Format

Send to

Choose Destination
See comment in PubMed Commons below
Knee Surg Sports Traumatol Arthrosc. 2015 May;23(5):1283-91. doi: 10.1007/s00167-015-3546-3. Epub 2015 Feb 28.

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

Author information

1
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.

Comment in

PMID:
25724802
PMCID:
PMC4555207
DOI:
10.1007/s00167-015-3546-3
[Indexed for MEDLINE]
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Springer Icon for PubMed Central
    Loading ...
    Support Center