Return to sports after ACL injury 5 years from now: 10 things we must do

Gokeler, Alli; Grassi, Alberto; Hoogeslag, Roy A.G.; Houten, Albert van; Lehman, Tim; Bolling, Caroline; Buckthorpe, Matthew; Norte, Grant E.; Benjaminse, Anne; Heuvelmans, Pieter; Paolo, Stefano Di; Tak, Igor; Villa, F.

doi:10.1186/s40634-022-00514-7

Cited by 19 publications

(18 citation statements)

References 140 publications

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“…From a practical point of view, football coaches might add the quantitative information of each player to personalize their screening activity towards ACL injury prevention. Despite ACL injury prevention programs which have sensibly improved over the years in young footballers (e.g., the FIFA 11+ [ 46 ]), such technologies might support dealing with the complexity of the football environment interactions [ 47 ]. For example, Cluster 1 players had the largest sample size in the present study cohort: the kinematics (and kinetics) of these players might be interpreted as a benchmark for the female footballers, with a protective motor strategy towards the ACL injury, and used as an example for more at-risk players [ 48 ].…”

Section: Discussionmentioning

confidence: 99%

Definition of High-Risk Motion Patterns for Female ACL Injury Based on Football-Specific Field Data: A Wearable Sensors Plus Data Mining Approach

Paolo

Nijmeijer

Bragonzoni

et al. 2023

Sensors

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The aim of the present study was to investigate if the presence of anterior cruciate ligament (ACL) injury risk factors depicted in the laboratory would reflect at-risk patterns in football-specific field data. Twenty-four female footballers (14.9 ± 0.9 year) performed unanticipated cutting maneuvers in a laboratory setting and on the football pitch during football-specific exercises (F-EX) and games (F-GAME). Knee joint moments were collected in the laboratory and grouped using hierarchical agglomerative clustering. The clusters were used to investigate the kinematics collected on field through wearable sensors. Three clusters emerged: Cluster 1 presented the lowest knee moments; Cluster 2 presented high knee extension but low knee abduction and rotation moments; Cluster 3 presented the highest knee abduction, extension, and external rotation moments. In F-EX, greater knee abduction angles were found in Cluster 2 and 3 compared to Cluster 1 (p = 0.007). Cluster 2 showed the lowest knee and hip flexion angles (p < 0.013). Cluster 3 showed the greatest hip external rotation angles (p = 0.006). In F-GAME, Cluster 3 presented the greatest knee external rotation and lowest knee flexion angles (p = 0.003). Clinically relevant differences towards ACL injury identified in the laboratory reflected at-risk patterns only in part when cutting on the field: in the field, low-risk players exhibited similar kinematic patterns as the high-risk players. Therefore, in-lab injury risk screening may lack ecological validity.

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Section: Discussionmentioning

confidence: 99%

Definition of High-Risk Motion Patterns for Female ACL Injury Based on Football-Specific Field Data: A Wearable Sensors Plus Data Mining Approach

Paolo

Nijmeijer

Bragonzoni

et al. 2023

Sensors

Self Cite

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“…Furthermore, most tests are not sports-specific in that they do not incorporate the demands present during sport, including the cognitive loads of attending to other players and tasks. Combining recent recommendations on optimizing RTS, future directions include integration of cognitive stimulation during motor tasks ( 65 , 66 ). Figure 2 introduces the combined elements of cognitive performance, movement quality, and motor performance that we suggest for functional RTS testing.…”

Section: Current Functional Performance Testingmentioning

confidence: 99%

Think outside the box: Incorporating secondary cognitive tasks into return to sport testing after ACL reconstruction

Chaaban

Turner

Padua

2023

Front. Sports Act. Living

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The optimal set of return to sport (RTS) tests after anterior cruciate ligament (ACL) injury and ACL reconstruction (ACLR) remains elusive. Many athletes fail to pass current RTS test batteries, fail to RTS, or sustain secondary ACL injuries if they do RTS. The purpose of this review is to summarize current literature regarding functional RTS testing after ACLR and to encourage clinicians to have patients “think” (add a secondary cognitive task) outside the “box” (in reference to the box used during the drop vertical jump task) when performing functional RTS tests. We review important criteria for functional tests in RTS testing, including task-specificity and measurability. Firstly, tests should replicate the sport-specific demands the athlete will encounter when they RTS. Many ACL injuries occur when the athlete is performing a dual cognitive-motor task (e.g., attending to an opponent while performing a cutting maneuver). However, most functional RTS tests do not incorporate a secondary cognitive load. Secondly, tests should be measurable, both through the athlete’s ability to complete the task safely (through biomechanical analyses) and efficiently (through measures of performance). We highlight and critically examine three examples of functional tests that are commonly used for RTS testing: the drop vertical jump, single-leg hop tests, and cutting tasks. We discuss how biomechanics and performance can be measured during these tasks, including the relationship these variables may have with injury. We then discuss how cognitive demands can be added to these tasks, and how these demands influence both biomechanics and performance. Lastly, we provide clinicians with practical recommendations on how to implement secondary cognitive tasks into functional testing and how to assess athletes’ biomechanics and performance.

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“…In der frühen Rehabilitationsphase kann eine internale Fokussierung und die Nutzung von explizitem Bewegungswissen allerdings sinnvoll sein, um grundlegende Muskelfunktionen und Bewegungsmuster wiederherzustellen (kognitive Lernphase) 11 . Für die Förderung assoziativer und autonomer Bewegungsprozesse (höhere motorische Lernphasen), die für das sportspezifische Training und eine sichere Rückkehr zur Sportaktivität später benötigt werden, sind diese eher ungeeignet 25 . Aktuell gibt es noch keine anerkannte VKB-Rehabilitationsstruktur, die die Prinzipien motorischen Lernens berücksichtigt.…”

Section: Umsetzung Der Prinzipien Motorischen Lernens In Die Vkb-ther...unclassified

Bedeutung der Neuroplastizitätin der Rehabilitation nach VKB-Ruptur

Giesche,

Gokeler,

Banzer

2023

Sportphysio

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Return to sports after ACL injury 5 years from now: 10 things we must do

Cited by 19 publications

References 140 publications

Definition of High-Risk Motion Patterns for Female ACL Injury Based on Football-Specific Field Data: A Wearable Sensors Plus Data Mining Approach

Definition of High-Risk Motion Patterns for Female ACL Injury Based on Football-Specific Field Data: A Wearable Sensors Plus Data Mining Approach

Think outside the box: Incorporating secondary cognitive tasks into return to sport testing after ACL reconstruction

Bedeutung der Neuroplastizitätin der Rehabilitation nach VKB-Ruptur

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