Muscle strength and hop performance criteria prior to return to sports after ACL reconstruction

  • Roland Thomeé
  • Yonatan Kaplan
  • Joanna Kvist
  • Grethe Myklebust
  • May Arna Risberg
  • Daniel Theisen
  • Elias Tsepis
  • Suzanne Werner
  • Barbara Wondrasch
  • Erik Witvrouw
Knee

Abstract

Purpose

The purpose of this article is to present recommendations for new muscle strength and hop performance criteria prior to a return to sports after anterior cruciate ligament (ACL) reconstruction.

Methods

A search was made of relevant literature relating to muscle function, self-reported questionnaires on symptoms, function and knee-related quality of life, as well as the rate of re-injury, the rate of return to sports and the development of osteoarthritis after ACL reconstruction. The literature was reviewed and discussed by the European Board of Sports Rehabilitation in order to reach consensus on criteria for muscle strength and hop performance prior to a return to sports.

Results

The majority of athletes that sustain an (ACL) injury do not successfully return to their pre-injury sport, even though most athletes achieve what is considered to be acceptable muscle function. On self-reported questionnaires, the athletes report high ratings for fear of re-injury, low ratings for their knee function during sports and low ratings for their knee-related quality of life.

Conclusion

The conclusion is that the muscle function tests that are commonly used are not demanding enough or not sensitive enough to identify differences between injured and non-injured sides. Recommendations for new criteria are given for the sports medicine community to consider, before allowing an athlete to return to sports after an ACL reconstruction.

Level of evidence

IV.

Keywords

Return to sport Strength Hop performance Patient’s opinion Knee function 

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Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • Roland Thomeé
    • 1
  • Yonatan Kaplan
    • 2
  • Joanna Kvist
    • 3
  • Grethe Myklebust
    • 4
  • May Arna Risberg
    • 5
  • Daniel Theisen
    • 6
  • Elias Tsepis
    • 7
  • Suzanne Werner
    • 8
  • Barbara Wondrasch
    • 9
  • Erik Witvrouw
    • 10
  1. 1.Department of Orthopaedics, Lundberg Laboratory for Orthopaedic ResearchSahlgrenska University HospitalGöteborgSweden
  2. 2.Physical Therapy and Sports Medicine Institute Lerner Sports CenterHebrew University of JerusalemJerusalemIsrael
  3. 3.Division of Physiotherapy, Department of Health and Society, Faculty of Health SciencesLinköping UniversityLinköpingSweden
  4. 4.Oslo Sport Trauma Research Center, Norwegian School of Sports SciencesOsloNorway
  5. 5.Department of Orthopaedic, Norwegian School of Sport Sciences, Hjelp24NIMIOslo University HospitalOsloNorway
  6. 6.Sports Medicine Research Laboratory, Public Research Centre for HealthLuxembourgLuxembourg
  7. 7.Department of Physical Therapy, Technological Educational Institute of Patras (Aigio Branch)PatraGreece
  8. 8.Department of Molecular Medicine and Surgery, Stockholm Sports Trauma Research CenterKarolinska InstituteStockholmSweden
  9. 9.Vienna Sports Medicine CenterWienAustria
  10. 10.Department of Rehabilitation Sciences and Physical TherapyGhent UniversityGhentBelgium

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