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Knee

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169 papers 1000+ followers MH Residency - Knee
https://read.qxmd.com/read/31351901/isokinetic-eccentric-training-is-more-effective-than-constant-load-eccentric-training-on-the-quadriceps-rehabilitation-following-anterior-cruciate-ligament-reconstruction-a-randomized-controlled-trial
#1
Marlon Francys Vidmar, Bruno Manfredini Baroni, Alexandre Fróes Michelin, Márcio Mezzomo, Ricardo Lugokenski, Gilnei Lopes Pimentel, Marcelo Faria Silva
OBJECTIVE: To compare the effects of conventional (constant load) eccentric training and isokinetic eccentric training on quadriceps muscle mass, strength and functional performance in recreational athletes following anterior cruciate ligament (ACL) reconstruction. METHODS: Thirty recreational male athletes (˜25 years old) undergoing ACL reconstruction received a standard rehabilitation program. Volunteers were randomized to conventional group (CG; n = 15) or isokinetic group (IG; n = 15) to be engaged in a 6-week (2 sessions/week) quadriceps eccentric training program at the extensor chair or at the isokinetic dynamometer, respectively...
July 16, 2019: Brazilian Journal of Physical Therapy
https://read.qxmd.com/read/31381373/factors-associated-with-a-return-to-preinjury-level-of-sport-performance-after-anterior-cruciate-ligament-reconstruction-surgery
#2
Kate E Webster, April L McPherson, Timothy E Hewett, Julian A Feller
BACKGROUND: Many studies have investigated factors that predict a return to sport participation after anterior cruciate ligament (ACL) reconstruction, but it is unclear whether the same factors are associated with a return to preinjury level of sport performance. PURPOSE: To identify factors that contribute to an athlete's return to preinjury level of performance after ACL reconstruction. STUDY DESIGN: Cohort study; Level of evidence, 2. METHODS: A cohort of 222 patients (132 male, 90 female) who had ACL reconstruction surgery and completed a 12-month postoperative assessment were followed out to a mean 3 years (range, 2-4 years) to determine whether they had returned to their self-reported preinjury levels of sport performance...
September 2019: American Journal of Sports Medicine
https://read.qxmd.com/read/32383965/analysis-of-risk-factors-for-ramp-lesions-associated-with-anterior-cruciate-ligament-injury
#3
Seong Hwan Kim, Hyun Je Seo, Dong Won Seo, Kang-Il Kim, Sang Hak Lee
BACKGROUND: The incidence of meniscocapsular junction tears of the medial meniscus posterior horn, known as ramp lesions , is reported to be 9.3% to 23.9%. However, these lesions are not consistently diagnosed with routine arthroscopic exploration and magnetic resonance imaging (MRI). PURPOSE: To determine risk factors associated with ramp lesions in anterior cruciate ligament-injured knees. STUDY DESIGN: Cross-sectional study; Level of evidence, 3...
May 8, 2020: American Journal of Sports Medicine
https://read.qxmd.com/read/31288213/examination-of-the-comfort-and-pain-experienced-with-blood-flow-restriction-training-during-post-surgery-rehabilitation-of-anterior-cruciate-ligament-reconstruction-patients-a-uk-national-health-service-trial
#4
RANDOMIZED CONTROLLED TRIAL
Luke Hughes, Stephen David Patterson, Fares Haddad, Benjamin Rosenblatt, Conor Gissane, Daniel McCarthy, Thomas Clarke, Graham Ferris, Joanna Dawes, Bruce Paton
OBJECTIVE: Examine the comfort and pain experienced with blow flow restriction resistance training (BFR-RT) compared to standard care heavy load resistance training (HL-RT) during anterior cruciate ligament reconstruction (ACLR) patient rehabilitation. DESIGN: Randomised controlled trial. SETTING: United Kingdom National Health Service. PARTICIPANTS: Twenty eight patients undergoing unilateral ACLR surgery with hamstring autograft were recruited...
September 2019: Physical Therapy in Sport
https://read.qxmd.com/read/31301034/comparing-the-effectiveness-of-blood-flow-restriction-and-traditional-heavy-load-resistance-training-in-the-post-surgery-rehabilitation-of-anterior-cruciate-ligament-reconstruction-patients-a-uk-national-health-service-randomised-controlled-trial
#5
RANDOMIZED CONTROLLED TRIAL
Luke Hughes, Benjamin Rosenblatt, Fares Haddad, Conor Gissane, Daniel McCarthy, Thomas Clarke, Graham Ferris, Joanna Dawes, Bruce Paton, Stephen David Patterson
BACKGROUND: We implemented a blood flow restriction resistance training (BFR-RT) intervention during an 8-week rehabilitation programme in anterior cruciate ligament reconstruction (ACLR) patients within a National Health Service setting. OBJECTIVE: To compare the effectiveness of BFR-RT and standard-care traditional heavy-load resistance training (HL-RT) at improving skeletal muscle hypertrophy and strength, physical function, pain and effusion in ACLR patients following surgery...
November 2019: Sports Medicine
https://read.qxmd.com/read/31279767/the-effect-of-knee-bracing-on-the-knee-function-and-stability-following-anterior-cruciate-ligament-reconstruction-a-systematic-review-and-meta-analysis-of-randomized-controlled-trials
#6
Xiong-Gang Yang, Jiang-Tao Feng, Xin He, Feng Wang, Yong-Cheng Hu
BACKGROUND: Knee brace has been commonly used as a device to protect the graft after reconstruction of anterior cruciate ligament (ACL). Studies have focused on the effects of braces after ACL reconstruction, and controversial results were reported. The current meta-analysis was conducted to identify whether knee braces could provide superior clinical outcomes on knee functional scores and stability evaluations. HYPOTHESIS: Knee braces could not provide superior clinical outcomes on knee functional scores and stability evaluations...
October 2019: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://read.qxmd.com/read/31413963/superior-2-year-functional-outcomes-among-young-female-athletes-after-acl-reconstruction-in-10-return-to-sport-training-sessions-comparison-of-acl-sports-randomized-controlled-trial-with-delaware-oslo-and-moon-cohorts
#7
Jacob J Capin, Mathew Failla, Ryan Zarzycki, Celeste Dix, Jessica L Johnson, Angela H Smith, May Arna Risberg, Laura J Huston, Kurt P Spindler, Lynn Snyder-Mackler
Background: Outcomes after anterior cruciate ligament reconstruction (ACLR) are not uniformly good and are worse among young female athletes. Developing better rehabilitation and return-to-sport training programs and evaluating their outcomes are essential. Purpose: (1) Test the effect of strength, agility, plyometric, and secondary prevention (SAPP) exercises with and without perturbation training (SAPP + PERT) on strength, hops, function, activity levels, and return-to-sport rates in young female athletes 1 and 2 years after ACLR and (2) compare 2-year functional outcomes and activity levels among young female athletes in the Anterior Cruciate Ligament Specialized Post-Operative Return-to-Sports (ACL-SPORTS) trial to homogeneous cohorts who completed criterion-based postoperative rehabilitation alone (Multicenter Orthopaedic Outcomes Network [MOON]) and in combination with extended preoperative rehabilitation (Delaware-Oslo)...
August 2019: Orthopaedic Journal of Sports Medicine
https://read.qxmd.com/read/31102111/running-biomechanics-in-individuals-with-anterior-cruciate-ligament-reconstruction-a-systematic-review
#8
Benoit Pairot-de-Fontenay, Richard W Willy, Audrey R C Elias, Ryan L Mizner, Marc-Olivier Dubé, Jean-Sébastien Roy
BACKGROUND: A return to running after anterior cruciate ligament reconstruction (ACL-R) is critical to the clinical success of any cutting and pivoting athlete who wishes to return to sport. Knowledge of specific alterations during running after ACL-R is required to optimise rehabilitation for improving outcomes and long-term disability. OBJECTIVE: The objective of this systematic review was to summarise kinematic, kinetic and muscle activation data during running after ACL-R and the intrinsic factors (e...
September 2019: Sports Medicine
https://read.qxmd.com/read/30778627/only-one-patient-out-of-five-achieves-symmetrical-knee-function-6-months-after-primary-anterior-cruciate-ligament-reconstruction
#9
Riccardo Cristiani, Christina Mikkelsen, Magnus Forssblad, Björn Engström, Anders Stålman
PURPOSE: To assess the percentage of patients achieving symmetrical knee function 6 months after primary anterior cruciate ligament (ACL) reconstruction (ACLR) and to identify factors affecting its achievement, in a large cohort. METHODS: Data were extracted from our clinic database. Patients who underwent primary ACLR from 2000 to 2015 and were assessed with the isokinetic quadriceps and hamstring muscles strength tests and single-leg-hop test at the 6-month follow-up were included in the study...
November 2019: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://read.qxmd.com/read/30737202/progressing-rehabilitation-after-injury-consider-the-control-chaos-continuum
#10
EDITORIAL
Matt Taberner, Tom Allen, Daniel Dylan Cohen
No abstract text is available yet for this article.
September 2019: British Journal of Sports Medicine
https://read.qxmd.com/read/30124562/quadriceps-strength-and-functional-performance-after-anterior-cruciate-ligament-reconstruction-in-professional-soccer-players-at-time-of-return-to-sport
#11
Lee Herrington, Hussain Ghulam, Paul Comfort
Herrington, L, Ghulam, H, and Comfort, P. Quadriceps strength and functional performance after anterior cruciate ligament reconstruction in professional soccer players, at time of return to sport. J Strength Cond Res XX(X): 000-000, 2018-Poor quadriceps strength has been associated with poor outcome after anterior cruciate ligament (ACL) reconstruction (ACLR). This study aims to assess quadriceps strength, muscle inhibition, and hop test performance in professional soccer players after ACLR. Fifteen professional soccer players (age 22...
August 17, 2018: Journal of Strength and Conditioning Research
https://read.qxmd.com/read/31076398/isometric-exercise-for-acute-pain-relief-is-it-relevant-in-tendinopathy-management
#12
EDITORIAL
Karin Gravare Silbernagel, Bill T Vicenzino, Michael Skovdal Rathleff, Kristian Thorborg
No abstract text is available yet for this article.
November 2019: British Journal of Sports Medicine
https://read.qxmd.com/read/31027921/the-timing-of-corticosteroid-injections-following-simple-knee-arthroscopy-is-associated-with-infection-risk
#13
MULTICENTER STUDY
Jourdan M Cancienne, Michelle E Kew, Marvin K Smith, Eric W Carson, Mark D Miller, Brian C Werner
PURPOSE: To examine any association between the timing of ipsilateral postoperative corticosteroid injection following simple knee arthroscopy and infection. METHODS: Private payer (PP) and Medicare (MC) national insurance databases were queried for patients who underwent simple arthroscopic knee procedures. Patients undergoing concomitant open or more complex procedures with grafts were excluded. Patients who underwent ipsilateral corticosteroid injections within 2, 4, 6, and 8 weeks postoperatively were then identified...
June 2019: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://read.qxmd.com/read/30712009/which-criteria-are-used-to-clear-patients-to-return-to-sport-after-primary-acl-reconstruction-a-scoping-review
#14
Ciara R Burgi, Scott Peters, Clare L Ardern, John R Magill, Christina D Gomez, Jonathan Sylvain, Michael P Reiman
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...
September 2019: British Journal of Sports Medicine
https://read.qxmd.com/read/30645948/return-to-sport-and-reoperation-rates-in-patients-under-the-age-of-20-after-primary-anterior-cruciate-ligament-reconstruction-risk-profile-comparing-3-patient-groups-predicated-upon-skeletal-age
#15
Frank A Cordasco, Sheena R Black, Meghan Price, Colleen Wixted, Michael Heller, Lori Ann Asaro, Joseph Nguyen, Daniel W Green
BACKGROUND: With sports specialization and level of competition on the rise, anterior cruciate ligament reconstruction (ACLR) in athletes under the age of 20 has increased significantly in recent years. Reports have demonstrated that the revision ACLR rate is higher and return to sport (RTS) rate is lower in this population. PURPOSE: To evaluate the 2-year clinical outcomes of 3 cohorts of primary ACLR in pediatric and adolescent athletes under the age of 20 based on skeletal age with a focus on RTS and the incidence of second surgery...
March 2019: American Journal of Sports Medicine
https://read.qxmd.com/read/30649903/expectations-for-return-to-preinjury-sport-before-and-after-anterior-cruciate-ligament-reconstruction
#16
RANDOMIZED CONTROLLED TRIAL
Kate E Webster, Julian A Feller
BACKGROUND: There is limited information about patient expectations regarding return to sport after anterior cruciate ligament reconstruction (ACLR). While it has generally been assumed that patients expect to return, it has also been acknowledged that expectations may change after surgery. PURPOSE: To investigate return-to-sport expectations before and after ACLR and determine factors associated with changed expectations. STUDY DESIGN: Cohort study; Level of evidence, 2...
March 2019: American Journal of Sports Medicine
https://read.qxmd.com/read/29773588/prevention-diagnosis-and-management-of-paediatric-acl-injuries
#17
Clare L Ardern, Guri Ranum Ekås, Hege Grindem, Håvard Moksnes, Allen Anderson, Franck Chotel, Moises Cohen, Magnus Forssblad, Theodore J Ganley, Julian A Feller, Jón Karlsson, Mininder S Kocher, Robert F LaPrade, Michael McNamee, Bert Mandelbaum, Lyle Micheli, Nicholas G H Mohtadi, Bruce Reider, Justin P Roe, Romain Seil, Rainer Siebold, Holly J Silvers-Granelli, Torbjørn Soligard, Erik Witvrouw, Lars Engebretsen
No abstract text is available yet for this article.
October 2018: British Journal of Sports Medicine
https://read.qxmd.com/read/29718684/factors-associated-with-psychological-readiness-to-return-to-sport-after-anterior-cruciate-ligament-reconstruction-surgery
#18
Kate E Webster, Christopher V Nagelli, Timothy E Hewett, Julian A Feller
BACKGROUND: Anterior cruciate ligament (ACL) injury has a significant psychological effect, and a negative psychological state is a commonly cited reason for a reduction or cessation of sports participation after ACL reconstruction (ACLR) surgery. PURPOSE: To identify factors that contribute to an athlete's psychological readiness to return to sport (RTS) after ACLR. STUDY DESIGN: Cross-sectional study; Level of evidence, 3. METHODS: A cohort of 635 athletes (389 male, 246 female) who underwent ACLR and had been cleared to RTS completed the Anterior Cruciate Ligament-Return to Sport After Injury (ACL-RSI) scale at an average 12 months (range, 11-24 months) after surgery...
June 2018: American Journal of Sports Medicine
https://read.qxmd.com/read/29602303/hop-distance-symmetry-does-not-indicate-normal-landing-biomechanics-in-adolescent-athletes-with-recent-anterior-cruciate-ligament-reconstruction
#19
Tishya A L Wren, Nicole M Mueske, Christopher H Brophy, J Lee Pace, Mia J Katzel, Bianca R Edison, Curtis D Vandenberg, Tracy L Zaslow
Background Return-to-sport protocols after anterior cruciate ligament reconstruction (ACLR) often include assessment of hop distance symmetry. However, it is unclear whether movement deficits are present, regardless of hop symmetry. Objectives To assess biomechanics and symmetry of adolescent athletes following ACLR during a single-leg hop for distance. Methods Forty-six patients with ACLR (5-12 months post surgery; 27 female; mean ± SD age, 15.6 ± 1.7 years) were classified as asymmetric (operative-limb hop distance less than 90% that of nonoperative limb [n = 17]) or symmetric (n = 29) in this retrospective cohort...
August 2018: Journal of Orthopaedic and Sports Physical Therapy
https://read.qxmd.com/read/28969821/editorial-commentary-increased-risk-of-second-ruptures-and-poorer-outcomes-after-anterior-cruciate-ligament-injury-and-reconstruction-in-hypermobile-athletes-a-potential-synergism-of-passive-ligamentous-and-active-muscular-control-of-dynamic-knee-stability
#20
EDITORIAL
Timothy E Hewett
Graft failure rates were higher and inferior subjective outcomes were observed after anterior cruciate ligament reconstruction in patients with generalized hypermobility. This is a clear and corroborative finding that is highly consilient with other reports of similar studies from the published literature. However, controversy remains regarding other potentially predictive and confounding variables. For example, age, activity level, sex, and dynamic neuromuscular control were not considered in this interesting, important, and potentially impactful study...
October 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
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