Knee function and psychological readiness 6 to 12 months after ACLR: A comparison between nonprofessional pivoting sport athletes who followed a rehabilitation and RTS decision tool and usual care
Master thesis
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https://hdl.handle.net/11250/3081064Utgivelsesdato
2023Metadata
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Sammendrag
Background: The better and safer return to sports (BEAST) - a rehabilitation and return to sports (RTS) decision tool has been designed to facilitate athletes returning safely to sports after anterior cruciate ligament reconstruction (ACLR). There is a need to investigate and compare knee function and psychological readiness during the return to sport phase in athletes following the BEAST tool and usual care.
Objective: To compare change in knee function and psychological readiness to RTS 6 to 12 months after ACLR between nonprofessional pivoting sport athletes who followed the BEAST tool versus usual care.
Design: A comparison between two prospective cohort studies
Method: Nonprofessional pivoting sport athletes aged 15-40 years with a primary unilateral ACLR were included. Out of 247 athletes, 77 followed the BEAST tool, and 170 received usual care (SPARX cohort). The International Knee Documentation Committee subjective knee form (IKDC-SKF) and ACL- Return to Sport after Injury (RSI) was answered electronically 6 and 12 months postoperative. The 6 to 12 months change between the groups was analyzed, adjusted for age, sex, preinjury sport, family history of ACL injury, time from injury to surgery, ACL graft type, concomitant meniscus and/or cartilage injury yes/no, and meniscal repair yes/no.
Results: No difference in change in knee function (p=0.722) or psychological readiness (p=0.518) was found between the groups. At 6 and 12 months postoperative, the IKDC-SKF scores in BEAST athletes increased from 72.3 to 85.3, and usual care from 67.3 to 79.9. The ACL-RSI scores in BEAST athletes increased from 60.3 to 71.6, and usual care from 48.4 to 56.3. At 12 months postoperative, 48% and 35% of the BEAST athletes had not achieved symmetrical quadriceps strength and hop performance, respectively.
Conclusion: Nonprofessional pivoting sport athletes with ACLR who followed the BEAST tool have comparable 6 to 12 months change in knee function and psychological readiness to RTS when compared to usual care. Few athletes following the BEAST tool achieved the functional goals within 12 months postoperative.
Beskrivelse
Masteroppgave - Norges idrettshøgskole, 2023