Which criteria are used to clear patients to return to sport after primary ACL reconstruction? A scoping review

Peters, Scott (author): Toronto Blue Jays Major League Baseball Club, Canada

Ardern, Clare (author): Linköpings universitet,Avdelningen för fysioterapi,Medicinska fakulteten,La Trobe Univ, Australia

Sylvain, Jonathan (author): Hartford Healthcare Rehabilitaiton Network, CT USA

(creator_code:org_t)

2019-02-02
2019
English.
In: British Journal of Sports Medicine. - : BMJ PUBLISHING GROUP. - 0306-3674 .- 1473-0480. ; 53:18, s. 1154-1161

Related links:: https://bjsm.bmj.com...; show more...; https://urn.kb.se/re...; https://doi.org/10.1...; show less...

Abstract Subject headings

Objective To describe the criteria used to clear athletes to return to sport (RTS) following primary ACL reconstruction. Design Scoping review. Data sources MEDLINE, Embase, CINAHL and SPORTDiscus electronic databases were searched using keywords related to ACL and RTS. Eligibility criteria Prospective or retrospective studies reporting at least one RTS criterion for athletes who had primary ACL reconstruction with an autograft. Results In total, 209 studies fulfilled the inclusion criteria. RTS criteria were categorised into six domains: time, strength, hop testing, clinical examination, patient-report and performance-based criteria. From the 209 included studies, time was used in 178 studies (85%), and in 88 studies (42%) was the sole RTS criterion. Strength tests were reported in 86 studies (41%). Sixteen different hop tests were used in 31 studies (15%). Clinical examination was used in 54 studies (26%), patient report in 26 studies (12%) and performance-based criteria in 41 studies (20%). Summary Time and impairment-based measures dominated RTS criteria, despite sport being a complex physical and biopsychosocial activity with demands across all aspects of function. Time was included as a criterion in 85% of studies, and over 80% of studies allowed RTS before 9 months. Whether RTS tests are valid-do they predict successful RTS?-is largely unknown.

By the author/editor: Burgi, Ciara R.; Peters, Scott; Ardern, Clare; Magill, John R.; Gomez, Christina ...; Sylvain, Jonatha ...; show more...; Reiman, Michael ...; show less...

About the subject

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Physiotherapy

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