Influence of Patient Demographics and Surgical Characteristics on Pass Rates of Return-to-Activity Tests in Anterior Cruciate Ligament–Reconstructed Patients Before Physician Clearance

Autor: Lindsay V. Slater, Joseph M. Hart, Grant E. Norte, John Goetschius
Rok vydání: 2020
Předmět:
Zdroj: Clinical Journal of Sport Medicine. 31:e354-e362
ISSN: 1050-642X
DOI: 10.1097/jsm.0000000000000790
Popis: OBJECTIVE To identify the frequency of passing return-to-activity tests after anterior cruciate ligament reconstruction (ACLR) and to investigate the influence of patient-specific factors on pass rates. We hypothesized that isolated strength tests would be most difficult to pass and that graft type would be the most influential factor. DESIGN Cross-sectional. SETTING Laboratory. PARTICIPANTS Eighty patients with a history of primary, unilateral ACLR, and 80 healthy controls participated. INTERVENTIONS Bilateral isokinetic strength, isometric strength, and single-leg hop tests were recorded during a single visit. The International Knee Documentation Committee (IKDC) Subjective Knee Evaluation measured subjective knee function, and the Tegner Activity Scale measured physical activity level. MAIN OUTCOME MEASURES Pass rates were calculated for 3 thresholds of absolute between-limb asymmetry: 0% to 10%, 11% to 15%, and 16% to 20%. Pass rates were compared by sex (male and female), graft type (patellar and hamstrings), meniscal procedure (yes and no), physical activity level (
Databáze: OpenAIRE