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From a clinical perspective, the results of this MeSH In young patients with high functional demands, return to sports is allowed no earlier than 912 months after they have undergone a thorough rehabilitation programme, but it is known to be associated with secondary stiffness. texas woman's university. Sixty-two per cent of patients who had ACL surgery returned to their previous level of sport at 5 years after ACL reconstruction, and the subgroups that did not return to sport because of fear of re-injury and because of an unstable knee found that the difference in knee outcome scores between these 3 groups were statistically significant. %
In young patients with high functional demands, return to sports is allowed no earlier than 912 months after they have undergone a thorough rehabilitation programme, but it is known to be associated with secondary stiffness. Please enable it to take advantage of the complete set of features! Physiopedia articles are best used to find the original sources of information (see the references list at the bottom of the article). This criteria-based protocol incorporates a dynamic assessment of baseline limb strength, patient-reported outcomes, functional knee stability, bilateral limb symmetry with functional tasks, postural control, power, endurance, agility, and technique with sport-specific tasks and serves as a foundation to expand future evidence-based evaluation. stream
1c, Fig. Principles of postoperative anterior cruciate ligament rehabilitation. 1 0 obj
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To determine the validity and inter-session reliability of the Vail Sport Test. Annals of the Academy of Medicine, Singapore. Hetsroni I, Wiener Y, Ben-Sira D, Iacono AD, Marom N, van Stee M et al. A test battery consisting of a knee-extension, knee-flexion and leg-press muscle power test had high ability to determine deficits in leg power 6months after ACL injury and reconstruction and may contribute to the decision-making process when deciding whether and when patients can safely return to strenuous physical activities. Design: 2 0 obj
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There was a significant difference for the uninvolved limb (p = 0.015). Participants: Forty-eight participants who underwent ACL-R. Main outcome measure: Participants performance on the Vail Sport TestTM was graded by an experienced rater in real-time, and . %PDF-1.7
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attempting to return to sports following ACL reconstruction and 2) to assess the reliability of the Vail Sport Test. The Vail sports test will give you an idea how your patient loads his/her injured knee which will reflect on running[14]. FOIA 1 0 obj
The https:// ensures that you are connecting to the Request PDF | The Validity And Reliability Of The Vail Sport Test As A Measure Of Performance Following Anterior Cruciate Ligament Reconstruction | Objectives: To determine the validity and . Clin Orthop Relat Res. For each of the test components, a clinician assesses the athlete's . Due to the inadequacy of current return-to-sport tests, the Vail Sport Test (Fig. Int J Sports Phys Ther. This study aims at reviewing the available literature on reliability and validity of existing subjective test protocols, and first recommendations for the use of different subjective screening test methods are given. The test batteries in the current literature show high variability and a lack of essential components necessary for RTS, suggesting a disconnect between recommended guidelines and clinical practice. 1 . 4 0 obj
15 reps single leg squat from a 10 inch step/box, Anterior reach on the Y-Balance test within 8 cm difference from the opposite leg, Back squat/Leg press at 80% of the predicted 10 RM, Anterior reach distance within 4 cm difference from the opposite leg on the Y-Balance test, Quad girth within 1 cm compared to the contralateral side, Hamstrings/Quad ratio 60%, using a handheld dynamometer. Hop testing was the most commonly reported functional test following ACL reconstruction and differences between graft types were examined, providing information that may assist providers in determining timing of return to unrestricted sporting activity. The purposes of this study are 1) to describe a functional test (Vail Sport Test) that includes the evaluation of muscle strength, endurance, power, and movement quality in those patients attempting to return to sports following ACL reconstruction and 2) to assess the reliability of the Vail Sport Test. endstream
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Back leg squat/Leg press for 10 rep at >70% of the predicted 10 RM. performance following anterior cruciate ligament . Progress each week by increasing a minute of running and decrease a minute of walking, till the athlete is able to run for a progressive 20 minutes. <>
A problem may arise when the surgical graft is obtained from the contralateral leg. Epub 2017 Feb 21.
The Vail sports test will give you an idea how your patient loads his/her injured knee which will reflect on running. You can implement a running program when the athlete archives 90% quadriceps index to make sure the running mechanics will be as close to normal[17]. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>>
METHODS <>
The results of this study showed good reliability and partially support the validity of the Vail Sport Test as a measure of readiness to return to play. endobj
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Int J Sports Phys Ther. Supplies: Sport Cord (Topp er Sports Medicine, black cord) GoniometerStopwatch Description: The Athlete will perform single knee bends with cord resistance to 60 at a cadence of 1 second up and 1 second down for a goal of 3 minutes. The findings indicate that patients are not fully rehabilitated 11months after ACL reconstruction, and it is suggested that functional testing should be performed both under non-fatigued and fatigued test conditions. Compared with matched healthy controls, the participants who underwent ACLR demonstrated an inferior objective profile at RTS, consisting of deficits in surgical limb loading, self-reported outcomes, and strength. DOI: 10.1016/j.ptsp.2019.05.001 Corpus ID: 174805383; The validity and reliability of the Vail Sport Test as a measure of performance following anterior cruciate ligament reconstruction. For example, building a 30-40 minutes lower body workout would look like. The relatively low rate of return to competitive sport despite the high rates of successful outcome in terms of knee impairment-based function suggests that other factors such as psychological factors may be contributing to return-to-sport outcomes. It could be described as a vicious cycle of abnormal loading pattern leading to loss of strength, resulting in more abnormal loading patterns. Design: Cohort study-exploratory methodological research design. %PDF-1.7
w.99@nFb[x(A[ SjU-4~*=2m]ri&C|@-E/PueJdk$/brwsOo99" S6r*R1i@&WjK9y@{8p5$4rRCm@uM,2RBrmlLf>=+X4!["R)ju(y[J@u"ZI,Kx{;ZjF* W$[me 11/2017 . 2020 Oct 15;7(1):83. doi: 10.1186/s40634-020-00298-8. The Reliability of the Vail Sport Test As a Measure of Physical Performance Following Anterior Cruciate Ligament Reconstruction. Early Operative Versus Delayed or Nonoperative Treatment of Anterior Cruciate Ligament Injuries in Pediatric Patients. 3 0 obj
Symmetries in Muscle Torque and Landing Kinematics Are Associated With Maintenance of Sports Participation at 5 to 10 Years After ACL Reconstruction in Young Men. uuid:0145AEDA-8081-4B56-969A-0706CADDFBEE %
Starting power training should begin when the athlete shows the following criteria: A different characteristic of muscular strength is power which is a combination of force and velocity. To determine the between-day reliability, a subset of participants returned to repeat the test. $[A`M A&Zb @2`@&F!# *
Purpose: To test single leg endurance strength and evaluate patellar tracking. Setting: Lai CCH, Ardern CL, Feller JA, Webster KE. The Reliability of the Vail Sport Test As a Measure of Physical Performance Following Anterior Cruciate Ligament Reconstruction. A prospective cohort study design. 6 0 obj
Objectives: endobj
2012 Feb;7(1):20-30. Findings indicate that, while unilateral deficits are present in individuals following ACL reconstruction, they may not be evident during bipedal performance or during modified versions of double-limb performance activities. Would you like email updates of new search results? This study aims at reviewing the available literature on reliability and validity of existing subjective test protocols, and first recommendations for the use of different subjective screening test methods are given. Anatomic-based popliteus tendon reconstructions resulted in improved outcomes and a high patient satisfaction in patients with a complete tear of the popliteu tendon and symptomatic knee instability. X7+FR "m~^
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Physiopedia is not a substitute for professional advice or expert medical services from a qualified healthcare provider. Conclusion: Garrison JC, Shanley E, Thigpen C, Geary R, Osler M, Delgiorno J. This . Participants: endobj
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Build a specific drills program depending on your patient's sport-specific needs. endobj
The Vail Sport Test is a return to sports assessment that incorporates a series of dynamic multiplanar functional activities against the resistance of a sportcord . 4 0 obj
The purpose of this clinical commentary is to provide the rehabilitation specialist such a program directed toward safely returning the athlete to alpine skiing. Disclaimer. There was no significant difference between the scores collected in real time and those of the IKDC (p = 0.885). endobj
The validity and reliability of the Vail Sport Test as a measure of performance following anterior cruciate ligament reconstruction The results of this study showed good reliability and partially support the validity of the Vail Sport Test as a measure of readiness to return to play. 1173185, Selecting Proper Exercises and Parameters. Rushing rehabilitation may lead to adverse complications such as increased inflammation and loss of ROM[9]. <>/Metadata 536 0 R/ViewerPreferences 537 0 R>>
Moving from endurance to strength training can start when the athlete shows[14]: Strength is the ability to exert force/torque at a specific speed. Methods: Semantic Scholar is a free, AI-powered research tool for scientific literature, based at the Allen Institute for AI. Regardless of the donor site, both knees should be incorporated throughout the rehabilitation process. S.C]} MpTp954A6eT! ?~t2\muN>7'Y[AG*gCq5!VB7}m%Qn1/O`
e.U0^.AA4v_aUU3we3nlcpZEC5Z&NcjcY^,Bj%*^-[eK8pQBaRS(se" 2wH\(/IPXcmwr(PTr,UL(#QKm\9V!AyK7(P.Q%T*&>S)VY9:wY`? The Journal of orthopaedic and sports physical therapy. Return to Sport after ACL Reconstruction and Other Knee Operations, This chapter summarizes return to sport (RTS) and reinjury data after anterior cruciate ligament (ACL) reconstruction in 42,275 patients from 95 studies published from 2004 to 2018. Lower extremity muscle strength after anterior cruciate ligament injury and reconstruction. 2015 Oct;10(5):602-11. <>/Metadata 500 0 R/ViewerPreferences 501 0 R>>
Epub 2016 May 31. A criterion-based postoperative protocol was derived based on current evidence regarding rehabilitation following cruciate ligament reconstruction and evidence regarding lower extremity rehabilitation principles and injury prevention and allowed the patient to return to competitive athletics. J Athl Train. for the degree of doctor of philosophy . <>>>
For the donor site, rehabilitation should be directed towards strengthening the muscles, while ROM is the main concern in the initial phases of rehabilitation for the ACL-reconstructed knee[9]. 2 0 obj
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Vail Sport Test Scoring One point is given for each criterion completed with proper technique during the time intervals (yes = 1, no = 0) . Three major. ,I)rK7KlM///mKzQd(MN6dh,t&gqh17_aiGWE+y&D]/-un..1]*9n>}}YSkt[|I L|Y>O/)Vwd4UaPq4fE]mtgEDL_W7&r0xpufoO
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Hu.Z&ERkG.#1AY+@V&>iQDC@- \S~P_K2iV_V("Zy=eEVs(Jw(. Comparing the injured knee to the other side and trying to reach as much as possible symmetry is essential for recovery and return to function. As a physiotherapist, you have a role in guiding your patient through a long-term rehabilitation plan. {t#8x"[@QG7{/@=\~H5xu>}%wNu7cqG@pC Wa^*A^iW/*|Js0Br1^~rbn0\P+f;
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7qSTo$/tDy|`G0>;3jH/ Mwc huAF"fS\cs|P:rS 8D#I S'"T4UT. The Vail Sport Test, originally described by Hagerman and Atkins, 34 is a functional assessment to return to alpine skiing and has been used as a criterion to return to sport, as previously described in the literature. Vail Sports Tests: Passing Score 46/54 (85%) Tuck Jump Assessment (TJA): perfect score on the TJA or improvement of 20 percentage points from the initial score Modified Star Balance Excursion Test (Y Balance Test): SEBT % = ((mean score of 3 trials in anterior distance + mean score of 3 trials in 1 0 obj
Clipboard, Search History, and several other advanced features are temporarily unavailable. Available from: Demonstration of Anti-Gravity Treadmill at Michigan Medicine. school of physical therapy <>
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Symmetry means equal ROM and equal strength. Although the within-session reliability of the test has been established, the validity and inter-session reliability have not been established for the Vail Sport Test (Garrison et al., 2012). International journal of sports physical therapy, PURPOSE/BACKGROUND Following the first 6 weeks of acute management after ACL reconstruction, creating a long-term rehabilitation plan can be challenging for physiotherapists. endobj
Functional outcomes suggest that a subgroup of noncopers require additional supervised rehabilitation to pass stringent criteria to return to sports. Endurance is the ability to exert work for prolonged time and resist fatigue. The evidence is rich in ACL-rehabilitation protocols. 3 0 obj
Quadriceps strength can be easily quantified using a handheld dynamometer to identify strength deficits and differences between the two sides[5]. endobj
After . Setting: Clinical Research Laboratory. **A systemic review by Andrade et al., (2020) recommend against functional bracing and continuous passive motion.[3]. Forty-eight participants who underwent ACL-R. Main outcome measure: Evidence-based recommendations for the management of anterior cruciate ligament (ACL) rupture. hb```c``*``a`f`@ fV8GC-{Ym6{d| reconstruction . C. Wilke et al. Developing velocity requires lower resistance, about 30% 1 RM for 6 reps, 1-3 sets with 3 minutes rest. the validity and reliability of the vail sport test as a measure of . The purposes of this study are 1) to describe a functional test (Vail Sport Test) that includes the evaluation of muscle strength, endurance, power, and movement quality in those patients attempting to return to sports following ACL reconstruction and 2) to assess the reliability of the Vail Sport Test. A comprehensive RTS decision-based model for sports medicine practitioners is discussed that assesses risk of reinjury from multiple factors and determines the clinicians threshold for acceptable risk. A criterion-based postoperative protocol was derived based on current evidence regarding rehabilitation following cruciate ligament reconstruction and evidence regarding lower extremity rehabilitation principles and injury prevention and allowed the patient to return to competitive athletics. The effect of insufficient quadriceps strength on gait after anterior cruciate ligament reconstruction. Annals of the Academy of Medicine, Singapore. Y BALANCE TEST ANTERIOR REACH SYMMETRY AT THREE MONTHS IS RELATED TO SINGLE LEG FUNCTIONAL PERFORMANCE AT TIME OF RETURN TO SPORTS FOLLOWING ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION. Garrison JC, Shanley E, Thigpen C, Geary R, Osler M, Delgiorno J. stream
The purposes of this study are 1) to describe a functional test (Vail Sport Test) that includes the evaluation of muscle strength, endurance, power, and movement quality in those patients. hW_o6*zldIC>Hq%Yv.LWKbe8aLjk$%S Construct validity was assessed using the reference standards of the camera system and the IKDC short form. %PDF-1.5
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Bookshelf in the graduate school of the . Methods: A prospective cohort study design. JFIF C This criteria-based protocol incorporates a dynamic assessment of baseline limb strength, patient-reported outcomes, functional knee stability, bilateral limb symmetry with functional tasks, postural control, power, endurance, agility, and technique with sport-specific tasks and serves as a foundation to expand future evidence-based evaluation. The reliability of the vail sport test as a measure of physical performance following anterior cruciate ligament reconstruction. The International Journal of Sports Physical Therapy | Volume 7, Number 1 | February 2012 | Page 22 triple hop indices.16 In addition, the quadriceps strength of these patients was correlated with . 2017;5(8):1-5. The purposes of this study are 1) to describe a functional test (Vail Sport Test) that includes the evaluation of muscle strength, endurance, power, and movement quality in those patients attempting to return to sports following ACL reconstruction and 2) to assess the reliability of the Vail Sport Test. Cristiani R, Mikkelsen C, Edman G, Forssblad M, Engstrm B, Stlman A. Biggs A, Jenkins WL, Urch SE, Shelbourne KD. measure the time it takes to patient to complete the test. 2016 May;51(5):425-7. doi: 10.4085/1062-6050.51.5.11. Anterior Cruciate Ligament Rehabilitation and Return to Sport: How Fast Is Too Fast? 131 0 obj
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Selecting specific strengthening exercises depends on what muscles you want to emphasis. The test batteries in the current literature show high variability and a lack of essential components necessary for RTS, suggesting a disconnect between recommended guidelines and clinical practice. A total of 30 (12 F, 18 M . The intermediate rehabilitation phase goals: Quadriceps Index :''the ratio of involved-side quadriceps strength to uninvolved-side quadriceps strength"[4]. Hop testing was the most commonly reported functional test following ACL reconstruction and differences between graft types were examined, providing information that may assist providers in determining timing of return to unrestricted sporting activity. ACL rehabilitation progression: where are we now? 199 Vail Sport Test - Backward Jog -- Texas Health Ben Hogan Sports Medicine Exercises TexasHealthBenHogan 281 subscribers Subscribe Like Share 4.6K views 10 years ago Show more Show more. Search life-sciences literature (Over 39 million articles, preprints and more) (Over 39 million articles, preprints and more) 378 0 obj
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2018 Jan;52(2):128-138. doi: 10.1136/bjsports-2016-096836. Demographics and descriptive results for Vail Sport Test, By clicking accept or continuing to use the site, you agree to the terms outlined in our. <>
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a dissertation . acute management after ACL reconstruction, Anterior cruciate ligament (BTB) rehabilitation guideline. Eighty-three per cent of elite athletes return to preinjury sport after anterior cruciate ligament reconstruction: a systematic review with meta-analysis of return to sport rates, graft rupture rates and performance outcomes. Cohort study-exploratory methodological research design. %
A total of, Physical therapy in sport : official journal of the Association of Chartered Physiotherapists in Sports Medicine. Available from: I give my consent to Physiopedia to be in touch with me via email using the information I have provided in this form for the purpose of news, updates and marketing. 1}Q4;\j9c^[y^wt;!%Fl{Qbn}?] cQv_bLcK?q]~~n~/|-mIFr;g9]XLj2w.;_|*jh3.zL":'vYbDU-*0}s=$e OC(7qRj+S682ef\d}k"uGdQ{O0O+Vy^_%k!M]1 Diagnostic accuracy of handheld dynamometry and 1-repetition-maximum tests for identifying meaningful quadriceps strength asymmetries. Objectives: To determine the validity and inter-session reliability of the Vail Sport TestTM. Br J Sports Med. <>
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}, author={James Craig Garrison and Ellen Shanley and Charles A. Thigpen and Ryan Geary and Mike Osler and Jackie Delgiorno}, journal={International journal of sports . x[o8 ,`#+( Garrison JC, Shanley E, Thigpen C, Geary R, Osler M, Delgiorno J. Int J Sports Phys Ther. Speed and Agility are important for re-conditioning and return to sport. endobj
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Semantic Scholar is a free, AI-powered research tool for scientific literature, based at the Allen Institute for AI. The .gov means its official. endobj
Researchers consider ROM symmetry to be the most important factors in successful rehabilitation and long-term patient satisfaction: Achieving symmetry depends on many factors such as surgical approach; graft type, donor site, proper graft placement, knee hyperextension after graft placement, pre-operative rehab, post-operative, rehab periodic evaluations and follow-ups up to 10 years after surgery[9]. By clicking accept or continuing to use the site, you agree to the terms outlined in our. * Patient must score 46/54 on the test in order to pass Forward Jogging Set Up: Video: Scoring Minute 1 Minute 2 Knee flexion angle is 30o or greater during landing Patient performs repetitions . J?c@WMvl{U[ ~OpgbhUVF7&u7jR,*kaT)Y
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W|Ub8x^. International journal of sports physical therapy, PURPOSE/BACKGROUND The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Functional outcomes suggest that a subgroup of noncopers require additional supervised rehabilitation to pass stringent criteria to return to sports. <>
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Waldron K, Brown M, Calderon A, Feldman M. Andrade R, Pereira R, van Cingel R, Staal JB, Espregueira-Mendes J. Adams D, Logerstedt D, Hunter-Giordano A, Axe MJ, Snyder-Mackler L. Sinacore JA, Evans AM, Lynch BN, Joreitz RE, Irrgang JJ, Lynch AD. Three major. Age, gender, quadriceps strength and hop test performance are the most important factors affecting the achievement of a patient-acceptable symptom state after ACL reconstruction. 6. and transmitted securely. Dietvorst M, Brzoskowski MH, van der Steen M, Delvaux E, Janssen RPA, Van Melick N. J Exp Orthop. %
An official website of the United States government. x[[s9~OU/*,SnR3>$+/INHZ?IGo'^|N y}|1$D+F`v|O'fg*!zN ~9308f900dNOraG_JpKA 1 Since the inception of this test, it has remained unchanged in design but has undergone scoring changes to increase reliability. <>
(18) conducted an analysis on the prevalence of injuries in World Cup Ski Racing, finding that 9.8 injuries occurred for every 1,000 runs taken, 38% of which were to the knee. official website and that any information you provide is encrypted What I have learned about the ACL: utilizing a progressive rehabilitation scheme to achieve total knee symmetry after anterior cruciate ligament reconstruction. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>>
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Preliminary Functional Test Week 12 (Prior to 12-week follow-up appointment) Test Dynamic Valgus * (Y/N) R L % . 1a, Fig. Exercises should be light intensity (<50% of 1-RM) high repetitions (15-20) for 3 or more sets with less than 60 seconds of rest, 2-3 times weekly with 48 hours rest between sessions to target type 1 atrophied muscle fibers, due to arthrogenic inhibition[14]. Vail J, Rugg CM, Hame S. Lower Quarter Y-Balance Test Scores and Lower Extremity Injury in NCAA Division I Athletes. @article{Garrison2012TheRO, title={The reliability of the vail sport test{\texttrademark} as a measure of physical performance following anterior cruciate ligament reconstruction. 1d, Fig. *'*,zvchs08S7E?#7`C=>xW1hRU$6RXY"]uVhD&J\VrW.V3Aa&HkSAxNsA+a.pUzN6^1IAga`m","6u(P?w#ZvW 2 0 obj
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Save 1.6K views 11 months ago Rehabilitation to Sports Performance - A Criterion Based, Functional Testing Algorithm for Return to Sport Success The video provides an overview of the Vail. Post-operative criterion based rehabilitaiton of ACL repairs: A clinical commentary. 1b, Fig. Microsoft Word 2016 (Males 4.5-5.5 seconds; Females 5.5-6.5 seconds) See diagram. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>>
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n5-ZbRq [C:2z9;~d7sGU[{[H*m4A1R'sC'R~Bp1y>-X5j56wQ. Loss of as little as 2 of extension and 5 flexion, compared to the other knee, were associated with lower subjective scores[6]. Sixty-two per cent of patients who had ACL surgery returned to their previous level of sport at 5 years after ACL reconstruction, and the subgroups that did not return to sport because of fear of re-injury and because of an unstable knee found that the difference in knee outcome scores between these 3 groups were statistically significant. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features Press Copyright Contact us Creators . Unauthorized use of these marks is strictly prohibited. It requires heavy to moderate loads (60-67% of 1-RM), with frequent increase of resistance, either by external weight or single leg posture. 7 0 obj
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Findings indicate that, while unilateral deficits are present in individuals following ACL reconstruction, they may not be evident during bipedal performance or during modified versions of double-limb performance activities. endstream
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