Longer-term quality of life following ACL injury and reconstruction

Filbay, Stephanie R

doi:10.1136/bjsports-2017-097552

Cited by 9 publications

(7 citation statements)

References 6 publications

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“…This raises the question of whether patients who fail at least 1 strength and 1 hop test can reach a patient-acceptable QoL before improving their muscle function, or whether these patients will benefit from merely being given more time for rehabilitation. However, it is possible that the progression in KOOS QoL outcome for patients struggling to recover muscle function may reach a plateau, which is supported by findings reported by Filbay et al [11], who described a 20-year follow-up of QoL after ACL reconstruction, where low QoL was found 5-25 years after reconstruction in ACL-injured patients compared with normative data. The ACL-RSI has been developed during the past decade [33,34].…”

Section: Discussionsupporting

confidence: 59%

Superior knee self-efficacy and quality of life throughout the first year in patients who recover symmetrical muscle function after ACL reconstruction

Piussi¹,

Beischer

Thomeé

et al. 2019

Knee Surg Sports Traumatol Arthrosc

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Purpose The aim of this study was to (1) describe psychological outcomes during the first year after an anterior cruciate ligament (ACL) reconstruction and (2) compare psychological outcomes in patients who recover symmetrical muscle function with patients who do not. Methods The included patients had undergone a unilateral ACL reconstruction. Patients with a re-rupture and contralateral ACL injury were excluded. Three groups, based on the results from 5 tests of muscle function 12 months after reconstruction, were created. Three validated questionnaires (the Knee Self-Efficacy Scale; the Knee injury and Osteoarthritis Outcome Score subscale “Quality of Life”; the ACL Return to Sport after Injury scale) and a single question “Have you achieved your goal with rehabilitation?” were analysed in 4 different follow-ups after ACL reconstruction (10 weeks, 4, 8 and 12 months). Means and standard deviations were analysed with standard t tests and reported with 95% confidence intervals. Results A total of 328 patients (120 men, 37%), mean age 27.8 ± 10 years, were included. Patients who did not recover symmetrical muscle function (n = 56; 17%) at the 12-month follow-up reported inferior knee-related self-efficacy and quality of life than patients who recovered symmetrical muscle function (n = 96; 29%) at all follow-ups, except quality of life at 4 months. The proportion of patients who stated they achieved their rehabilitation goal at 12 months was 17% for the entire cohort, 24% for patients who recovered muscle function and 5% for patients who did not recover muscle function. Conclusion Patients who recovered strength and hop symmetry 12 months after ACL reconstruction had superior knee-related self-efficacy and greater quality of life during the whole first year after ACL reconstruction. These results can aid clinicians in the decision-making process by providing knowledge of patients who might need further attention during rehabilitation. Level of evidence III.

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Section: Discussionsupporting

confidence: 59%

Superior knee self-efficacy and quality of life throughout the first year in patients who recover symmetrical muscle function after ACL reconstruction

Piussi¹,

Beischer

Thomeé

et al. 2019

Knee Surg Sports Traumatol Arthrosc

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“…Following anterior cruciate ligament reconstruction (ACLR) surgery patients experience significant loss of lower limb strength due to muscle atrophy and arthrogenic inhibition [1,2]. Knee extensor (KE) and flexor (KF) muscle weakness is substantial during the first 12 weeks [3] following surgery, impairing lower limb function [4] and quality of life [5]. Muscle weakness can persist for years after ACLR surgery [6] and is associated with chronic reductions in function [7,8], a high re-injury risk [9] and joint degeneration [10].…”

Section: Introductionmentioning

confidence: 99%

Comparing the Effectiveness of Blood Flow Restriction and Traditional Heavy Load Resistance Training in the Post-Surgery Rehabilitation of Anterior Cruciate Ligament Reconstruction Patients: A UK National Health Service Randomised Controlled Trial

et al. 2019

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“…whether RTS leads to high psychological readiness or whether high psychological readiness leads to RTS, is yet to be studied. Patients who do not RTS after ACL reconstruction can report poor knee-related QoL up to 20 years after surgery, compared with patients who RTS [43]. However, the use of both the KOOS QoL and the ACL-RSI in this study, led to more patients being identified as not "recovered" compared with using only MF tests.…”

Section: Discussionmentioning

confidence: 69%

Hop tests and psychological PROs provide a demanding and clinician-friendly RTS assessment of patients after ACL reconstruction, a registry study

Piussi¹,

Beischer

Thomeé

et al. 2020

BMC Sports Sci Med Rehabil

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Background: There is growing interest in assessing psychological well-being in patients after anterior cruciate ligament (ACL) reconstruction. It is unknown whether an assessment of psychological outcome in addition to tests of muscle function can facilitate decisions on return to sport (RTS). Therefore, the aim of this study was to evaluate passing rates in different physical RTS test batteries, with and without the inclusion of psychological outcome measures 1 year after ACL reconstruction. Method: In this cross-sectional cohort study a total of 320 patients (51% men) aged 18-65 years were included 1 year after ACL reconstruction. Passing rates on different muscle function (MF) test batteries (with results presented as Limb Symmetry Index (LSI)), consisting of knee extension and flexion strength tests, 3 hop tests, and 2 psychological patient-reported outcomes (PROs); Quality of Life subscale from the Knee injury and Osteoarthritis Outcome Score (KOOS QoL) and ACL Return to Sport after Injury (ACL-RSI), were evaluated 1 year after ACL reconstruction. Muscle function test batteries comprised: 2 MF tests (vertical hop and hop for distance; pass = 90% LSI); 2 MF tests and 2 PRO (pass = 90% LSI, 62.5 points on KOOS QoL and 76.6 points on ACL-RSI), 5 MF tests (2 strength and 3 hop tests, pass = 90% LSI), and 5 MF tests and 2 PRO (pass = 90% LSI, 62.5 points on KOOS QoL and 76.6 points on ACL-RSI). Results: Passing rates in the different test batteries were 47% for 2 MF tests, 19% for 2 MF tests and 2 PROs, 29% for 5 MF tests and 13% for 5 MF tests and 2 PROs. The use of psychological PROs together with tests of muscle function gave the lowest passing rate (13%). There was a very strong correlation between passing 2 hop tests and 2 PROs and passing 5 MF tests (rφ = 0.41) as well as passing 5 MF tests and 2 PROs (rφ = 0.79). Conclusion: The use of hop tests together with psychological PROs provides a clinician-friendly RTS test battery for assessment 1 year after ACL reconstruction as the passing rate was 19% when using 2 hop-tests combined with 2 PROs, compared with 29% when using 5 tests of MF requiring advanced testing equipment.

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Longer-term quality of life following ACL injury and reconstruction

Cited by 9 publications

References 6 publications

Superior knee self-efficacy and quality of life throughout the first year in patients who recover symmetrical muscle function after ACL reconstruction

Superior knee self-efficacy and quality of life throughout the first year in patients who recover symmetrical muscle function after ACL reconstruction

Comparing the Effectiveness of Blood Flow Restriction and Traditional Heavy Load Resistance Training in the Post-Surgery Rehabilitation of Anterior Cruciate Ligament Reconstruction Patients: A UK National Health Service Randomised Controlled Trial

Hop tests and psychological PROs provide a demanding and clinician-friendly RTS assessment of patients after ACL reconstruction, a registry study

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