Return to sports bridge program improves outcomes, decreases ipsilateral knee re-injury and contralateral knee injury rates post-ACL reconstruction.

作者: J. Nyland , J. Greene , S. Carter , J. Brey , R. Krupp

DOI: 10.1007/S00167-020-06162-7

关键词: Physical therapyFunctional movementFunctional testingOrthopedic surgeryBridge (graph theory)MedicineTraining programReturn to sportContralateral kneeKnee function

摘要: To present the results of a return to sports bridge program designed reduce knee injuries following ACL reconstruction and physical therapy. One hundred fifty (male = 83, female = 67) patients participated in whole body neuromuscular control, progressive resistance strength agility training program. Post-program testing included functional movement form, dynamic stability, lower extremity power, agility, skill assessments. Participants completed Knee Outcome Survey–Sports Activity Scale (KOS-SAS) before after initiation. Pre-participation scores were re-estimated completion. Global rating KOS-SAS score at entry was 75 ± 13. global calculated 91.0 ± 9.8 90.9 ± 9.7, respectively (p < 0.0001). re-estimates completion 54.5 ± 23.3 57.3 ± 18.5, respectively. The approximately 20% pre-program (p < 0.0001) observed suggests that subjects had inaccurately high readiness perceptions entry. Perceived overall activity function ratings improved from 2.9 ± 0.6 (abnormal) 1.3 ± 0.5 (normal) Most returned back or above their pre-injury performance skill/performance level (84%, 126/150). By 6.8 ± 3.2 years (range = 2–13 years) post-surgery, ten sustained an ipsilateral re-injury contralateral injury (6.7%). 2.7% non-contact 1.3% rates significantly than those cited in previous reports. Supplementing primary standard therapy with prior release unrestricted effective improving patient outcomes decreasing rates. II.

参考文章(51)
Timothy E. Hewett, Gregory D. Myer, The Mechanistic Connection Between the Trunk, Hip, Knee, and Anterior Cruciate Ligament Injury Exercise and Sport Sciences Reviews. ,vol. 39, pp. 161- 166 ,(2011) , 10.1097/JES.0B013E3182297439
Jay Coakley, Burnout among Adolescent Athletes: A Personal Failure or Social Problem? Sociology of Sport Journal. ,vol. 9, pp. 271- 285 ,(1992) , 10.1123/SSJ.9.3.271
Maurilio Marcacci, Stefano Zaffagnini, Francesco Iacono, Alberto Vascellari, Ivano Loreti, Elisaveta Kon, Mirco Presti, Intra- and extra-articular anterior cruciate ligament reconstruction utilizing autogeneous semitendinosus and gracilis tendons: 5-year clinical results. Knee Surgery, Sports Traumatology, Arthroscopy. ,vol. 11, pp. 2- 8 ,(2003) , 10.1007/S00167-002-0323-X
Hiroshi Amano, Yukiyoshi Toritsuka, Ryohei Uchida, Tatsuo Mae, Kenji Ohzono, Konsei Shino, Outcome of anatomical double-bundle ACL reconstruction using hamstring tendons via an outside-in approach Knee Surgery, Sports Traumatology, Arthroscopy. ,vol. 23, pp. 1222- 1230 ,(2015) , 10.1007/S00167-014-2950-4
Rick W. Wright, Robert A. Magnussen, Warren R. Dunn, Kurt P. Spindler, Ipsilateral graft and contralateral ACL rupture at five years or more following ACL reconstruction: a systematic review Journal of Bone and Joint Surgery, American Volume. ,vol. 93, pp. 1159- 1165 ,(2011) , 10.2106/JBJS.J.00898
James P. Bradley, John J. Klimkiewicz, Michael J. Rytel, John W. Powell, Anterior cruciate ligament injuries in the National Football League: Epidemiology and current treatment trends among team physicians Arthroscopy. ,vol. 18, pp. 502- 509 ,(2002) , 10.1053/JARS.2002.30649
S. Nicholas Crawford, MAJ Brian R. Waterman, James H. Lubowitz, Long-Term Failure of Anterior Cruciate Ligament Reconstruction Arthroscopy: The Journal of Arthroscopic & Related Surgery. ,vol. 29, pp. 1566- 1571 ,(2013) , 10.1016/J.ARTHRO.2013.04.014
Rick W. Wright, Warren R. Dunn, Annunziato Amendola, Jack T. Andrish, John Bergfeld, Christopher C. Kaeding, Robert G. Marx, Eric C. McCarty, Richard D. Parker, Michelle Wolcott, Brian R. Wolf, Kurt P. Spindler, Risk of Tearing the Intact Anterior Cruciate Ligament in the Contralateral Knee and Rupturing the Anterior Cruciate Ligament Graft During the First 2 Years After Anterior Cruciate Ligament Reconstruction A Prospective MOON Cohort Study American Journal of Sports Medicine. ,vol. 35, pp. 1131- 1134 ,(2007) , 10.1177/0363546507301318