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Low rates of patients meeting return to sport criteria 9 months after anterior cruciate ligament reconstruction: a prospective longitudinal study.
- Source :
-
Knee Surgery, Sports Traumatology, Arthroscopy . Dec2018, Vol. 26 Issue 12, p3636-3644. 9p. 1 Diagram, 4 Charts, 2 Graphs. - Publication Year :
- 2018
-
Abstract
- <bold>Purpose: </bold>The purpose of the current prospective study was to assess the changes over time in patients tested at 6 months and 9 months after anterior cruciate ligament reconstruction (ACLR) with a return to sport (RTS) test battery. It was hypothesized that more patients passed RTS criteria at 9 months compared to 6 months.<bold>Methods: </bold>Sixty-two ACLR patients performed a test battery at an average of 6.5 ± 0.7 and 9.5 ± 0.9 months after ACLR. All patients underwent a standardized rehabilitation protocol. The test battery consisted of the following tests: a jump-landing task assessed with the Landing Error Scoring System (LESS), three single-leg hop tasks (single-leg hop test, triple-leg hop test, side hop test), isokinetic quadriceps and hamstring strength at 60, 180 and 300°/s and two questionnaires (IKDC and ACL-RSI). Cut off criteria were set as Limb Symmetry Index (LSI) > 90% (for isokinetic strength and for single-leg hop tasks), LESS < 5, IKDC score within 15th percentage of healthy subjects and ACL-RSI > 56 respectively.<bold>Results: </bold>At 6 months, two patients (3.2%) passed all criteria. At 9 months, seven patients (11.3%) passed all criteria. Patients improved in all RTS criteria over time except for the IKDC score. Twenty-nine patients (46.8%) did not pass the strength criterion at 60°/s at 9 months after ACLR.<bold>Conclusions: </bold>The percentages of patients passing all RTS criteria were low at both 6 and 9 months after ACLR. Quadriceps strength revealed persistent deficits and the lack of improvement in the IKDC score questionnaires shows insufficient self-reported knee function for RTS.<bold>Level Of Evidence: </bold>III. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 09422056
- Volume :
- 26
- Issue :
- 12
- Database :
- Academic Search Index
- Journal :
- Knee Surgery, Sports Traumatology, Arthroscopy
- Publication Type :
- Academic Journal
- Accession number :
- 133270081
- Full Text :
- https://doi.org/10.1007/s00167-018-4916-4