AI Article Synopsis
- The study aims to identify the criteria that guide when a patient can safely return to running after ACL reconstruction surgery.
- A review of 201 studies revealed that most relied primarily on time, with the median time to return being 12 weeks post-surgery, and fewer than 20% incorporated clinical or performance-based measures.
- The findings suggest the need for incorporating a combination of both time-based and performance-based criteria for a more comprehensive decision-making process regarding return to running activities.
Article Abstract
Objective: To describe the criteria used to guide clinical decision-making regarding when a patient is ready to return to running (RTR) after ACL reconstruction.
Design: Scoping review.
Data Sources: The MEDLINE (PubMed), EMBASE, Web of Science, PEDro, SPORTDiscus and Cochrane Library electronic databases. We also screened the reference lists of included studies and conducted forward citation tracking.
Eligibility Criteria For Selecting Studies: Reported at least one criterion for permitting adult patients with primary ACL reconstruction to commence running postoperatively.
Results: 201 studies fulfilled the inclusion criteria and reported 205 time-based criteria for RTR. The median time from when RTR was permitted was 12 postoperative weeks (IQR=3.3, range 5-39 weeks). Fewer than one in five studies used additional clinical, strength or performance-based criteria for decision-making regarding RTR. Aside from time, the most frequently reported criteria for RTR were: full knee range of motion or >95% of the non-injured knee plus no pain or pain <2 on visual analogue scale; isometric extensor limb symmetry index (LSI)>70% plus extensor and flexor LSI>70%; and hop test LSI>70%.
Conclusions: Fewer than one in five studies reported clinical, strength or performance-based criteria for RTR even though best evidence recommends performance-based criteria combined with time-based criteria to commence running activities following ACL reconstruction.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1136/bjsports-2017-098602 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
MR elastography-based detection of impaired skull-brain mechanical decoupling performance in response to repetitive head impacts.
Eur Radiol
December 2024
Department of Radiology, Mayo Clinic, Rochester, MN, USA.
Article Synopsis
- The study evaluates MR elastography (MRE) biomarkers to understand how repetitive head impacts (RHIs) affect the mechanical separation between the skull and brain in 80 asymptomatic participants.
- Significant differences in mechanical parameters were observed, with high RHI exposure showing increased rotational transmission and altered strain ratios compared to no and low RHI groups, indicating poorer decoupling performance.
- The findings suggest that MRE can serve as an early detection tool for the negative effects of head impacts on skull-brain interactions, highlighting the need for monitoring in contact sports.
Perceptions and Current Practices of Radiologist Assistants' Peer-Review Process.
Radiol Technol
November 2024
Tracy Matthews, PhD, is adjunct professor for the College of Graduate Health Studies at A.T. Still University in Kirksville, Missouri.
Purpose: To explore the perceptions and current practices of radiologist assistants' peer-review process.
Methods: A 49-question, anonymous, online questionnaire was emailed to 133 radiologist assistants in the American Registry of Radiologic Technologists database. Descriptive statistics were used for data analyses.
Return to running criteria after anterior cruciate ligament reconstruction: an online survey of 1404 Italian physiotherapists.
J Sports Med Phys Fitness
September 2024
Sports Rehabilitation and Manual Therapy, Fysiotherapie Utrecht Oost, Utrecht, the Netherlands.
Background: The aim of this study is to study the clinical decision-making practice of Italian physiotherapists in return to running (RTR) after anterior cruciate ligament (ACL) reconstruction, and the differences in decision-making in relation to physiotherapist's characteristics.
Methods: An online survey was developed, 1404 physiotherapists were contacted by email, via chartered association, or via social media.
Results: Most respondents (83%) indicated that the RTR decision should be made by a multidisciplinary team with RTR clearance around 3-4 months after surgery (47%).
Background Current literature suggests that anywhere from 2.9-27% of renal transplant recipients (RTR) will develop recurrent urinary tract infections (UTIs) (≥2 UTIs over six months or ≥3 UTIs over 12 months). Recurrent UTIs are of particular importance to RTR given its increased risk for allograft fibrosis and overall patient survival.
View Article and Find Full Text PDFPhysiologic validation of the Compensatory Reserve Metric obtained from pulse oximetry: A step toward advanced medical monitoring on the battlefield.
J Trauma Acute Care Surg
August 2024
From the Mayo Clinic Alix School of Medicine (R.T.R.); Department of Anesthesiology and Perioperative Medicine (K.L.W., W.W.P., E.K.G., M.J.J., T.B.C., C.C.W.), and Department of Physiology and Biomedical Engineering (D.R.H., C.R.H.), Mayo Clinic, Rochester, Minnesota; Department of Kinesiology (C.C.W.), Michigan State; East Lansing, Michigan; and Battlefield Health and Trauma Center for Human Integrative Physiology (V.A.C.), US Army Institute of Surgical Research, JBSA Fort Sam Houston, San Antonio, Texas.
Background: The Compensatory Reserve Metric (CRM) provides a time sensitive indicator of hemodynamic decompensation. However, its in-field utility is limited because of the size and cost-intensive nature of standard vital sign monitors or photoplethysmographic volume-clamp (PPG VC ) devices used to measure arterial waveforms. In this regard, photoplethysmographic measurements obtained from pulse oximetry may serve as a useful, portable alternative.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!