at Google ScholarTitle data
Niederer, Daniel ; Wilke, Jan ; Krause, Frieder ; Banzer, Winfried ; Engeroff, Tobias:
Integrating the Evidence and Clinical Expertise in the Shared Decision and Graduated Return to Sport Process : A Time Series Case Study after Anterior Cruciate Ligament Rupture and Reconstruction.
In: Journal of Orthopaedic Case Reports.
Vol. 10
(2020)
Issue 1
.
- pp. 35-44.
ISSN 2321-3817
DOI: https://doi.org/10.13107/jocr.2020.v10.i01.1628
Abstract in another language
INTRODUCTION
Rehabilitation following anterior cruciate ligament (ACL) rupture is often characterized by a large discrepancy between the available scientific evidence and its implementation into practice.
PURPOSE
We aimed to research, selectively rate, and transfer the available evidence to the returntosport (RTS) process after ACL rupture adopting an athlete time series case study design.
CASE REPORT AND METHODS
The participant is a male athlete aged 33 who was diagnosed with an isolated right-sided total ACL rupture. Knee arthroscopy using semitendinosus tendon plastic (×4) was performed. For rehabilitation, a graded and shared decision RTS algorithm was derived from the existing evidence and all relevant decision-makers expertise. Starting with basic functional abilities and range of motion, the functional ability at each stage had to be achieved before the next stage was aimed. The corresponding therapeutic focus (in addition to standard therapy) was adopted to reach this goal. Functions to be tested were as follows: Knee function confidence, dynamic balance, isometric and isokinetic strength/torque testing, as well as jumping ability (single-leg hop and triple crossover hop for distance).
RESULTS
RTS was reached (Level 3) 5 months and (Level 2) 10 months post-surgery.
CONCLUSION
Integrating the available evidence and the clinical expertise of all relevant stakeholders into a shared decision and graduated RTS process after ACL rupture and reconstruction was feasible and successful. Particularly, multiple functional measurements in a time series approach to determine the actual rehabilitation focus seem promising.
Further data
| Item Type: | Article in a journal |
|---|---|
| Refereed: | Yes |
| Keywords: | Return to play; case report; functional healing; ligament healing; return to sports |
| Institutions of the University: | Faculties > Faculty of Cultural Studies Faculties Faculties > Faculty of Cultural Studies > Department of Sport Science > Chair Sport Science I - Neuromotorik und Bewegung > Chair Sport Science I - Neuromotorik und Bewegung - Univ.-Prof. Dr. Dr. Jan Wilke |
| Result of work at the UBT: | No |
| DDC Subjects: | 600 Technology, medicine, applied sciences > 610 Medicine and health |
| Date Deposited: | 15 Apr 2024 07:45 |
| Last Modified: | 02 May 2024 06:40 |
| URI: | https://eref.uni-bayreuth.de/id/eprint/89247 |