LE Return to Play Flashcards
patients who underwent ACLR are about….
6 times more likely to have another ACL injury within 24 mo after RTS
females who had ACLR are almost…..
5 times more likely to sustain ACL injury than females with no history of ACL injury
almost BLANK % of athletes who return to pivoting and cutting sports after ACLR suffered a 2nd ACL injury in the first 24 mo
30%
a large percentage of athletes suffered a second ACL within….
first 72 athletic encounters
what is the big reason that more males than females do not return to activities s/p ACLR
fear
new research emphasizes the importance of
fatigue
RTP s/p ankle sprain
- 35 degrees CKC DF
- LQ YBT symmetry and composite: >80%
- SEBT: >94%
- > 90% on all hop testing
Y Balance Test differences
- 4cm R/L ant difference = 2.5x risk of LE injury
- 6cm R/L difference in posteromedial or posterolateral correlates to risk of injury
YBT composite score of
<89% increases probability of injury from 37.7% to 68.1%
what are composite statistics categorized by for YBT
age/gender/sport
limb length measurement for YBT
ASIS to med mal
what is hop testing
- reliable measure of determine LE performance that simulates dynamic knee stability required for acceleration, deceleration, direction change and force production that an athlete may face during sport
how to do hop test
- measure both legs to obtain percentage of involved vs uninvolved
- one practice then average of 2 trials
- hold landing for 2 sec w/ good mechanics
- can rest for 2 mins between types
good mechanics for hop test
- semi crouch position to load
- arm swing and ipsilateral hip ext for forward propulsion
- lack of valgus and >45 knee flex at landing
recommendation fro minimum criteria for entering RTP
- IKDC >70
- FMS > 15
- SEBT > 94% or YBT <4 cm ant and <6 cm PL/PM
- Hop Test within 10% for all test
- Good mechanics for double and single leg squat
- at least 90% 1RM leg press test
- eccentric hams control?
