Rückkehr zum Sport nach Rekonstruktion des vorderen Kreuzbandes: Welche Faktoren beeinflussen die Return to Sport-Entscheidung?

Achermann, Sibylle; Marty, Julia; Beck, Andreas; Rieger, Bertram; Hirschmüller, Anja; Baur, Heiner (2023). Rückkehr zum Sport nach Rekonstruktion des vorderen Kreuzbandes: Welche Faktoren beeinflussen die Return to Sport-Entscheidung? Sportverletzung - Sportschaden, 37(3), pp. 133-140. Georg Thieme Verlag 10.1055/a-2025-1090

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Background: It is unknown which valid criteria should be considered to justify the decision for return to sport (RTS) following anterior cruciate ligament reconstruction (ACLR). The research question is whether gender, age, the outcome of the isokinetic maximal strength measurement and the single-leg hop test (quantitative/qualitative) influence the decision for RTS nine months after ACLR. Methods: This study is a retrospective data analysis. The research question was evaluated with a multiple logistic regression analysis (MLR). The dependent variable, RTS yes/no, is based on the decision of the orthopaedist in charge of treatment nine months (±30 days) after ACLR. The following possible influencing factors were investigated: gender, age, limb symmetry index (LSI) of maximal knee extension and knee flexion strength at 60°/sec., LSI of single-leg hop test and evaluation of knee valgus. Results: Data of 71 patients were included for MLR. The odds ratios (OR) for RTS increased with female gender (OR, 4.808; p=0.035), a higher LSI of maximal strength of knee extension (OR, 1.117; p=0.009) and a higher LSI of the single-leg hop test (OR, 1.125; p=0.020). Age, the LSI of maximal strength of knee flexion and knee valgus had no influence on the RTS decision. Conclusion: Gender and the limb symmetry indexes of the maximal strength of knee extension and of the single-leg hop test are associated with RTS nine months after ACLR. These results should be considered to optimise rehabilitation after ACLR.

Item Type:	Journal Article (Original Article)
Division/Institute:	School of Health Professions School of Health Professions > Physiotherapy School of Health Professions > Physiotherapy > Neuromuscular Control
Name:	Achermann, Sibylle; Marty, Julia; Beck, Andreas; Rieger, Bertram; Hirschmüller, Anja and Baur, Heiner0000-0002-4780-225X
Subjects:	R Medicine > R Medicine (General) R Medicine > RZ Other systems of medicine
ISSN:	0932-0555
Publisher:	Georg Thieme Verlag
Language:	German
Submitter:	Heiner Baur
Date Deposited:	27 Oct 2023 10:38
Last Modified:	27 Oct 2023 10:38
Publisher DOI:	10.1055/a-2025-1090
PubMed ID:	37348535
Uncontrolled Keywords:	VKB-Rekonstruktion, Rückkehr zum Sport, Rehabilitation, Entscheidungsprozess anterior cruciate ligament reconstruction, return to sport, rehabilitation, decision-making
ARBOR DOI:	10.24451/arbor.20232
URI:	https://arbor.bfh.ch/id/eprint/20232