Rehabilitation duration and time of starting sport-related activities associated with return to the previous level of sports after anterior cruciate ligament reconstruction |
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| Affiliation: | 1. Department of Rehabilitation Sciences, Jordan University of Science and Technology (JUST), P.O.Box 3030, Irbid, 22110, Jordan;2. Jordan University of Science and Technology (JUST), Department of Special Surgery, College of Medicine, P.O.Box 3030, Irbid, 22110, Jordan;3. Medical Faculty, Yarmouk University, Irbid, 21163, Jordan;4. Department of Physical Therapy, University of Delaware, USA. 540 South College Avenue, 19713, Newark, DE, USA;5. Department of Physical Therapy, University of the Sciences, Philadelphia, PA, USA. 600 South 43rd Street, Philadelphia, 19104-4495, PA, USA;1. School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Australia;2. Metropolitan Hospital, Athens, Greece;3. OrthoSport Victoria Research Unit, Melbourne, Australia;1. Department of Physical Therapy, Georgia State University, Atlanta, GA, USA;2. Department of Biostatistics and Bioinformatics, Emory University, Atlanta, GA, USA;3. Sovereign Rehabilitation, Atlanta, GA, USA;4. Children’s Healthcare of Atlanta, Atlanta, GA, USA;1. Reval Rehabilitation Research Centre, Faculty of Rehabilitation Sciences, Hasselt University, Diepenbeek, Belgium;2. Department of Orthopedic Surgery, Ziekenhuis Oost-Limburg, Genk, Belgium;3. Faculty of Medicine and Life Sciences, Hasselt University, Diepenbeek, Belgium;4. Exercise Science & Neuroscience, Department Exercise & Health, Faculty of Science, Paderborn University, Paderborn, Germany;5. Amsterdam Collaboration on Health & Safety in Sports, Department of Public and Occupational Health and Amsterdam Public Health Research Institute, Amsterdam University Medical Centres, VU Medical Center, Amsterdam, the Netherlands;1. University of Tennessee Health Science Center, 930 Madison Avenue, Suite 604, Memphis, TN, 38163, USA;2. Ohio State University, 516 Atwell Hall, 453 W, 10th Avenue, Columbus, OH, 43210, USA;3. Rocky Mountain University of Health Professions, 122 East 1700 South, Bldg. 3, Provo, UT 84606, USA;4. University of Saskatchewan, 104 Clinic Place, Health Sciences E-Wing, Saskatoon, SK, S7N 2Z4, Canada;1. University for Health Sciences, Medical Informatics and Technology, Institute for Sports Medicine, Alpine Medicine & Health Tourism (ISAG), Research Unit for Orthopaedic Sports Medicine and Injury Prevention, Austria;2. Gelenkpunkt — Sports and Joint Surgery, Austria;3. University of Innsbruck, Department of Sport Science, Austria |
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| Abstract: | ObjectivesTo determine predictors for return to previous level of sports after anterior cruciate ligament reconstruction (ACLR).DesignCross-sectional;SettingAthletic teams.ParticipantsNinety-one athletes who had ACLR with hamstring-tendon autograft within 1–5 years participated in this study. Athletes indicated their sport participation levels, injury profile, rehabilitation duration, and time to start sport-related activities (running, cutting-pivoting) after ACLR. Athletes answered whether they returned to the same previous level of frequency, duration, and intensity of sports.Main outcome measuresAthletes’ characteristics, injury and surgical factors, duration of post-operative rehabilitation program, and time to start sport-related activities after ACLR were evaluated by univariate logistic regression to determine predictors for return to previous level of sports.ResultsNine athletes (10%) returned to their self-described previous level of sports. Predictors for returning to previous level of sports were rehabilitation duration >4 months (OR:6.78; p = .011), time to start running ≤4 months (OR:8.62; p = .047) and cutting-pivoting <6 months after surgery (OR:5.02; p = .030).ConclusionLonger post-operative rehabilitation duration and time to start sport-related activities after ACLR predicted return to previous level of sports. Spending adequate time in post-operative rehabilitation program and time-based resumption of sports-related activities after ACLR might be key factors for returning to previous sports level. |
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| Keywords: | Anterior cruciate ligament Knee surgery Return to sport Predictors |
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