and functional scores during the first year after ACL reconstruction. METHODS: Patients with unilateral ACL reconstruction were prospectively invited to participate in this study, and they were examined using a 3.0-T MRI scan at 3, 6, and 12 months after the operation. Clinical examinations were performed on the same day, including subjective functional examinations, physical examinations and the KT-1000 test...
August 2, 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/27423208/development-of-a-test-battery-to-enhance-safe-return-to-sports-after-anterior-cruciate-ligament-reconstruction
#18
Alli Gokeler, Wouter Welling, Stefano Zaffagnini, Romain Seil, Darin Padua
PURPOSE: There is a lack of consensus regarding the appropriate criteria for releasing patients to return to sports (RTS) after anterior cruciate ligament reconstruction (ACLR). A test battery was developed to support decision-making. METHODS: Twenty-eight patients (22 males and 6 females) with a mean age of 25.4 ± 8.2 years participated and were 6.5 ± 1.0 months post-ACLR. All patients followed the same rehabilitation protocol. The test battery used consisted of the following: isokinetic test, 3 hop tests and the jump-landing task assessed with the LESS...
July 16, 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/27343215/comparison-between-single-and-double-bundle-anterior-cruciate-ligament-reconstruction-with-6-to-8-stranded-hamstring-autograft-a-prospective-randomized-clinical-trial
#19
Yulei Liu, Guoqing Cui, Hui Yan, Yuping Yang, Yingfang Ao
BACKGROUND: Whether double-bundle (DB) anterior cruciate ligament (ACL) reconstruction with 6- to 8-stranded hamstring autograft (HG) is better than single-bundle (SB) ACL reconstruction remains debatable, as long-term follow-up data are lacking. PURPOSE: To prospectively investigate and compare the long-term results of DB and SB ACL reconstruction with a 6- to 8-stranded HG. STUDY DESIGN: Randomized controlled clinical trial; LEVEL OF EVIDENCE: 1...
September 2016: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/27294169/athletic-performance-at-the-national-basketball-association-combine-after-anterior-cruciate-ligament-reconstruction
#20
Nima Mehran, Phillip N Williams, Robert A Keller, Lafi S Khalil, Stephen J Lombardo, F Daniel Kharrazi
BACKGROUND: Anterior cruciate ligament (ACL) injuries are significant injuries in elite-level basketball players. In-game statistical performance after ACL reconstruction has been demonstrated; however, few studies have reviewed functional performance in National Basketball Association (NBA)-caliber athletes after ACL reconstruction. PURPOSE: To compare NBA Combine performance of athletes after ACL reconstruction with an age-, size-, and position-matched control group of players with no previous reported knee injury requiring surgery...
May 2016: Orthopaedic Journal of Sports Medicine
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