Advanced training enhances readiness to return to sport after anterior cruciate ligament reconstruction
| Autor: | John Bottoms, Eric Paur, Terese L. Chmielewski, Michael Obermeier, Bradley J. Nelson, William Yungtum, Marc Tompkins, Adam Meierbachtol |
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| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Anterior cruciate ligament reconstruction Anterior cruciate ligament medicine.medical_treatment 0206 medical engineering 02 engineering and technology Return to sport 03 medical and health sciences 0302 clinical medicine Humans Medicine Plyometrics Knee Orthopedics and Sports Medicine Anterior Cruciate Ligament 030203 arthritis & rheumatology Self-efficacy Anterior Cruciate Ligament Reconstruction business.industry Anterior Cruciate Ligament Injuries Training (meteorology) 020601 biomedical engineering Return to Sport Test (assessment) medicine.anatomical_structure Physical therapy Female business Training program human activities |
| Zdroj: | Journal of Orthopaedic Research. 40:191-199 |
| ISSN: | 1554-527X 0736-0266 |
| DOI: | 10.1002/jor.25072 |
| Popis: | Patients with anterior cruciate ligament reconstruction (ACLR) areoften psychologically and physically under-prepared for sport participation. This study compared readinessto return to sport based oncompletion ofadvanced training after ACLR. Patients with ACLR who self-selectedparticipation in a 6-week group-format advanced training program (TRAINING)were compared to age- and sex-matched patients who did not participate (NoTRAINING). Each group had 23 participants (14 females). Advanced training consisted of plyometric, strengthening and agility exercises. Baseline and follow-up testing includedpsychologicalmeasures (Anterior Cruciate Ligament Return to Sport after Injury, ACL-RSI; Tampa Scale for Kinesiophobia, TSK-11; Knee Activity Self-Efficacy, KASE; and fear intensity for the primary fear-evoking task or situation) and a hop test battery.Return to sport criteria were ACL-RSI score ≥70 points and limb symmetry index ≥90% on all hop tests. At follow-up, KASE score was higher in TRAINING than NoTRAINING (92.7 vs 89.1 points; respectively), but ACL-RSI, TSK-11 and fear intensity scoreswere not significantly different between groups. Return to sport criteriapassing rate was not significantly differentbetween groups at baseline (TRAINING: 13%, NoTRAINING: 30%) or follow-up (TRAINING: 52%, NoTRAINING: 43%); however, thedistribution of criteria met at follow-up differed with more patients in TRAINING than NoTRAINING meeting hop test criteria (30% vs 4%; respectively) and more patients in NoTRAININGthan TRAINING failing to meet any criteria(25% vs 0%, respectively). Clinical significance:Advanced training after ACLR facilitated readiness for sport participation by improving confidence and hop performance, but may not have a preferential effect on fear. This article is protected by copyright. All rights reserved. |
| Databáze: | OpenAIRE |
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