Abstract:
BACKGROUND:An athlete's intention to return to sport following anterior cruciate ligament (ACL) injury is a major indication for surgical intervention. PURPOSE:The purpose of this review was to determine postoperative return-to-sport outcomes after ACL reconstruction surgery. STUDY DESIGN:Meta-analysis and systematic review METHODS:Electronic databases including Medline, Embase, SPORTDiscus and CINAHL were searched from the earliest possible entry to April 2010. Studies were included that reported the number of patients returning to sports participation following ACL reconstruction surgery. The results were presented using the World Health Organization's International Classification of Functioning, Disability and Health as a framework and combined using proportion meta-analyses. RESULTS:Forty-eight studies evaluating 5770 participants at a mean follow-up of 41.5 months were included for review. Overall, 82% of participants had returned to some kind of sports participation, 63% had returned to their preinjury level of participation, and 44% had returned to competitive sport at final follow-up. Approximately 90% of participants achieved normal or nearly normal knee function when assessed postoperatively using impairment-based outcomes such as laxity and strength, and 85% when using activity-based outcomes such as the International Knee Documentation Committee knee evaluation form. Fear of reinjury was the most common reason cited for a postoperative reduction in or cessation of sports participation. CONCLUSION:The relatively low rate of return to competitive sport despite the high rates of successful outcome in terms of knee impairment-based function suggests that other factors such as psychological factors may be contributing to return-to-sport outcomes.
journal_name
Br J Sports Medjournal_title
British journal of sports medicineauthors
Ardern CL,Webster KE,Taylor NF,Feller JAdoi
10.1136/bjsm.2010.076364subject
Has Abstractpub_date
2011-06-01 00:00:00pages
596-606issue
7eissn
0306-3674issn
1473-0480pii
bjsm.2010.076364journal_volume
45pub_type
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journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2002.002576
更新日期:2004-04-01 00:00:00
abstract:OBJECTIVE:To evaluate muscle activation patterns in selected scapulohumeral muscles in the tennis serve. These patterns of muscle activation have not been evaluated in other studies of the tennis serve. Fine wire and surface EMG was used to calculate onset and offset timing of muscle activation. DESIGN:Controlled labo...
journal_title:British journal of sports medicine
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pub_type: 杂志文章
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pub_type: 杂志文章,评审
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journal_title:British journal of sports medicine
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pub_type: 杂志文章,随机对照试验
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更新日期:2014-08-01 00:00:00
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更新日期:2005-01-01 00:00:00
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更新日期:2012-06-01 00:00:00
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