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Fifty-six athletes underwent biomechanical screening following anterior cruciate ligament reconstruction using 3-D motion analysis. Following testing each athlete was followed for 12 months for determining occurrence of second injury. Thirteen athletes suffered a second injury. Transverse plane hip kinetics and frontal plane knee kinematics during landing, sagittal plane knee moments at landing, and deficits in postural stability predicted a second injury in this population
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Paterno MV, Schmitt LC, Ford KR, Rauh MH, Myer GD, Huang B, Hewett TE. Biomechanical measures during landing and postural stability predict second anterior cruciate ligament injury after anterior cruciate ligament reconstruction and return to sport. Am J Sports Med. 2010;38(10):1968-78. Fifty-six athletes underwent biomechanical screening following anterior cruciate ligament reconstruction using 3-D motion analysis. Following testing each athlete was followed for 12 months for determining occurrence of second injury. Thirteen athletes suffered a second injury. Transverse plane hip kinetics and frontal plane knee kinematics during landing, sagittal plane knee moments at landing, and deficits in postural stability predicted a second injury in this population.
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Ernst GP, Saliba E, Diduch DR, Hurwitz SR, Ball DW. Lower extremity compensations following anterior cruciate ligament reconstruction. Phys Ther. 2000;80:251-60. (Pubitemid 30155457)
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Mattacola CG, Perrin DH, Gansneder BM, Gieck JH, Saliba EN, McCue 3rd FC. Strength, functional outcome, and postural stability after anterior cruciate ligament reconstruction. J Athl Train. 2002;37:262-8.
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Ninety-eight participants participated in this study (56 with unilateral anterior cruciate ligament reconstruction) who had been released to return to unrestricted level 1 and 2 sports and (42 uninjured) age and activity matched controls. Lower extremity kinetic data wereanalyzed during a bilateral drop vertical jump. A significant side-by-group interaction for peak vertical ground reaction force (VGRF) was observed during the landing phase of drop vertical jump in all of the reconstructed group. The involved limb displayed significantly lower VGRF than the involved limb and both the preferred limb and non preferred limb in the control group. No effect of sex was noted
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Paterno MV, Schmitt LC, Ford KR, Rauh MH, Myer GD, Hewett TE. Effects of sex on compensatory landing strategies upon return to sport after anterior cruciate ligament reconstruction. J Orthop Sports Phys Ther. 2011;41(8):553-9. Ninety-eight participants participated in this study (56 with unilateral anterior cruciate ligament reconstruction) who had been released to return to unrestricted level 1 and 2 sports and (42 uninjured) age and activity matched controls. Lower extremity kinetic data wereanalyzed during a bilateral drop vertical jump. A significant side-by-group interaction for peak vertical ground reaction force (VGRF) was observed during the landing phase of drop vertical jump in all of the reconstructed group. The involved limb displayed significantly lower VGRF than the involved limb and both the preferred limb and non preferred limb in the control group. No effect of sex was noted.
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The effects of plyometric versus dynamic stabilization and balance training on lower extremity biomechanics
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Beard DJ, Dodd CA. Home or supervised rehabilitation following anterior cruciate ligament reconstruction: a randomized controlled trial. J Orthop Sports Phys Ther. 1998;27:134-43. (Pubitemid 28076695)
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Study to determine difference in physical therapy lead vs primarily home-based rehabilitation program following anterior cruciate ligament reconstruction. This was a randomized controlled trial of 129 patients. Eighty-eight patients were available for a 2-4 year follow up visit. Outcomes included ACL quality of life questionnaire, knee range of motion, sagittal plane laxity, quadriceps and hamstring strength and IKDC scores. The home-based group had a significantly higher ACL QOL score than the physical therapy -supervised group. The mean change in ACL QOL score from before surgery to follow-up was not different between the groups. There was not difference in secondary outcome measures
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Grant JA, Mohtadi NGH. Two- to 4 - year follow-up to a comparison of home versus physical therapy - supervised rehabilitation programs after anterior cruciate ligament reconstruction. Am J SportsMed. 2010;38(7):1389-94. Study to determine difference in physical therapy lead vs primarily home-based rehabilitation program following anterior cruciate ligament reconstruction. This was a randomized controlled trial of 129 patients. Eighty-eight patients were available for a 2-4 year follow up visit. Outcomes included ACL quality of life questionnaire, knee range of motion, sagittal plane laxity, quadriceps and hamstring strength and IKDC scores. The home-based group had a significantly higher ACL QOL score than the physical therapy -supervised group. The mean change in ACL QOL score from before surgery to follow-up was not different between the groups. There was not difference in secondary outcome measures.
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