Background:Criteria for return to unrestricted activity after anterior cruciate ligament (ACL) reconstruction varies, with some using time after surgery as the sole criterion—most often at 6 months. Patients may have residual neuromuscular deficits, which may increase the risk of ACL injury. A single-leg squat test (SLST) can dynamically assess for many of these deficits prior to return to unrestricted activity.Hypothesis:A significant number of patients will continue to exhibit neuromuscular deficits with SLST at 6 months after ACL reconstruction.Study Design:Cross-sectional study; Level of evidence, 3.Methods:Patients using a standardized accelerated rehabilitation protocol at their 6-month follow-up after primary ACL reconstruction were enrolled. Evaluation included bilateral SLST, single-leg hop distance, hip abduction strength, and the subjective International Knee Documentation Committee (IKDC) score.Results:Thirty-three patients were enrolled. Poor performance of the operative leg SLST was found in 15 of 33 patients (45%). Of those 15 patients, 7 (45%) had concomitant poor performance of the nonoperative leg compared with 2 of 18 patients (11%) in those who demonstrated good performance in the operative leg. The poor performers were significantly older (33.6 years) than the good performers (24.2 years) (P = .007). Those with poor performance demonstrated decreased hip abduction strength (17.6 kg operative leg vs 20.5 kg nonoperative leg) (P = .024), decreased single-leg hop distance (83.3 cm operative leg vs 112.3 cm nonoperative leg) (P = .036), and lower IKDC scores (67.9 vs 82.3) (P = .001).Conclusion:Nearly half of patients demonstrated persistent neuromuscular deficits on SLST at 6 months, which is when many patients return to unrestricted activity. Those with poor performance were of a significantly older age, decreased hip abduction strength, decreased single-leg hop distance, and lower IKDC subjective scores.Clinical Relevance:The SLST can be used to identify neuromuscular risk factors for ACL rupture. Many patients at 6 months have persistent neuromuscular deficits on SLST. Caution should be used when using time alone to determine when patients can return to unrestricted activity.

Myanmar's Rohingya Muslims have been subject to human rights abuses, been denied citizenship, and most recently, faced ethnic cleansing. Well over half the Rohingya population who use to live in Myanmar have been displaced by violence, with over a million Rohingya refugees now sheltering in Bangladesh. This conflict has become a litmus test for change in Myanmar, a country in transition, and current assessments are far from positive. Whitewashing by the military, and a refusal by Aung San Suu Kyi's government to even use the name 'Rohingya', adds to international skepticism. This book explores this long-running tripartite conflict between the Rohingya, Rakhine and Burman ethnic groups, and offers a new analysis of the complexities of the conflict: the fears and motivations driving it and the competition to control historical representations and collective memory. By exploring these competing narratives in detail and interrogating their historicity, by offering detailed sociopolitical analysis of the conflict dynamics against models of conflict in the literature, and by examining the international dimensions of the conflict, this book offers new insights into what is preventing a peaceful resolution to this intractable conflict.

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