Preoperative Predictors for Noncopers to Pass Return to Sports Criteria After ACL Reconstruction
Authors:
- 1 August 2012
- journal article
- research article
- Published by Human Kinetics in Journal of Applied Biomechanics
- Vol. 28 (4) , 366-373
Abstract
Less than 50% of athletes pass criteria to return to sports (RTS) 6 months after ACL reconstruction (ACLR). Using data on 38 noncopers, we hypothesized that preoperative age, quadriceps strength index (QI), and knee flexion moments (KFM) during gait would predict the ability to pass/fail RTS criteria and that preoperative quadriceps strength gains would be predictive of passing RTS criteria. Gait analysis and strength data were collected before and after a preoperative intervention and 6 months after ACLR. Age, QI, and KFM each contributed to the predictability to pass or fail RTS criteria 6 months after ACLR. Collectively, the variables predict 69% who would pass and 82% who would fail RTS criteria 6 months after ACLR. Younger athletes who have symmetrical quadriceps strength and greater KFM were more likely to pass RTS criteria. Further, 63% of those who increased preoperative quadriceps strength passed RTS criteria, whereas 73% who did not failed. Increasing quadriceps strength in noncopers before ACLR seems warranted.Keywords
This publication has 49 references indexed in Scilit:
- Time Line for Noncopers to Pass Return-to-Sports Criteria After Anterior Cruciate Ligament ReconstructionJournal of Orthopaedic & Sports Physical Therapy, 2010
- Perturbation training prior to ACL reconstruction improves gait asymmetries in non‐copersJournal of Orthopaedic Research, 2009
- Preoperative quadriceps strength is a significant predictor of knee function two years after anterior cruciate ligament reconstructionBritish Journal of Sports Medicine, 2009
- Influence of Age, Gender, and Injury Mechanism on the Development of Dynamic Knee Stability After Acute ACL RuptureJournal of Orthopaedic & Sports Physical Therapy, 2008
- A 10-Year Prospective Trial of a Patient Management Algorithm and Screening Examination for Highly Active Individuals with Anterior Cruciate Ligament InjuryThe American Journal of Sports Medicine, 2007
- A 10-Year Prospective Trial of a Patient Management Algorithm and Screening Examination for Highly Active Individuals with Anterior Cruciate Ligament InjuryThe American Journal of Sports Medicine, 2007
- Knee instability after acute ACL rupture affects movement patterns during the mid‐stance phase of gaitJournal of Orthopaedic Research, 2007
- Effect of dynamic stability on a step task in ACL deficient individualsJournal of Electromyography and Kinesiology, 2004
- A prospective analysis of incidence and severity of quadriceps inhibition in a consecutive sample of 100 patients with complete acute anterior cruciate ligament ruptureJournal of Orthopaedic Research, 2004
- 1998 Basmajian Student Award PaperJournal of Electromyography and Kinesiology, 1998