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Which criteria are used to clear patients to return to sport after primary ACL reconstruction? A scoping review.

Publication ,  Journal Article
Burgi, CR; Peters, S; Ardern, CL; Magill, JR; Gomez, CD; Sylvain, J; Reiman, MP
Published in: Br J Sports Med
September 2019

OBJECTIVE: To describe the criteria used to clear athletes to return to sport (RTS) following primary ACL reconstruction. DESIGN: Scoping review. DATA SOURCES: MEDLINE, Embase, CINAHL and SPORTDiscus electronic databases were searched using keywords related to ACL and RTS. ELIGIBILITY CRITERIA: Prospective or retrospective studies reporting at least one RTS criterion for athletes who had primary ACL reconstruction with an autograft. RESULTS: In total, 209 studies fulfilled the inclusion criteria. RTS criteria were categorised into six domains: time, strength, hop testing, clinical examination, patient-report and performance-based criteria. From the 209 included studies, time was used in 178 studies (85%), and in 88 studies (42%) was the sole RTS criterion. Strength tests were reported in 86 studies (41%). Sixteen different hop tests were used in 31 studies (15%). Clinical examination was used in 54 studies (26%), patient report in 26 studies (12%) and performance-based criteria in 41 studies (20%). SUMMARY: Time and impairment-based measures dominated RTS criteria, despite sport being a complex physical and biopsychosocial activity with demands across all aspects of function. Time was included as a criterion in 85% of studies, and over 80% of studies allowed RTS before 9 months. Whether RTS tests are valid-do they predict successful RTS?-is largely unknown.

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Published In

Br J Sports Med

DOI

EISSN

1473-0480

Publication Date

September 2019

Volume

53

Issue

18

Start / End Page

1154 / 1161

Location

England

Related Subject Headings

  • Transplantation, Autologous
  • Time Factors
  • Sport Sciences
  • Return to Sport
  • Recovery of Function
  • Patient Reported Outcome Measures
  • Muscle Strength
  • Humans
  • Exercise Test
  • Athletic Performance
 

Citation

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Burgi, C. R., Peters, S., Ardern, C. L., Magill, J. R., Gomez, C. D., Sylvain, J., & Reiman, M. P. (2019). Which criteria are used to clear patients to return to sport after primary ACL reconstruction? A scoping review. Br J Sports Med, 53(18), 1154–1161. https://doi.org/10.1136/bjsports-2018-099982
Burgi, Ciara R., Scott Peters, Clare L. Ardern, John R. Magill, Christina D. Gomez, Jonathan Sylvain, and Michael P. Reiman. “Which criteria are used to clear patients to return to sport after primary ACL reconstruction? A scoping review.Br J Sports Med 53, no. 18 (September 2019): 1154–61. https://doi.org/10.1136/bjsports-2018-099982.
Burgi CR, Peters S, Ardern CL, Magill JR, Gomez CD, Sylvain J, et al. Which criteria are used to clear patients to return to sport after primary ACL reconstruction? A scoping review. Br J Sports Med. 2019 Sep;53(18):1154–61.
Burgi, Ciara R., et al. “Which criteria are used to clear patients to return to sport after primary ACL reconstruction? A scoping review.Br J Sports Med, vol. 53, no. 18, Sept. 2019, pp. 1154–61. Pubmed, doi:10.1136/bjsports-2018-099982.
Burgi CR, Peters S, Ardern CL, Magill JR, Gomez CD, Sylvain J, Reiman MP. Which criteria are used to clear patients to return to sport after primary ACL reconstruction? A scoping review. Br J Sports Med. 2019 Sep;53(18):1154–1161.

Published In

Br J Sports Med

DOI

EISSN

1473-0480

Publication Date

September 2019

Volume

53

Issue

18

Start / End Page

1154 / 1161

Location

England

Related Subject Headings

  • Transplantation, Autologous
  • Time Factors
  • Sport Sciences
  • Return to Sport
  • Recovery of Function
  • Patient Reported Outcome Measures
  • Muscle Strength
  • Humans
  • Exercise Test
  • Athletic Performance