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TPTA -ACL Return to Sport

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27 papers 0 to 25 followers Articles related to the TPTA - ACL Return to Sport presentation
By Dexter Upton Sports Physical Therapist
A L Dodds, C Halewood, C M Gupte, A Williams, A A Amis
There have been differing descriptions of the anterolateral structures of the knee, and not all have been named or described clearly. The aim of this study was to provide a clear anatomical interpretation of these structures. We dissected 40 fresh-frozen cadaveric knees to view the relevant anatomy and identified a consistent structure in 33 knees (83%); we termed this the anterolateral ligament of the knee. This structure passes antero-distally from an attachment proximal and posterior to the lateral femoral epicondyle to the margin of the lateral tibial plateau, approximately midway between Gerdy's tubercle and the head of the fibula...
March 2014: Bone & Joint Journal
Michele A Raya, Robert S Gailey, Ignacio A Gaunaurd, Daniel M Jayne, Stuart M Campbell, Erica Gagne, Patrick G Manrique, Daniel G Muller, Christen Tucker
Performance-based outcomes such as the T-Test, Edgren Side Step Test (ESST), and Illinois Agility Test (IAT) have been used to assess agility in athletes and nonathletes; however, the reliability and validity of these tests have not been established. The purpose of this study was to establish the reliability and convergent construct validity of the ESST, T-Test, and IAT in young, nondisabled, physically active male servicemembers (SMs). Ninety-seven male Active Duty U.S. Army SMs completed the study. Statistically significant differences were not found between the ESST (p = 0...
2013: Journal of Rehabilitation Research and Development
Erika Zemková
This review includes the latest findings based on experimental studies addressing sport-specific balance, an area of research that has grown dramatically in recent years. The main objectives of this work were to investigate the postural sway response to different forms of exercise under laboratory and sport-specific conditions, to examine how this effect can vary with expertise, and to provide examples of the association of impaired balance with sport performance and/or increasing risk of injury. In doing so, sports where body balance is one of the limiting factors of performance were analyzed...
May 2014: Sports Medicine
Steven Claes, Evie Vereecke, Michael Maes, Jan Victor, Peter Verdonk, Johan Bellemans
In 1879, the French surgeon Segond described the existence of a 'pearly, resistant, fibrous band' at the anterolateral aspect of the human knee, attached to the eponymous Segond fracture. To date, the enigma surrounding this anatomical structure is reflected in confusing names such as '(mid-third) lateral capsular ligament', 'capsulo-osseous layer of the iliotibial band' or 'anterolateral ligament', and no clear anatomical description has yet been provided. In this study, the presence and characteristics of Segond's 'pearly band', hereafter termed anterolateral ligament (ALL), was investigated in 41 unpaired, human cadaveric knees...
October 2013: Journal of Anatomy
Christopher C Kaeding, Brian Aros, Angela Pedroza, Eric Pifel, Annunziato Amendola, Jack T Andrish, Warren R Dunn, Robert G Marx, Eric C McCarty, Richard D Parker, Rick W Wright, Kurt P Spindler
BACKGROUND: Tearing an anterior cruciate ligament (ACL) graft is a devastating occurrence after ACL reconstruction (ACLR). Identifying and understanding the independent predictors of ACLR graft failure is important for surgical planning, patient counseling, and efforts to decrease the risk of graft failure. HYPOTHESIS: Patient and surgical variables will predict graft failure after ACLR. STUDY DESIGN: Prospective cohort study. METHODS: A multicenter group initiated a cohort study in 2002 to identify predictors of ACLR outcomes, including graft failure...
January 2011: Sports Health
Dirk Kokmeyer, Michael Wahoff, Matt Mymern
Alpine skiing is a high-risk sport for injuries to the anterior cruciate ligament (ACL). While descending a hill, a skier must resist large centrifugal forces at a high velocity, while the knees are positioned in postures that place the ACL at risk of injury. Skiers who undergo ACL reconstructive surgery are prone to a high rate of reinjury to the same knee and even ACL injury in the uninjured knee. A rehabilitation program that integrates the best current evidence of ACL rehabilitation and the science of skiing is essential to a successful return to alpine skiing...
April 2012: Journal of Orthopaedic and Sports Physical Therapy
Mario Bizzini, Dave Hancock, Franco Impellizzeri
Successful return to play remains a challenge for a soccer player after anterior cruciate ligament reconstruction. In addition to a successful surgical intervention, a soccer-specific functional rehabilitation program is essential to achieve this goal. Soccer-like elements should be incorporated in the early stages of rehabilitation to provide neuromuscular training specific to the needs of the player. Gym-based and, later, field-based drills are gradually intensified and progressed until the player demonstrates the ability to return to team practice...
April 2012: Journal of Orthopaedic and Sports Physical Therapy
Eric Waters
The purpose of this paper is to outline the final, functional phases of rehabilitation that address exercises, drills, and return-to-play criteria for the sport of basketball, following anterior cruciate ligament (ACL) reconstruction. ACL injuries can be debilitating and affect the quality of life for recreational and elite athletes alike. Tears of the ACL are common in both male and female basketball players, with a higher incidence rate in females. Incidence of a retear to the existing graft or contralateral knee within 5 years of ACL reconstruction with patellar tendon autograft in young (less than 18 to 25 years of age), active basketball players can be as high as 52%...
April 2012: Journal of Orthopaedic and Sports Physical Therapy
J Craig Garrison, Ellen Shanley, Chuck Thigpen, Ryan Geary, Mike Osler, Jackie Delgiorno
PURPOSE/BACKGROUND: The decision to return an athlete to sports following anterior cruciate ligament reconstruction can be controversial. The purposes of this study are 1) to describe a functional test (Vail Sport Test™) that includes the evaluation of muscle strength, endurance, power, and movement quality in those patients attempting to return to sports following ACL reconstruction and 2) to assess the reliability of the Vail Sport Test™. METHODS: A prospective cohort study design...
February 2012: International Journal of Sports Physical Therapy
Rafael F Escamilla, Toran D Macleod, Kevin E Wilk, Lonnie Paulos, James R Andrews
There is a growing body of evidence documenting loads applied to the anterior cruciate ligament (ACL) for weight-bearing and non-weight-bearing exercises. ACL loading has been quantified by inverse dynamics techniques that measure anterior shear force at the tibiofemoral joint (net force primarily restrained by the ACL), ACL strain (defined as change in ACL length with respect to original length and expressed as a percentage) measured directly in vivo, and ACL tensile force estimated through mathematical modeling and computer optimization techniques...
March 2012: Journal of Orthopaedic and Sports Physical Therapy
Jason W Piefer, T Ryan Pflugner, Michael D Hwang, James H Lubowitz
PURPOSE: The purpose of our study was to systematically review current arthroscopic and related literature and to characterize the anatomic centrum of the anterior cruciate ligament (ACL) femoral footprint. METHODS: On June 2, 2011, 2 independent reviewers performed a Medline search using the terms "anterior cruciate ligament" or "ACL," "femur" or "femoral," and "anatomy" or "origin" or "footprint." We included anatomic, cadaveric, and radiographic studies of adult, human, ACL femoral anatomy...
June 2012: Arthroscopy: the Journal of Arthroscopic & related Surgery
Mark V Paterno, Ashley M Weed, Timothy E Hewett
Anterior-posterior (AP) knee laxity after anterior cruciate ligament (ACL) reconstruction may differ between sexes for different graft types. Females may experience an increase in AP knee laxity following an ACL reconstruction with a hamstrings graft, which is not seen in males with a hamstrings graft or in males or females with a bone-patellar tendon-bone (BTB) graft. The hypothesis of this review is sex differences in AP knee laxity and this will be identified in patients who undergo an ACL reconstruction with a hamstrings graft, while no sex differences will be observed in patients who have an ACL reconstruction with a BTB graft...
February 1, 2012: Sports Medicine
K Donald Shelbourne, Scott E Urch, Tinker Gray, Heather Freeman
BACKGROUND: Meniscectomy and articular cartilage damage have been found to increase the prevalence of osteoarthritis after anterior cruciate ligament reconstruction, but the effect of knee range of motion has not been extensively studied. HYPOTHESIS: The prevalence of osteoarthritis as observed on radiographs would be higher in patients who had abnormal knee range of motion compared with patients with normal knee motion, even when grouped for like meniscal or articular cartilage lesions...
January 2012: American Journal of Sports Medicine
Darin A Padua, Stephen W Marshall, Michelle C Boling, Charles A Thigpen, William E Garrett, Anthony I Beutler
BACKGROUND: Anterior cruciate ligament injuries are common in athletes and have serious sequelae. A valid clinical tool that reliably identifies individuals at an increased risk for ACL injury would be highly useful for screening sports teams, because individuals identified as "high-risk" could then be provided with intensive prevention programs. HYPOTHESIS: A clinical screening tool (the Landing Error Scoring System, or LESS) will reliably identify subjects with potentially high-risk biomechanics...
October 2009: American Journal of Sports Medicine
Rafael F Escamilla, Naiquan Zheng, Rodney Imamura, Toran D Macleod, W Brent Edwards, Alan Hreljac, Glenn S Fleisig, Kevin E Wilk, Claude T Moorman, James R Andrews
PURPOSE: To compare cruciate ligament forces during wall squat and one-leg squat exercises. METHODS: Eighteen subjects performed the wall squat with feet closer to the wall (wall squat short), the wall squat with feet farther from the wall (wall squat long), and the one-leg squat. EMG, force, and kinematic variables were input into a biomechanical model using optimization. A three-factor repeated-measure ANOVA (P < 0.05) with planned comparisons was used. RESULTS: Mean posterior cruciate ligament (PCL) forces were significantly greater in 1) wall squat long compared with wall squat short (0 degrees -80 degrees knee angles) and one-leg squat (0 degrees -90 degrees knee angles); 2) wall squat short compared with one-leg squat between 0 degrees -20 degrees and 90 degrees knee angles; 3) wall squat long compared with wall squat short (70 degrees -0 degrees knee angles) and one-leg squat (90 degrees -60 degrees and 20 degrees -0 degrees knee angles); and 4) wall squat short compared with one-leg squat between 90 degrees -70 degrees and 0 degrees knee angles...
February 2009: Medicine and Science in Sports and Exercise
K Donald Shelbourne, Tinker Gray
BACKGROUND: Few long-term studies exist that evaluate how the loss of normal knee range of motion affects results after anterior cruciate ligament reconstruction. HYPOTHESIS: Patients with normal knee motion will have higher subjective scores than patients with less than normal motion. STUDY DESIGN: Cohort study; Level of evidence, 2. METHODS: Patients were prospectively evaluated at >10 years after anterior cruciate ligament reconstruction according to International Knee Documentation Committee criteria...
March 2009: American Journal of Sports Medicine
J Dargel, M Gotter, K Mader, D Pennig, J Koebke, R Schmidt-Wiethoff
Injury to the anterior cruciate ligament (ACL) is regarded as critical to the physiological kinematics of the femoral-tibial joint, its disruption eventually causing long-term functional impairment. Both the initial trauma and the pathologic motion pattern of the injured knee may result in primary degenerative lesions of the secondary stabilisers of the knee, each of which are associated with the early onset of osteoarthritis. Consequently, there is a wide consensus that young and active patients may profit from reconstructing the ACL...
April 2007: Strategies in Trauma and Limb Reconstruction
Andrea Reid, Trevor B Birmingham, Paul W Stratford, Greg K Alcock, J Robert Giffin
BACKGROUND AND PURPOSE: Although various hop tests have been proposed as performance-based outcome measures following anterior cruciate ligament (ACL) reconstruction, limited reports of their measurement properties exist. The purpose of this study was to investigate the reliability and longitudinal validity of data obtained from hop tests during rehabilitation after ACL reconstruction. SUBJECTS: Forty-two patients, 15 to 45 years of age, who had undergone ACL reconstruction participated in the study...
March 2007: Physical Therapy
Lucy J Salmon, Vivianne J Russell, Kathryn Refshauge, Deiary Kader, Chris Connolly, James Linklater, Leo A Pinczewski
BACKGROUND: Short-term results of anterior cruciate ligament reconstruction are well reported; however, there are no studies evaluating endoscopic reconstruction of the anterior cruciate ligament with a minimum 10-year follow-up. HYPOTHESIS: Anterior cruciate ligament reconstruction with patellar tendon graft affords good subjective results and clinical laxity assessments but may be associated with development of osteoarthritis over the long term. STUDY DESIGN: Case series; Level of evidence, 4...
May 2006: American Journal of Sports Medicine
Gregory D Myer, Kevin R Ford, Scott G McLean, Timothy E Hewett
BACKGROUND: Neuromuscular training that includes both plyometric and dynamic stabilization/balance exercises alters movement biomechanics and reduces ACL injury risk in female athletes. The biomechanical effects of plyometric and balance training utilized separately are unknown. HYPOTHESIS: A protocol that includes balance training without plyometric training will decrease coronal plane hip, knee, and ankle motions during landing, and plyometric training will not affect coronal plane measures...
March 2006: American Journal of Sports Medicine
2014-10-18 05:50:03
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