Which criteria are used to clear patients to return to sport after primary ACL reconstruction? A scoping review.
Br J Sports Med
; 53(18): 1154-1161, 2019 Sep.
Article
en En
| MEDLINE
| ID: mdl-30712009
ABSTRACT
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.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Traumatismos en Atletas
/
Reconstrucción del Ligamento Cruzado Anterior
/
Volver al Deporte
/
Lesiones del Ligamento Cruzado Anterior
Tipo de estudio:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
/
Systematic_reviews
Aspecto:
Patient_preference
Límite:
Humans
Idioma:
En
Revista:
Br J Sports Med
Año:
2019
Tipo del documento:
Article
País de afiliación:
Estados Unidos