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On Field Testing After Anterior Cruciate Ligament Reconstruction

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Return to Play in Football

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Abstract

ACL injuries in football are frequently encountered because of their high-intensity axial and valgus forces due to their competitive natural and challenging condition. Despite developing surgical techniques and rehabilitation protocols, approximately two-thirds of the operated athletes, 1 year after the operation, are seen to not be able to turn back their pre-injury sports conditions. Isokinetic force tests, subjective assessment forms, and functional performance tests have been argued generally in the literature to be back-to-sport determinants. Isokinetic tests are used to assess lower extremity strength. Clinical tests including force tests and laxity measurements that are done after the ACL surgery and rehabilitation are found to be poorly compatible with all patients’ functional abilities, and functional tests have been developed to help assess whether the athlete is ready to return to unlimited activity with surgery and treatment results. The back-to-sport criterion includes that there must be at least 85% of difference between the healthy side and the hamstring and quadriceps strength measured by the bound tests and the tolerance of patients in sport-specific. There are a variety of field tests and applications for the removal of side-by-side asymmetries in the athletes and for the examination of different dynamics together. The content of this study is to indicate the importance of the functional testing, the back-to-sport criteria of the athlete after the ACL injury, and the varieties and applications of the field test.

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Author information

Authors and Affiliations

  1. Private Pendik Regional Hospital, Istanbul, Turkey

    Pelin Pişirici

  2. Sports Sciences, School of Sports Sciences, Duzce University, Duzce, Turkey

    Atakan Çağlayan

  3. Department of Orthopedic Surgery, Acibadem University, Istanbul, Turkey

    Mustafa Karahan M.D.

  4. Department of Orthopedic Surgery, University of Thessalia, Larissa, Greece

    Michael Hantes

Authors
  1. Pelin Pişirici
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  2. Atakan Çağlayan
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  3. Mustafa Karahan M.D.
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  4. Michael Hantes
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Corresponding author

Correspondence to Mustafa Karahan M.D. .

Editor information

Editors and Affiliations

  1. UPMC Rooney Sports Complex, University of Pittsburgh, Pittsburgh, Pennsylvania, USA

    Volker Musahl

  2. Department of Orthopaedics, University of Gothenburg, Gothenburg, Sweden

    Jón Karlsson

  3. Department of Trauma Surgery, University Medical Centre Regensburg, Regensburg, Germany

    Werner Krutsch

  4. Santa Monica, California, USA

    Bert R. Mandelbaum

  5. Clínica do Dragão, Espregueira-Mendes Sports Centre, Porto, Portugal

    João Espregueira-Mendes

  6. Orthopaedic Surgery, Aspetar Hospital, Doha, Qatar

    Pieter d'Hooghe

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Pişirici, P., Çağlayan, A., Karahan, M., Hantes, M. (2018). On Field Testing After Anterior Cruciate Ligament Reconstruction. In: Musahl, V., Karlsson, J., Krutsch, W., Mandelbaum, B., Espregueira-Mendes, J., d'Hooghe, P. (eds) Return to Play in Football. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-55713-6_41

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  • DOI: https://doi.org/10.1007/978-3-662-55713-6_41

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-55712-9

  • Online ISBN: 978-3-662-55713-6

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