Suggestions From the Field for Return to Sports Participation Following Anterior Cruciate Ligament Reconstruction: Basketball

Waters, Eric D.

doi:10.2519/jospt.2012.4030

Cited by 29 publications

(22 citation statements)

References 34 publications

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“…Specific return-to-sport training was not the focus of this paper but may be an important component of return-to-activity preparation 27,88 and should be implemented based on the needs of each athlete and the demands of the sport, as previously published for sports like soccer, basketball, and downhill skiing. 11,72,153 To date, the effectiveness of the exercise components described has not been empirically tested on athletes following ACLR; however, recent reports indicate that the addition of on-field rehabilitation helps to address lingering deficits in the return-to-sport phase. 11,27,72,153 Future studies should focus on randomized controlled trials of specific, targeted neuromuscular interventions.…”

Section: Discussionmentioning

confidence: 99%

“…11,72,153 To date, the effectiveness of the exercise components described has not been empirically tested on athletes following ACLR; however, recent reports indicate that the addition of on-field rehabilitation helps to address lingering deficits in the return-to-sport phase. 11,27,72,153 Future studies should focus on randomized controlled trials of specific, targeted neuromuscular interventions.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Neuromuscular Training to Target Deficits Associated With Second Anterior Cruciate Ligament Injury

Stasi¹,

Myer²,

Hewett

2013

Journal of Orthopaedic & Sports Physical Therapy

146

144

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Synopsis Successful return to previous level of activity following anterior cruciate ligament (ACL) reconstruction is not guaranteed, and the prevalence of second ACL injury may be as high as 30%. In particular, younger athletes who return to sports activities within the first several months after ACL reconstruction may be at significantly greater risk of a second ACL rupture compared to older, less active individuals. Significant neuromuscular deficits and functional limitations are commonly identified in athletes following ACL reconstruction, and these abnormal movement and neuromuscular control profiles may be both residual of deficits existing prior to the initial injury and exacerbated by the injury and subsequent ACL reconstruction surgery. Following ACL reconstruction, neuromuscular deficits are present in both the surgical and nonsurgical limbs, and accurately predict second-ACL injury risk in adolescent athletes. While second ACL injury in highly active individuals may be predicated on a number of modifiable and nonmodifiable factors, clinicians have the greatest potential to address the modifiable postsurgical risk factors through targeted neuromuscular interventions. This manuscript will (1) summarize the neuromuscular deficits commonly identified at medical discharge to return to sport, (2) provide the evidence underlying second-ACL injury risk factors, (3) propose a method to assess the modifiable deficits related to second-ACL injury risk, and (4) outline a method of intervention to prevent second ACL injury. The program described in this clinical commentary was developed with consideration for the modifiable factors related to second-injury risk, the principles of motor learning, and careful selection of the exercises that may most effectively modify aberrant neuromuscular patterns. Future validation of this evidence-based, late-phase rehabilitation program may be a critical factor in maximizing return-to-activity success and reduction of second-injury risk in highly active individuals. Level of Evidence Therapy, level 5. J Orthop Sports Phys Ther 2013;43(11):777–792. Epub 10 October 2013. doi:10.2519/jospt.2013.4693

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Neuromuscular Training to Target Deficits Associated With Second Anterior Cruciate Ligament Injury

Stasi¹,

Myer²,

Hewett

2013

Journal of Orthopaedic & Sports Physical Therapy

146

144

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“…As previously mentioned, a parallel can be made with return to sport after ACL reconstruction. Specific exercises to be implemented for patients involved in soccer, basketball, alpine skiing, and American football have been described [7, 20, 37, 38]. …”

Section: Return To Sport After Nonsurgical Treatmentmentioning

confidence: 99%

Return to sport after patellar dislocation or following surgery for patellofemoral instability

Ménétrey

Putman

Gard

2014

Knee Surg Sports Traumatol Arthrosc

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Patellofemoral instability may occur in a young population as a result of injury during sporting activities. This review focuses on return to sport after one episode of dislocation treated no operatively and as well after surgery for chronic patellofemoral instability. With or without surgery, only two-thirds of patients return to sports at the same level as prior to injury. A high-quality rehabilitation programme using specific exercises is the key for a safe return to sporting activities. To achieve this goal, recovery of muscle strength and dynamic stability of the lower limbs is crucial. The focus should be directed to strengthen the quadriceps muscle and pelvic stabilizers, as well as lateral trunk muscle training. Patient education and regularly performed home exercises are other key factors that can lead to a successful return to sports. The criteria for a safe return to sports include the absence of pain, no effusion, a complete range of motion, almost symmetrical strength, and excellent dynamic stability.Level of evidence IV.

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“…25,26 For this reason we can assume that RTP criteria could evolve in parallel with the possible new rules in a near future.…”

Section: Intelligent Management Of Modifiersmentioning

confidence: 99%

RETURN TO PLAY: Where are we going? It is not a guessing game

Pruna

2016

Apunts. Medicina de l'Esport

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Return to play is one of the most important key points within the recovery process of the injured player. It is essential to understand the RTP as a constant decision making process. RTP has to be understood as a dynamic and personalised process. The main objective has to be the absence of further re-injuries but not to exactly predict the RTP time.There are a series of basic key points to fulfil within the process. A correct diagnosis: A good diagnosis is the most relevant step in getting a correct RTP, it is really the first cornerstone.; Today in sports medicine practice many variables are still not taken into account when we talk about these injuries. Strict control of workloads: Sport medicine doctors, are still using different concepts to define the RTP, without any consensus, although the most appropriate concept is the full availability for matches, because the training phase has to be understood as a part of the recovery process.Apart from clinical exploration or MRI, a test on field assessed by GPS starts to be considered important by the medical and technical staff in personalising the progress of the injury and obtaining a trusted framework to validate the RTP and in the assessment, monitoring and management of workloads.The objective is to acquire the INDIVIDUAL FIT PROFILE. Intelligent management of modifiers: The rules of sports have a high influence and affect the return to play. Doctors have to be involved in the sport they are working in and have a deep knowledge of the environment to be able to manage intelligently the decisions made with a player, technical staff and coach. Where are we going?: The BIG DATA concept is going to help us in future, because we will be able to share the medical experience between the doctors from different countries and use it to improve our knowledge specially in RTP criteria.

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Suggestions From the Field for Return to Sports Participation Following Anterior Cruciate Ligament Reconstruction: Basketball

Cited by 29 publications

References 34 publications

Neuromuscular Training to Target Deficits Associated With Second Anterior Cruciate Ligament Injury

Neuromuscular Training to Target Deficits Associated With Second Anterior Cruciate Ligament Injury

Return to sport after patellar dislocation or following surgery for patellofemoral instability

RETURN TO PLAY: Where are we going? It is not a guessing game

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