Importance of functional performance and psychological readiness for return to preinjury level of sports 1 year after ACL reconstruction in competitive athletes

Kitaguchi, Takuya; Tanaka, Yoshinari; Takeshita, Shinya; Tsujimoto, Nozomi; Kita, Keisuke; Amano, Hiroshi; Kinugasa, K.; Tachibana, Yuta; Natsuume, Tadao; Horibe, Shuji

doi:10.1007/s00167-019-05774-y

Cited by 62 publications

(59 citation statements)

References 47 publications

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“…The main finding of this study was that the best RTS factor predictors were single HOP for distance, triple HOP for distance and LESS tests. According to other authors, one of the strongest RTS predictive factors is LSI in the single leg HOP test (Kitaguchi et al, 2019). These discoveries determined why we decided to compare our test results between groups, divided by single leg HOP test results.…”

Section: Discussionmentioning

confidence: 91%

“…Ardern et al (2013) reported that psychological responses are important as well as one leg HOP tests' symmetry and subjective knee function to RTS. Up to 78% of athletes who did not have RTS claimed they feared re-injury (Kitaguchi et al, 2019). Also, researchers could not find any differences between sexes.…”

Section: Introductionmentioning

confidence: 85%

“…Plenty of factors and limitations can have an affect on returning to sports activity after ACLR and current knowledge regarding these factors is restricted (Cristiani et al, 2020). Previous reports suggest that one of the best predictive factors in returning to sports activity is single leg HOP tests with an optimal cut-off value of 81.3% (Kitaguchi et al, 2019). Also, other researchers found that single leg HOP tests were strongly associated with quadriceps strength.…”

Section: Introductionmentioning

confidence: 99%

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Eight-Months After Anterior Cruciate Ligament Reconstruction: Is It Time to Return to Physical Activity?

Salatkaitė

Šiupšinskas

Žumbakytė-Šermukšnienė

et al. 2021

BJSHS

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Background. Return to participation in sport is an important outcome when evaluating the success of anterior cruciate ligament (ACL) reconstruction surgery. A review by Arden et al. (2014) demonstrates that just because an athlete has surgery, it does not automatically mean that they will return to sport. So, the purpose of this study was to assess if patients could return to their pre-injury activity level 8 months after ACLR. Methods. Patients completed IKDC-2000, ACL-RSI questionnaires, underwent FMS, YBT, HOP test sets and drop jump tests, which were evaluated with the LESS. ACL laxity was measured by using a GNRB® device. Participants were 81 patients. They were divided into two groups based on single leg HOP test results. The first group included 30 persons who all had their four single leg HOP test scores above 90%. The second group consisted of 51 persons for whom at least one of the single leg HOP tests scored lower than 90%. Results. IKDC and HOP test results in the first group scored higher than in the second group. Psychological confidence was higher in the first group, who had better HOP test results. For the first group, FMS and LESS results were better than those for the second group. Moderate positive correlation was found between LESS scores and laxity results, FMS, three HOP sub-tests. IKDC had the biggest number of correlations with other tests. Results showed negative and weak correlation with laxity results using 134 N power, as well as positive and moderate correlation with HOP sub-tests, FMS, ACL-RSI. Single HOP for distance, triple HOP for distance, crossover HOP for distance and LESS increased the odds of achieving RTS criteria. No other factors were found to be associated with the accomplishment of reaching RTS criteria after ACLR. Conclusions. The main factor which can help decide if a person can return to their pre-injury level of physical activity are the single leg HOP test and LESS. The use of single leg HOP tests and LESS along with psychological and self-reported evaluations is the best test combination for assessment 8 months after ACLR. Keywords: ACL reconstruction, function tests, return to play, jump tests, psychological readiness.

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Section: Discussionmentioning

confidence: 91%

Section: Introductionmentioning

confidence: 85%

Section: Introductionmentioning

confidence: 99%

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Eight-Months After Anterior Cruciate Ligament Reconstruction: Is It Time to Return to Physical Activity?

Salatkaitė

Šiupšinskas

Žumbakytė-Šermukšnienė

et al. 2021

BJSHS

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“…Similar to the results of Xu et al [45], about 70% of patients reached excellent or good results in the Lysholm score in the present study. Since ACL-R results in high return-tosport rates with clear limitations in terms of postoperative sports activity level [16,[20][21][22], physical activity remains an important outcome parameter after ARIF of tibial eminence fractures. To date, only Callanan et al investigated on sport activities and return-to-sport following ARIF after tibial eminence avulsion fractures [5].…”

Section: Discussionmentioning

confidence: 99%

Reliable ligamentous stability and high return-to-sport rates after arthroscopic reduction and internal fixation of tibial eminence fractures

Lutz

Geyer

Winkler

et al. 2021

Arch Orthop Trauma Surg

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Purpose To investigate functional and clinical outcomes, and physical activity after arthroscopic suture fixation of tibial eminence fractures with regard to postoperative stability, range of motion (ROM), complications, and return to sports. Methods Patients undergoing arthroscopic reduction and internal fixation (ARIF) of tibial eminence fractures using a suture fixation technique were included. Outcome was evaluated retrospectively after a minimum follow-up of 24 months using KT-1000 arthrometer measurements, clinical examination, outcome scores (Lysholm score, Tegner Activity Scale), and a questionnaire about sport activities. Results A total of 23 patients (44% male, 57% female) with a mean age of 25 ± 15 years were included. Mean follow-up was 57 ± 25 months. KT-1000 arthrometer measurements of anterior tibial translation revealed a mean side-to-side difference of 0.9 ± 1.0 mm. Clinical examination showed 100% normal or nearly normal anterior translation of the tibia. Two patients (9%) received an ACL reconstruction due to traumatic ACL re-instability and were, therefore, considered as failures. An extension deficit concerning hyperextension occurred in 29% of patients postoperatively. Further postoperative complications occurred in 14% of patients and included postoperative stiffness with ROM limitations and secondary dislocation of a fragment. Mean postoperative Lysholm score was 89 ± 14. Comparing pre- and postoperative values, no significant change of the Tegner Activity Scale was observed. All patients (failures excluded) returned to high impact sports activities after ARIF. Conclusion Excellent reliable ligamentous stability and high rates of return to high impact sports can be expected after ARIF using a suture fixation technique for type II–IV tibial eminence fractures. Complications, such as limitations in ROM, commonly occur in up to 30% after ARIF. Therefore, regular follow-up examinations remain important in this usually young patient cohort. Level of Evidence Level IV.

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“…28 It was developed around the following 3 highly interrelated factors: emotions, performance confidence, and risk appraisal. Results of the ACL-RSI scale can predict successful return to sports 15,18 and is associated with a second ACL rupture. 16 It has also been adapted to measure psychological readiness to return to sports after hip arthroscopy (Hip-RSI), 30 but only 1 study has previously explored the adaptation of the ACL-RSI scale to measure psychological readiness to return to sports after a shoulder dislocation.…”

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confidence: 99%

Factor Structure of the Shoulder Instability Return to Sport After Injury Scale: Performance Confidence, Reinjury Fear and Risk, Emotions, Rehabilitation and Surgery

Olds¹,

Webster

2021

Am J Sports Med

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Background: Rates of return to play after shoulder dislocation vary between 48% and 96%, and there has been scant attention given to the psychosocial factors that influence return to play after a shoulder injury. Purpose: To establish the factor structure of the Shoulder Return to Sport after Injury (SI-RSI) scale and examine how the SI-RSI is associated with the Western Ontario Shoulder Instability Index (WOSI). Study Design: Cross-sectional study; Level of evidence, 3. Methods: The SI-RSI is designed to measure psychological readiness to return to play after shoulder dislocation and was administered to participants who had at least 1 episode of shoulder dislocation and were planning or had returned to sports. The WOSI was also completed by the participants, and descriptive data were gathered. Reliability (Cronbach α) and factor analysis of the SI-RSI were undertaken. Correlations between the SI-RSI and WOSI were made, and differences between various patient subgroups (first-time dislocations vs multiple episodes of instability, surgery vs no surgery, return to sports vs no return) were analyzed. Results: The SI-RSI had high internal consistency (Cronbach α = 0.84) and was shown to have 4 distinct factors that represented the following constructs: performance confidence, reinjury fear and risk, emotions, and rehabilitation and surgery. Moderate correlations were seen between SI-RSI and WOSI scores. Participants who had undergone surgery scored significantly lower on the reinjury fear and risk subscale of the SI-RSI ( P = .04). Those who had sustained multiple dislocations were significantly more concerned about having to undergo rehabilitation and surgery again ( P = .007). Participants who had returned to sports had significantly greater fear and thought they were more at risk of reinjury ( P = .02). Conclusion: Athletes return to sports after a shoulder dislocation despite reporting high levels of fear and concern for their shoulder. High levels of fear and concern may underpin why rates of recurrent shoulder instability are so high. Four distinct elements of psychological readiness appeared to be present in this patient group.

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Importance of functional performance and psychological readiness for return to preinjury level of sports 1 year after ACL reconstruction in competitive athletes

Cited by 62 publications

References 47 publications

Eight-Months After Anterior Cruciate Ligament Reconstruction: Is It Time to Return to Physical Activity?

Eight-Months After Anterior Cruciate Ligament Reconstruction: Is It Time to Return to Physical Activity?

Reliable ligamentous stability and high return-to-sport rates after arthroscopic reduction and internal fixation of tibial eminence fractures

Factor Structure of the Shoulder Instability Return to Sport After Injury Scale: Performance Confidence, Reinjury Fear and Risk, Emotions, Rehabilitation and Surgery

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