Performance: Bridging the Gap After ACL Surgery
Autor: | Jamie Osmak, Polly de Mille |
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Rok vydání: | 2017 |
Předmět: |
030222 orthopedics
medicine.medical_specialty Rehabilitation Bridging (networking) Sports medicine business.industry medicine.medical_treatment ACL Rehab (T Sgroi and J Molony section editors) 030229 sport sciences musculoskeletal system Return to sport Surgery Reconstruction surgery 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Orthopedic surgery medicine Physical therapy Orthopedics and Sports Medicine In patient business human activities |
Zdroj: | Current Reviews in Musculoskeletal Medicine. 10:297-306 |
ISSN: | 1935-9748 1935-973X |
DOI: | 10.1007/s12178-017-9419-2 |
Popis: | The purpose of this paper is to identify strategies for a successful transition to sports in patients following rehabilitation for ACL reconstruction surgery (ACLR).Recent research continues to demonstrate a relatively low rate of return to previous level of play among athletes following ACLR combined with a significant risk of injury to either the ipsi or the contralateral ACL. Recent research also demonstrates a growing use of a varied battery of assessments to determine readiness to return to sport as well as a lack of consensus on the ideal rehabilitation program, the criteria for clearance for return to play (both in time from surgery and functional milestones), and the nature of a conditioning program designed specifically for transitioning the cleared athlete back to competition. Due to the lack of consensus and consistency regarding rehabilitation protocols and criteria for clearance to play after ACLR, deficits in strength, neuromuscular control, and psychological readiness may exist in "cleared" athletes. These deficits may not only negatively impact sports performance but also raise the risk of re-injury. Programs designed to successfully return an athlete to previous level of play should include not only strength and conditioning aimed at restoring fitness that was compromised as a result of the injury but also include attention to psychological readiness and address deficits in neuromuscular control. Problems that exist following ACLR cannot be solved by one professional; successful rehabilitation and return to play require a coordinated effort among the surgeon, physical therapist, athletic trainer, and fitness professional. Future research is needed to determine the optimal strategy to restore the neuromuscular control, functional strength, and psychological readiness necessary for a successful return to competition following ACLR. |
Databáze: | OpenAIRE |
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