Lower extremity return to sport testing: A systematic review

IF 1.6 4区医学 Q3 ORTHOPEDICS

Knee Pub Date : 2024-08-19 DOI:10.1016/j.knee.2024.07.021

Traci Smiley , Johnathan Dallman , Rachel Long , Mason Kapple , Levi Aldag , Anthony Mok , Christopher Bernard , Kyle Martin , Lisa Vopat , Bryan Vopat

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引用次数: 0

Abstract

Background

Lower extremity injuries account for an enormous portion of sports medicine cases in the United States each year. Unfortunately, there are no uniform criteria for athletes to complete prior to returning to sport (RTS) following a lower extremity injury. Therefore, the purpose of this systematic review is to review current literature for joint-specific and global lower extremity testing to determine the most valid functional test that can be utilized to reduce the risk of re-injury as athletes RTS.

Methods

A systematic search of PubMed, PubMed Central, Cochrane Library, OVID, and Embase databases was conducted for studies prior to May 2024 following PRISMA guidelines. ROBINS-I Tool was utilized for the risk of bias assessment.

Results

Of 19,189 studies, 114 (0.6%) studies published prior to May of 2024 met inclusion criteria and were analyzed. Eighty five percent of articles discussed RTS for individuals with knee pathology. Furthermore, 82% specifically analyzed RTS following ACL reconstruction. The most common RTS test was isokinetic dynamometry testing which is seen in 73% of studies. Only 6.2% of studies analyzed RTS for individuals with hip pathology and only two studies analyzed RTS for patients with ankle injuries.

Conclusion

Even with the enormous amount of literature that exists regarding ACL injuries and testing there is no standardized criterion for RTS clearance. The suggested test batteries from this review can serve as a framework for future research and validation for joint-specific RTS functional testing.

查看原文本刊更多论文

下肢运动恢复测试：系统回顾。

背景：在美国，下肢损伤占每年运动医学病例的很大一部分。遗憾的是，运动员在下肢受伤后重返运动场（RTS）之前没有统一的标准。因此，本系统性综述的目的是对目前有关关节特异性和整体下肢测试的文献进行综述，以确定最有效的功能测试，从而降低运动员在恢复运动时再次受伤的风险：方法：按照 PRISMA 指南，对 PubMed、PubMed Central、Cochrane Library、OVID 和 Embase 数据库中 2024 年 5 月之前的研究进行了系统检索。采用 ROBINS-I 工具进行偏倚风险评估：在 19,189 项研究中，有 114 项（0.6%）在 2024 年 5 月之前发表的研究符合纳入标准并进行了分析。85%的文章讨论了膝关节病变患者的 RTS。此外，82%的文章专门分析了前交叉韧带重建后的RTS。最常见的 RTS 测试是等动量测力测试，在 73% 的研究中均有涉及。只有 6.2% 的研究分析了髋关节病变患者的 RTS，只有两项研究分析了踝关节损伤患者的 RTS：结论：即使有大量关于前交叉韧带损伤和测试的文献，也没有关于 RTS 检测的标准化标准。本综述中建议的测试电池可作为未来研究和验证特定关节 RTS 功能测试的框架。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Knee 医学-外科

CiteScore

3.80

自引率

5.30%

发文量

171

审稿时长

6 months

期刊介绍： The Knee is an international journal publishing studies on the clinical treatment and fundamental biomechanical characteristics of this joint. The aim of the journal is to provide a vehicle relevant to surgeons, biomedical engineers, imaging specialists, materials scientists, rehabilitation personnel and all those with an interest in the knee. The topics covered include, but are not limited to: • Anatomy, physiology, morphology and biochemistry; • Biomechanical studies; • Advances in the development of prosthetic, orthotic and augmentation devices; • Imaging and diagnostic techniques; • Pathology; • Trauma; • Surgery; • Rehabilitation.