Functional Outcome Measures and Mental Readiness to Return to Sport after ACLR
Location
Turner Gymnasium
Access Type
Campus Access Only
Start Date
4-17-2024 12:00 PM
End Date
4-17-2024 1:15 PM
College
College of Health Sciences
Department
Athletic Training
Keywords
Lower Extremity Assessment Protocol, ACLR, Functional Outcome Measures, Return to Sport, KOOS, IKDC
Abstract
A 23 year old female center midfielder on a NCAA Division III women’s soccer team ruptured her left ACL during an away game with a valgus force as the mechanism of injury. At the time of current injury, she complained of a “crack” and instant pain upon impact and progressive effusion over time. MRI imaging confirmed the diagnosis of a left ACL tear and medial meniscus tear. The patient had an ACL reconstruction with postoperative functional and mental readiness measures taken at 3 months, 6 months, and RTS. We obtained functional outcome scores, Lower Extremity Assessment Protocol (LEAP), and mental readiness scores to better understand the patient's physical and mental preparedness for return to sport (RTS) and reduce the risk of re-injury. The LEAP is a battery of physical tests and subjective questionnaires to assess the patient’s function after a lower extremity injury such as ACLR. The LEAP included isokinetic strength tests at 90 and 180 degrees/s, vertical 4-hop test, jump landing, single limb hop test, and single leg balance. We also administered the KOOS, ACL-RSI, and IKDC forms, all of which have been found to be valid and reliable. The patient returned to full sport at 10 months postoperative with data measures that were below the average reported in previous literature for RTS. Objective testing that includes patient reported outcome measures is critical information to optimize post operative rehabilitation following ACLR. Data-informed RTS decisions can help guide patients to safe participation in physical activity and sport. Therefore, the changes between testing points should enable clinical decisions on adjusting rehabilitation prescription, leading to successful RTS.
Faculty Mentor(s)
Dr.Tom Bowman Dr.Joe Hart Caroline Wesley Siler
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Functional Outcome Measures and Mental Readiness to Return to Sport after ACLR
Turner Gymnasium
A 23 year old female center midfielder on a NCAA Division III women’s soccer team ruptured her left ACL during an away game with a valgus force as the mechanism of injury. At the time of current injury, she complained of a “crack” and instant pain upon impact and progressive effusion over time. MRI imaging confirmed the diagnosis of a left ACL tear and medial meniscus tear. The patient had an ACL reconstruction with postoperative functional and mental readiness measures taken at 3 months, 6 months, and RTS. We obtained functional outcome scores, Lower Extremity Assessment Protocol (LEAP), and mental readiness scores to better understand the patient's physical and mental preparedness for return to sport (RTS) and reduce the risk of re-injury. The LEAP is a battery of physical tests and subjective questionnaires to assess the patient’s function after a lower extremity injury such as ACLR. The LEAP included isokinetic strength tests at 90 and 180 degrees/s, vertical 4-hop test, jump landing, single limb hop test, and single leg balance. We also administered the KOOS, ACL-RSI, and IKDC forms, all of which have been found to be valid and reliable. The patient returned to full sport at 10 months postoperative with data measures that were below the average reported in previous literature for RTS. Objective testing that includes patient reported outcome measures is critical information to optimize post operative rehabilitation following ACLR. Data-informed RTS decisions can help guide patients to safe participation in physical activity and sport. Therefore, the changes between testing points should enable clinical decisions on adjusting rehabilitation prescription, leading to successful RTS.
Comments
https://docs.google.com/document/d/1yvIyAmpOfvgcPtTyTDD4qb63TZMXoKwjV0vymZMQTmA/edit?usp=sharing