Physical Therapy in Sport最新文献

{"title":"Practitioners’ perspective of non-contact injury risk factors and injury prevention programming in professional North American male soccer","authors":"Paul Chesterton ,&nbsp;Matthew Wright ,&nbsp;Nathan Liddle ,&nbsp;Stacey Hardin ,&nbsp;Skylar Richards ,&nbsp;Garrison Draper","doi":"10.1016/j.ptsp.2024.06.003","DOIUrl":"10.1016/j.ptsp.2024.06.003","url":null,"abstract":"<div><h3>Objective</h3><p>To evaluate non-contact injury prevention strategies of professional men's soccer clubs in elite North American league soccer. To understand the application, perceived effectiveness and barriers to implementation.</p></div><div><h3>Design</h3><p>Online cross-Sectional Study.</p></div><div><h3>Setting</h3><p>North American elite soccer teams.</p></div><div><h3>Participants</h3><p>96 medical and performance support staff of elite North American teams.</p></div><div><h3>Main outcome measure</h3><p>The survey consisted of 20 questions and captured 1) practitioners' demographics; 2) perceptions of risk factors; 3) the use of assessment and monitoring strategies; and 4) perceptions of the implementation of injury prevention programmes’.</p></div><div><h3>Results</h3><p>Injury prevention programmes were perceived as ‘effective’ (Median 4, Interquartile range 4-4) and reduced injury rates (n = 94, 98%, 95 CI% 93 to 99). A range of potential risk factors were rated as “very important” (4.58 ± 0.52 Likert scale points; mean ± standard deviation). A multi-disciplinary approach to the design, application and monitoring of programmes was generally adopted. Competing training priorities (n = 75, 78%, 95 CI% 69 to 85) and game schedules (n = 71, 74%, 95 CI% 64 to 82) were the most prevalent barriers to injury prevention implementation.</p></div><div><h3>Conclusions</h3><p>Injury prevention programmes were perceived as effective in reducing non-contact injuries. Managing the conflicting priorities between scheduling training, tactical and conditioning goals were considered the key barriers to desired implementation.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"68 ","pages":"Pages 51-59"},"PeriodicalIF":2.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1466853X24000658/pdfft?md5=49d353bbb5545a1047141787fe7d3680&pid=1-s2.0-S1466853X24000658-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141474164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reliability of lower limb strength assessment in female team sport athletes","authors":"Brooke Jenner ,&nbsp;Carmel Nottle ,&nbsp;Julie L. Walters ,&nbsp;Steven W. Saunders ,&nbsp;Anthony S. Leicht ,&nbsp;Robert G. Crowther","doi":"10.1016/j.ptsp.2024.06.006","DOIUrl":"10.1016/j.ptsp.2024.06.006","url":null,"abstract":"<div><h3>Background</h3><p>Lower limb injury rates have increased dramatically in line with increased female sport participation levels. Muscle strength is a modifiable lower limb injury risk factor, guiding performance monitoring and rehabilitation.</p></div><div><h3>Objectives</h3><p>The aim of this study was to investigate the test-retest reliability of isokinetic and isometric lower limb peak torque to body mass of muscles acting on the hip, knee, and ankle in female team sport athletes. It was hypothesised the test-retest reliability would be good (intraclass correlation coefficients (ICC) ≥ 0.75).</p></div><div><h3>Methods</h3><p>Thirty-eight female athletes (Australian Rules Football = 18, netball = 12, soccer = 8) aged 16–35 years participated in this study. Participants performed isokinetic (60°/s and 120°/s) and isometric testing on a Biodex Isokinetic Dynamometer on three separate days.</p></div><div><h3>Results</h3><p>Poor to good reliability was demonstrated for all joint movements (ICC = 0.38–0.88) with small to moderate effect sizes (0.00–0.43) and typical errors (5.65–24.49).</p></div><div><h3>Conclusion</h3><p>Differences in peak torque to body mass were observed between sessions one and two and/or one and three, demonstrating a learning effect. Therefore, three testing sessions, and/or the inclusion of a familiarisation session, is recommended for future assessments in populations unfamiliar with dynamometry.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"68 ","pages":"Pages 71-79"},"PeriodicalIF":2.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1466853X24000683/pdfft?md5=54e920a6ce0b0193fdf4a8ff7d8746ab&pid=1-s2.0-S1466853X24000683-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141539111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Are demographics, physical function and psychological response associated with return to sport at one year following ACL-reconstruction?","authors":"Anna Cronström ,&nbsp;Eva Ageberg ,&nbsp;Charlotte K. Häger","doi":"10.1016/j.ptsp.2024.06.001","DOIUrl":"10.1016/j.ptsp.2024.06.001","url":null,"abstract":"<div><h3>Objective</h3><p>To determine the relative contribution of each of the following aspects: demographics, physical function, and patient-reported outcome measures (PROMs), including both physical and psychological constructs, to return to sport (RTS) (any level) one-year post anterior cruciate ligament reconstruction (ACLR).</p></div><div><h3>Design</h3><p>Cross-sectional cohort study.</p></div><div><h3>Methods</h3><p>We included data for 143 participants (73 women, mean (SD) age 24 (5.8) years) ∼ one-year post-ACLR. Data comprised demographics, physical function (hop performance, hip and knee peak torque) and PROMs (Knee Osteoarthritis Outcome Score subscales, perceived stress, and ACL Return to Sport after Injury scale (ACL-RSI)). We then used a Z-normalized multivariable logistic regression model to establish the relative contribution of factors associated with RTS.</p></div><div><h3>Results</h3><p>Sixty-four (45%) of the participants had returned to sport at one year post-ACLR. In the regression model, greater hip abduction peak torque (OR = 1.70, 95% CI; 1.01 to 2.84) and greater psychological readiness to RTS (OR = 2.32, 95% CI; 1.30 to 4.12) were the only variables associated with RTS (R² = 0.352).</p></div><div><h3>Conclusions</h3><p>The significant contribution of hip abduction strength and psychological readiness to RTS was still relatively small, suggesting other potential factors explaining RTS which may not be captured by common RTS criteria.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"68 ","pages":"Pages 22-30"},"PeriodicalIF":2.2,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1466853X24000634/pdfft?md5=7994b1263a39eee0e39d2bb882af0983&pid=1-s2.0-S1466853X24000634-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141409174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Maturation and biomechanical risk factors associated with anterior cruciate ligament injury: Is there a link? A systematic review","authors":"Anna J. Butcher ,&nbsp;Sarah Ward ,&nbsp;Tracey Clissold ,&nbsp;Jim Richards ,&nbsp;Kim Hébert-Losier","doi":"10.1016/j.ptsp.2024.06.002","DOIUrl":"10.1016/j.ptsp.2024.06.002","url":null,"abstract":"<div><h3>Objective</h3><p>To establish the potential link between sex-specific maturation and biomechanical factors associated with ACL injury during dynamic tasks.</p></div><div><h3>Design</h3><p>Systematic review.</p></div><div><h3>Literature search</h3><p>Five databases (CINHAL®, Cochrane Library, PubMed®, Scopus®, and SPORTDiscus) were searched and monitored until 27 May 2024.</p></div><div><h3>Study selection criteria</h3><p>Cross-sectional, cohort, case-control, or interventional studies reporting one or more biomechanical variable linked with ACL injury and which assessed participants across two or more maturation phases were considered eligible.</p></div><div><h3>Data synthesis</h3><p>Studies were assessed for risk of bias using a modified version of the Newcastle Ottawa Scale and overall quality of evidence was rated using GRADE. Metrics and effect sizes were presented where available.</p></div><div><h3>Results</h3><p>Eighteen included studies examined 400 males, 1377 females, and 315 participants of undefined sex across various maturation phases. The methodological quality of most studies (n = 16) was considered good, and satisfactory for two. Knee abduction angle, knee abduction moment, knee flexion angle, and ground reaction forces were most commonly reported. Knee abduction angles and moments and knee flexion angles were greater in late and post-pubertal females than males and pre-pubertal females during both landing and cutting tasks. When normalised for body mass, ground reaction forces were generally greater in males compared to females overall and for less mature participants for both sexes. Overall quality of evidence was low or medium across the four biomechanical measures.</p></div><div><h3>Conclusion</h3><p>Sex-specific maturation considerations are important in the targeted development and implementation of ACL injury risk identification and prevention strategies.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"68 ","pages":"Pages 31-50"},"PeriodicalIF":2.2,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1466853X24000646/pdfft?md5=d2d1b95e55d6e27e2c0d4f1726184a64&pid=1-s2.0-S1466853X24000646-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141410794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adolescents' experience with sports-related pain and injury: A systematic review of qualitative research","authors":"Niamh Sheehan PT, BSc ,&nbsp;Ryan Summersby PT, BSc ,&nbsp;Chris Bleakley PT, PhD ,&nbsp;Brian Caulfield PT, PhD ,&nbsp;Mark Matthews PT, PhD ,&nbsp;Natalie Klempel PhD ,&nbsp;Sinead Holden PhD","doi":"10.1016/j.ptsp.2024.05.003","DOIUrl":"https://doi.org/10.1016/j.ptsp.2024.05.003","url":null,"abstract":"<div><h3>Objective</h3><p>The aim of this review is to synthesise qualitative studies examining adolescents' experience with pain and injury arising from sports participation.</p></div><div><h3>Methods</h3><p>This review was registered on Open Science Framework prior to data extraction. A systematic search of PubMed, Embase, and SPORTDiscus was conducted. Studies were appraised using the CASP (critical appraisal skills programme) checklist. Data was synthesised using a meta aggregation.</p></div><div><h3>Study selection criteria</h3><p>Inclusion criteria included studies related to adolescents aged 14–19yrs with sports related pain/injury, employed a qualitative design, full text publications in English.</p></div><div><h3>Results</h3><p>Sixteen studies of 216 participants were included. Studies investigated severe knee injuries, concussion, or other musculoskeletal injuries. Synthesised findings show that, regardless of injury type, adolescents experience a mix of positive (motivation to rehab and return to sport, optimism) and negative emotions (fear of re-injury, isolation, depressive responses) throughout recovery. Common coping strategies were to ignore symptoms, modify activity levels, or seek support.</p></div><div><h3>Conclusion</h3><p>Sports-related pain and injury has a multifaceted effect on the adolescent athlete. There is a pervasive fear of re-injury and social isolation, but the desire to return to sports is facilitated through motivation and support. Peer motivation effects the willingness of the adolescent to persist with rehabilitation.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"68 ","pages":"Pages 7-21"},"PeriodicalIF":2.4,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1466853X24000543/pdfft?md5=187ead816c221ac580e155f38eb83225&pid=1-s2.0-S1466853X24000543-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141249554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pattern of strength recovery differences Exist in Adolescent athletes after anterior cruciate ligament reconstruction when using quadriceps versus Hamstring tendon autograft","authors":"Elliot M. Greenberg ,&nbsp;Joshua Bram ,&nbsp;Christopher J. DeFrancesco ,&nbsp;Kevin Landrum ,&nbsp;Alexandra Stevens ,&nbsp;Theodore J. Ganley","doi":"10.1016/j.ptsp.2024.05.005","DOIUrl":"https://doi.org/10.1016/j.ptsp.2024.05.005","url":null,"abstract":"<div><h3>Objectives</h3><p>To compare the timeline for post-operative quadriceps and hamstrings strength recovery following anterior cruciate ligament reconstruction (ACLR) using either a quadriceps tendon (QT) or hamstring tendon (HT) autograft.</p></div><div><h3>Methods</h3><p>Patients (≤18 years) who underwent ACLR using autograft QT or HT were included. Isokinetic strength was extracted at 3, 6, and 12 months post-operatively. Effects of time and graft type on quadriceps or hamstring limb symmetry index (qLSI/hLSI) was assessed with two-way repeated measures ANOVA. Between group differences at each time point were assessed with unpaired t-tests. Chi-square and Kaplan-Meir analysis analyzed the proportions of subjects able to achieve ≥90% LSI.</p></div><div><h3>Results</h3><p>A total of 75 subjects (QT n = 38 HT n = 37,15.8 years) were included. There were significant differences in qLSI, with greater symmetry within the HT group at all time points. A higher proportion of subjects with HT grafts were able to achieve ≥90% qLSI within 12 months of surgery (81% vs 45%, p = 0.001).</p></div><div><h3>Conclusion</h3><p>Compared to those with HT autografts, adolescents with QT autografts demonstrate a prolonged timeline for quadriceps recovery. While mean strength values above 90% are achieved, a significantly lower percentage of QT patients are able to achieve 90% qLSI by 12 months post-op.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"68 ","pages":"Pages 1-6"},"PeriodicalIF":2.4,"publicationDate":"2024-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141249553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Return to sports after an ACL reconstruction in 2024 – A glass half full? A narrative review","authors":"Wouter Welling","doi":"10.1016/j.ptsp.2024.05.001","DOIUrl":"10.1016/j.ptsp.2024.05.001","url":null,"abstract":"<div><p>A successful return to sports (RTS) after an anterior cruciate ligament reconstruction (ACLR) is multifactorial, and therefore difficult and challenging. Unfortunately, low percentages of patients RTS, and for those who succeed, one-fifth of patients will sustain a second ACL injury. Over the past years, test batteries were developed to assess whether patients can RTS with a low risk for a second ACL injury risk. Low rates of patients who meet RTS criteria were found, coupled with the insufficiency of current RTS test batteries in predicting second ACL injuries suggesting poor sensitivity. The result of an RTS test is likely to reflect the content of a rehabilitation program, raising critical questions regarding what we are offering patients within the rehabilitation programme. Are we preparing our patients well enough for the high demands of complex situations within pivoting team sports? This narrative review offers insights from key lessons of the last 15 years on 1) RTS testing, 2) the content of rehabilitation, and 3) the RTS continuum, all from a “helicopter perspective”.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"67 ","pages":"Pages 141-148"},"PeriodicalIF":2.4,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1466853X2400052X/pdfft?md5=8b04c3573b9b065f77e2ea943b98e8ab&pid=1-s2.0-S1466853X2400052X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140939027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reliability of enhanced paper grip test for testing foot strength in volleyball and soccer players","authors":"Neža Skuk ,&nbsp;Panagiotis E. Chatzistergos ,&nbsp;Žiga Kozinc","doi":"10.1016/j.ptsp.2024.05.004","DOIUrl":"https://doi.org/10.1016/j.ptsp.2024.05.004","url":null,"abstract":"<div><h3>Objectives</h3><p>To evaluate the reliability of the Enhanced Paper Grip Test (EPGT) for assessing foot strength in volleyball and soccer players.</p></div><div><h3>Design</h3><p>A cross-sectional observational study with repeated measurements.</p></div><div><h3>Setting</h3><p>Field-based study.</p></div><div><h3>Participants</h3><p>A convenience sample of 28 athletes (13 volleyball players and 15 soccer players) participated in the study.</p></div><div><h3>Main outcome measures</h3><p>The main outcome measures were the intraclass correlation coefficients (ICC) for intra-visit and inter-visit reliability, typical error, and coefficient of variation for the force (N) recorded in EPGT test.</p></div><div><h3>Results</h3><p>The EPGT demonstrated good to excellent relative reliability (ICC values ranged from 0.93 to 0.97) and acceptable absolute reliability (typical error = 5–8 % of the mean). Significant inter-limb asymmetries were observed in both volleyball (16.0 ± 10.2%) and soccer players (15.3 ± 9.8%).</p></div><div><h3>Conclusions</h3><p>The EPGT is a reliable tool for assessing foot strength in volleyball and soccer players. Further research is required to explore the applicability of EPGT in different athletic and clinical contexts, and its potential role in athletic performance and injury prevention.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"67 ","pages":"Pages 155-160"},"PeriodicalIF":2.4,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141164364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rehabilitation and return-to-sport after anterior cruciate ligament injury and reconstruction: Exploring physical therapists’ approaches in Argentina","authors":"Eduardo Tondelli ,&nbsp;Alejo Feroldi ,&nbsp;Felipe García ,&nbsp;Franco Meza ,&nbsp;Bart Dingenen","doi":"10.1016/j.ptsp.2024.04.007","DOIUrl":"10.1016/j.ptsp.2024.04.007","url":null,"abstract":"<div><h3>Objectives</h3><p>To investigate the current clinical practice regarding pre- and post-surgical rehabilitation and return to sport (RTS) criteria following anterior cruciate ligament reconstruction (ACLR).</p></div><div><h3>Design</h3><p>Cross-sectional design. Online survey.</p></div><div><h3>Setting</h3><p>Survey platform.</p></div><div><h3>Participants</h3><p>Argentinian physical therapists (PTs).</p></div><div><h3>Outcome measures</h3><p>The survey consisted of a combination of 39 open- and closed-ended questions, divided across 3 sections: (1) demographic and professional information, (2) clinical practice and rehabilitation strategies, and (3) return-to-running (RTR) and RTS.</p></div><div><h3>Results</h3><p>A total of 619 PTs completed the survey. Considerable variability was observed in preoperative rehabilitation, criteria used for rehabilitation progression and RTS decision-making criteria used by PTs. From the total surveyed, 336 (54.3%) carried out RTS assessment in their clinical practice. Most of PTs (53.3%) use visual estimation to assess knee range of motion. Only 20% of the PTs reported incorporating patient-reported outcome measures in their decision-making. From PTs who use strength assessment as a criterion of RTS (68.8%), 16.6% extrapolate this from jump tests and 15.3% use manual muscle testing. Less than the 50% of the PTs recommended nine months or more to allow patients to RTS.</p></div><div><h3>Conclusions</h3><p>Current rehabilitation practices of Argentinian PTs following ACLR are largely variable and not aligned with current evidence and scientific guidelines. To achieve better rehabilitation and RTS practices better knowledge dissemination and implementation are required.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"67 ","pages":"Pages 131-140"},"PeriodicalIF":2.4,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140759448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Greater changes in self-reported activity level are associated with decreased quality of life in patients following an anterior cruciate ligament reconstruction","authors":"Rachel E. Cherelstein ,&nbsp;Sophia Ulman ,&nbsp;Christopher M. Kuenze ,&nbsp;Matthew S. Harkey ,&nbsp;Lauren S. Butler","doi":"10.1016/j.ptsp.2024.04.002","DOIUrl":"10.1016/j.ptsp.2024.04.002","url":null,"abstract":"<div><h3>Objective</h3><p>To determine the association between change in physical activity level, as defined as the change from pre-to post-operative Tegner Activity Scale, and quality of life (QOL) after anterior cruciate ligament reconstruction (ACLR), before patients are cleared for return to sport.</p></div><div><h3>Participants</h3><p>1198 participants (42.9% male; 18.7 ± 3.6 years; 7.1 ± 3.7 months post-ACLR).</p></div><div><h3>Main outcome measures</h3><p>Surveys included Knee Injury and Osteoarthritis Outcome Score QOL (KOOS-QOL) subscale and Tegner Activity Scale. KOOS-QOL score ≥62.5 is considered as meeting a previously established patient acceptable symptom state.</p></div><div><h3>Results</h3><p>The acceptable KOOS-QOL group reported a significantly smaller decrease in activity level from pre-injury to time of data collection (median: 2.00, IQR: 2.00) than the unacceptable KOOS-QOL group (median: 3.00, IQR: 3.00). Across the full cohort, for every one-point larger decrease in Tegner score from pre-to post-ACLR, there is a 52% increase in the odds of having an unacceptable KOOS-QOL score. For adolescents, the odds increase to 60% while the odds for adults were lower at 39%.</p></div><div><h3>Conclusions</h3><p>Following ACLR, greater decreases in physical activity level are associated with poorer QOL for both adolescents and adults at short-term follow-up, and this effect is larger amongst adolescents.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"67 ","pages":"Pages 149-154"},"PeriodicalIF":2.4,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140773330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}