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

Verfasser / Beitragende:
[Carolin Hildebrandt, Lisa Müller, Barbara Zisch, Reinhard Huber, Christian Fink, Christian Raschner]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/5(2015-05-01), 1273-1281
Format:
Artikel (online)
ID: 605459886
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024 7 0 |a 10.1007/s00167-015-3529-4  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-015-3529-4 
245 0 0 |a Functional assessments for decision-making regarding return to sports following ACL reconstruction. Part I: development of a new test battery  |h [Elektronische Daten]  |c [Carolin Hildebrandt, Lisa Müller, Barbara Zisch, Reinhard Huber, Christian Fink, Christian Raschner] 
520 3 |a Purpose: Return to activity remains the most common concern following an injury. To facilitate the decision regarding a patient's return to sport, we developed a standardized and easy-to-use test battery to enable an objective evaluation of knee function. Methods: The test battery consisted of seven functional tests: the two-leg stability test, one-leg stability test (OL-ST), two-leg countermovement jump (CMJ), one-leg CMJ (OL-CMJ), plyometric jumps, speedy test and quick feet test. For each test, the reliability was determined based on the intraclass correlation coefficient. For all one-leg tests, the limb symmetry index (LSI) was calculated. Results: All tests showed a moderate-to-high reliability. Normative data from 434 participants were included in the analysis. The subjects were categorized according to age as follows: children (10-14years), youth (15-19years), young adults (20-29years) and adults (30-50years). The establishment of the functional test values allowed the classification into five normative categories. The LSI for the OL-ST (98%) indicated a better performance of the non-dominant leg. In contrast, high LSI values were found for the OL-CMJ (124%), indicating a better performance of the dominant leg. Conclusion: Each test was found to be reliable and simple to perform. The better performance of the non-dominant leg in stability tasks must be considered when interpreting side-to-side differences. The established norm data from healthy individuals of each test battery represents an important basis for a clinical setting. Test results from an ACL-reconstructed patient should be at least classified as a functionally average outcome to support a safe return to sports. Level of evidence: IV. 
540 |a The Author(s), 2015 
690 7 |a Return to sports  |2 nationallicence 
690 7 |a Test battery  |2 nationallicence 
690 7 |a Normative data  |2 nationallicence 
690 7 |a Limb symmetry index  |2 nationallicence 
690 7 |a Anterior cruciate ligament injury  |2 nationallicence 
700 1 |a Hildebrandt  |D Carolin  |u Department of Sport Science, University of Innsbruck, Fürstenweg 185, 6020, Innsbruck, Austria  |4 aut 
700 1 |a Müller  |D Lisa  |u Department of Sport Science, University of Innsbruck, Fürstenweg 185, 6020, Innsbruck, Austria  |4 aut 
700 1 |a Zisch  |D Barbara  |u Department of Sport Science, University of Innsbruck, Fürstenweg 185, 6020, Innsbruck, Austria  |4 aut 
700 1 |a Huber  |D Reinhard  |u Sports Physiotherapy Mag. R. Huber, Innsbruck, Austria  |4 aut 
700 1 |a Fink  |D Christian  |u Sportsclinic Austria, Innsbruck, Austria  |4 aut 
700 1 |a Raschner  |D Christian  |u Department of Sport Science, University of Innsbruck, Fürstenweg 185, 6020, Innsbruck, Austria  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/5(2015-05-01), 1273-1281  |x 0942-2056  |q 23:5<1273  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-015-3529-4  |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/s00167-015-3529-4  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Hildebrandt  |D Carolin  |u Department of Sport Science, University of Innsbruck, Fürstenweg 185, 6020, Innsbruck, Austria  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Müller  |D Lisa  |u Department of Sport Science, University of Innsbruck, Fürstenweg 185, 6020, Innsbruck, Austria  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Zisch  |D Barbara  |u Department of Sport Science, University of Innsbruck, Fürstenweg 185, 6020, Innsbruck, Austria  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Huber  |D Reinhard  |u Sports Physiotherapy Mag. R. Huber, Innsbruck, Austria  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Fink  |D Christian  |u Sportsclinic Austria, Innsbruck, Austria  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Raschner  |D Christian  |u Department of Sport Science, University of Innsbruck, Fürstenweg 185, 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), 1273-1281  |x 0942-2056  |q 23:5<1273  |1 2015  |2 23  |o 167