Do Patients Failing Return-to-Activity Criteria at 6 Months After Anterior Cruciate Ligament Reconstruction Continue Demonstrating Deficits at 2 Years?
Este artículo es originalmente publicado en:
Nawasreh Z1,2, Logerstedt D3,4, Cummer K1,5, Axe MJ2,5,6, Risberg MA7,8, Snyder-Mackler L1,4,5.
Am J Sports Med. 2017 Apr;45(5):1037-1048. doi: 10.1177/0363546516680619. Epub 2016 Dec 21.
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Copyright © 2017 by American Orthopaedic Society for Sports Medicine
The variability in outcomes after anterior cruciate ligament reconstruction (ACLR) might be related to the criteria that are used to determine athletes’ readiness to return to their preinjury activity level. A battery of return-to-activity criteria (RTAC) that emphasize normal knee function and movement symmetry has been instituted to quantitatively determine athletes’ readiness to return to preinjury activities.
To investigate performance-based and patient-reported measures at 12 and 24 months after ACLR between patients who passed or failed RTAC at 6 months after ACLR.
Cohort study; Level of evidence, 2.
Patients who passed the RTAC early after ACLR were more likely to demonstrate normal knee function and movement symmetry at 12 and 24 months postoperatively, while patients who failed the RTAC early were more likely to demonstrate impaired knee function and movement asymmetry at 12- and 24-month follow-ups. Patients in the pass group had a higher rate of return to their preinjury activity level compared with those in the fail group. A group of patients chose to return to their preinjury activities, even though they were functionally not ready.
anterior cruciate ligament reconstruction; knee function; limb-to-limb symmetry; patient-reported measures; return-to-activity criteria