Predicting readiness for return to sport and performance after anterior cruciate ligament reconstruction rehabilitation.

Autor: van Haren IEPM; Musculoskeletal Rehabilitation Research Group, HAN University of Applied Sciences, P.O. Box 6960, 6503 GL Nijmegen, the Netherlands; Radboud university medical center, Radboud Institute for Health Sciences, IQ Healthcare, P.O. Box 9101, 6500 HB Nijmegen, the Netherlands. Electronic address: Inge.vanHaren@han.nl., van Cingel REH; Radboud university medical center, Radboud Institute for Health Sciences, IQ Healthcare, P.O. Box 9101, 6500 HB Nijmegen, the Netherlands; Sport Medisch Centrum Papendal, Papendallaan 7, 6816, VD Arnhem, the Netherlands., Verbeek ALM; Radboud university medical center, Radboud Institute for Health Sciences, Department for Health Evidence, P.O. Box 9101, 6500 HB Nijmegen, the Netherlands., van Melick N; KneeSearch, Vinkelstraat 109, 5384, SE Heesch, the Netherlands., Stubbe JH; Codarts Rotterdam, University of the Arts, Kruisplein 26, 3012, CC Rotterdam, the Netherlands; PErforming artist and Athlete Research Lab (PEARL), Kruisplein 26, 3012, CC Rotterdam, the Netherlands; Department of General Practice, Erasmus MC University Medical Centre Rotterdam, the Netherlands; Rotterdam Arts and Sciences Lab (RASL), Kruisplein 26, 3012, CC Rotterdam, the Netherlands., Bloo H; PMI Rembrandt Physical Therapy and Rehabilitation, Kerkewijk 92, 3904, JG Veenendaal, the Netherlands., Groenewoud JHMM; Radboud university medical center, Radboud Institute for Health Sciences, Department for Health Evidence, P.O. Box 9101, 6500 HB Nijmegen, the Netherlands., van der Wees PJ; Radboud university medical center, Radboud Institute for Health Sciences, IQ Healthcare, P.O. Box 9101, 6500 HB Nijmegen, the Netherlands; Radboud university medical center, Radboud Institute for Health Sciences, Department of Rehabilitation, P.O. Box 9101, 6500 HB Nijmegen, the Netherlands., Staal JB; Musculoskeletal Rehabilitation Research Group, HAN University of Applied Sciences, P.O. Box 6960, 6503 GL Nijmegen, the Netherlands; Radboud university medical center, Radboud Institute for Health Sciences, IQ Healthcare, P.O. Box 9101, 6500 HB Nijmegen, the Netherlands.
Jazyk: angličtina
Zdroj: Annals of physical and rehabilitation medicine [Ann Phys Rehabil Med] 2023 Apr; Vol. 66 (3), pp. 101689. Date of Electronic Publication: 2022 Dec 01.
DOI: 10.1016/j.rehab.2022.101689
Abstrakt: Background: Determining readiness to return to sport after anterior cruciate ligament (ACL) reconstruction is challenging.
Objectives: To develop models to predict initial (directly after rehabilitation) and sustainable (one year after rehabilitation) return to sport and performance in individuals after ACL reconstruction.
Methods: We conducted a multicentre, prospective cohort study and included 208 participants. Potential predictors - demographics, pain, effusion, knee extension, muscle strength tests, jump tasks and three sport-specific questionnaires - were measured at the end of rehabilitation and 12 months post discharge from rehabilitation. Four prediction models were developed using backward logistic regression. All models were internally validated by bootstrapping.
Results: All 4 models shared 3 predictors: the participant's goal to return to their pre-injury level of sport, the participant's psychological readiness and ACL injury on the non-dominant leg. Another predictor for initial return to sport was no knee valgus, and, for sustainable return to sport, the single-leg side hop. Bootstrapping shrinkage factor was between 0.91 and 0.95, therefore the models' properties were similar before and after internal validation. The areas under the curve of the models ranged from 0.74 to 0.86. Nagelkerke's R2 varied from 0.23 to 0.43 and the Hosmer-Lemeshow test results varied from 2.7 (p = 0.95) to 8.2 (p = 0.41).
Conclusion: Initial and sustainable return to sport and performance after anterior cruciate ligament reconstruction rehabilitation can be easily predicted by the sport goal formulated by the individual, the individual's psychological readiness, and whether the affected leg is the dominant or non-dominant leg.
Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2022 The Author(s). Published by Elsevier Masson SAS.. All rights reserved.)
Databáze: MEDLINE
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