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

Verfasser / Beitragende:
[E. Herbst, C. Hoser, C. Hildebrandt, C. Raschner, C. Hepperger, H. Pointner, C. Fink]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/5(2015-05-01), 1283-1291
Format:
Artikel (online)
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024 7 0 |a 10.1007/s00167-015-3546-3  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-015-3546-3 
245 0 0 |a Functional assessments for decision-making regarding return to sports following ACL reconstruction. Part II: clinical application of a new test battery  |h [Elektronische Daten]  |c [E. Herbst, C. Hoser, C. Hildebrandt, C. Raschner, C. Hepperger, H. Pointner, C. Fink] 
520 3 |a 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±75.1days post-operatively, and the retest was administered on average 239.1±79.7days 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 8months 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. 
540 |a The Author(s), 2015 
690 7 |a Back to sports  |2 nationallicence 
690 7 |a ACL  |2 nationallicence 
690 7 |a Test battery  |2 nationallicence 
690 7 |a Limb symmetry index  |2 nationallicence 
690 7 |a Hop test  |2 nationallicence 
690 7 |a Stability test  |2 nationallicence 
700 1 |a Herbst  |D E.  |u Department of Trauma Surgery and Sports Medicine, Medical University Innsbruck (MUI), Anichstraße 35, 6020, Innsbruck, Austria  |4 aut 
700 1 |a Hoser  |D C.  |u Sportsclinic Austria, Olympiastraße 39, 6020, Innsbruck, Austria  |4 aut 
700 1 |a Hildebrandt  |D C.  |u Department of Sport Science, University of Innsbruck, Fürtstenweg 185, 6020, Innsbruck, Austria  |4 aut 
700 1 |a Raschner  |D C.  |u Department of Sport Science, University of Innsbruck, Fürtstenweg 185, 6020, Innsbruck, Austria  |4 aut 
700 1 |a Hepperger  |D C.  |u OSM Research Foundation, Olympiastraße 39, 6020, Innsbruck, Austria  |4 aut 
700 1 |a Pointner  |D H.  |u Sports Physiotherapy Mag. R. Huber, Steinbockallee 31, 6063, Neu-Rum, Austria  |4 aut 
700 1 |a Fink  |D C.  |u Sportsclinic Austria, Olympiastraße 39, 6020, Innsbruck, Austria  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/5(2015-05-01), 1283-1291  |x 0942-2056  |q 23:5<1283  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-015-3546-3  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00167-015-3546-3  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Herbst  |D E.  |u Department of Trauma Surgery and Sports Medicine, Medical University Innsbruck (MUI), Anichstraße 35, 6020, Innsbruck, Austria  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Hoser  |D C.  |u Sportsclinic Austria, Olympiastraße 39, 6020, Innsbruck, Austria  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Hildebrandt  |D C.  |u Department of Sport Science, University of Innsbruck, Fürtstenweg 185, 6020, Innsbruck, Austria  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Raschner  |D C.  |u Department of Sport Science, University of Innsbruck, Fürtstenweg 185, 6020, Innsbruck, Austria  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Hepperger  |D C.  |u OSM Research Foundation, Olympiastraße 39, 6020, Innsbruck, Austria  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Pointner  |D H.  |u Sports Physiotherapy Mag. R. Huber, Steinbockallee 31, 6063, Neu-Rum, Austria  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Fink  |D C.  |u Sportsclinic Austria, Olympiastraße 39, 6020, Innsbruck, Austria  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/5(2015-05-01), 1283-1291  |x 0942-2056  |q 23:5<1283  |1 2015  |2 23  |o 167