Readiness for return to sport in non-surgically treated patients with anterior cruciate ligament injury following a public municipal rehabilitation program

Julie Rønne Pedersen*, Steffan Holst Hansen, Hege Grindem, Anni Plauborg Jepsen, Jonas Bloch Thorlund

*Corresponding author for this work

Research output: Contribution to journalJournal articleResearchpeer-review

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Abstract

Objectives
To investigate the proportion of patients that pass a return to sport (RTS) test battery and assess changes in patient-reported outcomes and lower extremity muscle strength following three months of exericse-based rehabilitation in non-surgically treated patients with anterior cruciate ligament (ACL) injury.

Design
Prospective cohort study.

Setting
Clinical environment (public municipal).

Participants
Thirty-nine ACL injured patients (54% female, median age (IQR) 28 years (24–35).

Main outcome measures
The Knee Injury and Osteoarthritis Outcome Score, Knee Outcome Survey Activities of Daily Living Scale, single hop for distance, crossover hop for distance, side hop test, the Agility T-test, and quadriceps and hamstrings isometric maximal voluntary contraction (MVC).

Results
Following 3 months of rehabilitation, patients had statistically significant improvements in all patients-reported outcomes and in quadriceps and hamstring MVC. Of 28 patients who completed all RTS tests, 11% passed six RTS criteria, 14% five criteria, 11% four criteria, 4% three criteria, 18% two criteria, 21% one criterion, and 21% none of the criteria.

Conclusions
The results suggest that three months of public municipal rehabilitation improves patient-reported outcomes and lower extremity muscle strength in non-surgically treated patients with ACL injury. However, only one in every 10 patients passed all RTS criteria.
Original languageEnglish
JournalPhysical Therapy in Sport
Volume53
Pages (from-to)7-13
ISSN1466-853X
DOIs
Publication statusPublished - Jan 2022

Keywords

  • Anterior Cruciate Ligament
  • Exercise
  • Rehabilitaion

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