TY - JOUR
T1 - Rehabilitation after anterior cruciate ligament reconstruction
T2 - Criteria-based progression through the return-to-sport phase
AU - Myer, Gregory D.
AU - Paterno, Mark V.
AU - Ford, Kevin R.
AU - Quatman, Carmen E.
AU - Hewett, Timothy E.
PY - 2006/6
Y1 - 2006/6
N2 - Rehabilitation following anterior cruciate ligament (ACL) reconstruction has undergone a relatively rapid and global evolution over the past 25 years. However, there is an absence of standardized, objective criteria to accurately assess an athlete's ability to progress through the end stages of rehabilitation and sate return to sport. Return-to-sport rehabilitation, progressed by quantitatively measured functional goals, may improve the athlete's integration back into sport participation. The purpose of the following clinical commentary is to introduce an example of a criteria-driven algorithm for progression through return-to-sport rehabilitation following ACL reconstruction. Our criteria-based protocol incorporates a dynamic assessment of baseline limb strength, patient-reported outcomes, functional knee stability, bilateral limb symmetry with functional tasks, postural control, power, endurance, agility, and technique with sport-specific tasks. Although this algorithm has limitations, it serves as a foundation to expand future evidence-based evaluation and to foster critical investigation into the development of objective measures to accurately determine readiness to safely return to sport following injury.
AB - Rehabilitation following anterior cruciate ligament (ACL) reconstruction has undergone a relatively rapid and global evolution over the past 25 years. However, there is an absence of standardized, objective criteria to accurately assess an athlete's ability to progress through the end stages of rehabilitation and sate return to sport. Return-to-sport rehabilitation, progressed by quantitatively measured functional goals, may improve the athlete's integration back into sport participation. The purpose of the following clinical commentary is to introduce an example of a criteria-driven algorithm for progression through return-to-sport rehabilitation following ACL reconstruction. Our criteria-based protocol incorporates a dynamic assessment of baseline limb strength, patient-reported outcomes, functional knee stability, bilateral limb symmetry with functional tasks, postural control, power, endurance, agility, and technique with sport-specific tasks. Although this algorithm has limitations, it serves as a foundation to expand future evidence-based evaluation and to foster critical investigation into the development of objective measures to accurately determine readiness to safely return to sport following injury.
KW - Anterior cruciate ligament
KW - Knee rehabilitation
KW - Lower extremity
KW - Sport injury
UR - http://www.scopus.com/inward/record.url?scp=33744917525&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=33744917525&partnerID=8YFLogxK
U2 - 10.2519/jospt.2006.2222
DO - 10.2519/jospt.2006.2222
M3 - Review article
C2 - 16776488
AN - SCOPUS:33744917525
SN - 0190-6011
VL - 36
SP - 385
EP - 402
JO - Journal of Orthopaedic and Sports Physical Therapy
JF - Journal of Orthopaedic and Sports Physical Therapy
IS - 6
ER -