When setting a weekly plan, consider the priorities for your athlete and the required levels of different physiological characteristics. Eighty-three per cent of elite athletes return to preinjury sport after anterior cruciate ligament reconstruction: a systematic review with meta-analysis of return to sport rates, graft rupture rates and performance outcomes. <> 15 reps single leg squat from a 10 inch step/box, Anterior reach on the Y-Balance test within 8 cm difference from the opposite leg, Back squat/Leg press at 80% of the predicted 10 RM, Anterior reach distance within 4 cm difference from the opposite leg on the Y-Balance test, Quad girth within 1 cm compared to the contralateral side, Hamstrings/Quad ratio 60%, using a handheld dynamometer. 2012; 7(1 . 4 0 obj official website and that any information you provide is encrypted 11/2017 . Demographics and descriptive results for Vail Sport Test, By clicking accept or continuing to use the site, you agree to the terms outlined in our. PDF Original Researchthe Reliability of The Vail Sport Test Tm As A The decision to return an athlete to sports following anterior cruciate ligament reconstruction can be controversial. <> This criteria-based protocol incorporates a dynamic assessment of baseline limb strength, patient-reported outcomes, functional knee stability, bilateral limb symmetry with functional tasks, postural control, power, endurance, agility, and technique with sport-specific tasks and serves as a foundation to expand future evidence-based evaluation. PDF Functional Testing Protocol - KNEE Return to Sport after ACL Reconstruction and Other Knee Operations, This chapter summarizes return to sport (RTS) and reinjury data after anterior cruciate ligament (ACL) reconstruction in 42,275 patients from 95 studies published from 2004 to 2018. Hetsroni I, Wiener Y, Ben-Sira D, Iacono AD, Marom N, van Stee M et al. Build a specific drills program depending on your patient's sport-specific needs. 17 3l5U( G$|{viar3#r6}kguwy< Sixty-two per cent of patients who had ACL surgery returned to their previous level of sport at 5 years after ACL reconstruction, and the subgroups that did not return to sport because of fear of re-injury and because of an unstable knee found that the difference in knee outcome scores between these 3 groups were statistically significant. 1 0 obj If any signs of overload was present, return to the previous stage of running progression. A test battery consisting of a knee-extension, knee-flexion and leg-press muscle power test had high ability to determine deficits in leg power 6months after ACL injury and reconstruction and may contribute to the decision-making process when deciding whether and when patients can safely return to strenuous physical activities. 199 Vail Sport Test - Backward Jog -- Texas Health Ben Hogan Sports hb```f`` B,l@qe|A#a6wa(5Z %` ~/j*]0-P 0 &4BIh O%?QA*Dj3?XXXo30bi{%+iO^&AN;" That is usually the journal article where the information was first stated. Read more, Physiopedia 2023 | Physiopedia is a registered charity in the UK, no. Symmetry means equal ROM and equal strength. 2017 Oct;475(10):2472-2480. doi: 10.1007/s11999-017-5418-2. Methods: The purposes of this study are 1) to describe a functional test (Vail Sport Test) that includes the evaluation of muscle strength, endurance, power, and movement quality in those patients. MpTp954A6eT! Orthop J Sports Med. b+-~G6I4l#/o*>zw,wq(iY}{o=.(I_Pq/|^WmU=T.>Wy*#nK}u1{M)^$P?J ?H[]?|BlCgaAgM7W;Hcp3TOwkvi1xQ8*BN8kvt5 lwGl9-!BVCu 1"g3(-`E2HjCHTh^_B^Mv#)v n5-ZbRq [C:2z9;~d7sGU[{[H*m4A1R'sC'R~Bp1y>-X5j56wQ. x]k6nA_tHd/bg"HFg=_[$ q?X"UInw7WovO>aZoxy:h_b~_={KV0VVuGLU+$)Zsfqm(,t6=I*B:q_^?/3!6wlvDq/[^G]zlrYvzyWX\.yq^RGRZ%#|vZYlg-^v^lK+t^m7d.8w+(jy{''AGs c[y[r IJy"MW6gDF/e4)LD=)9{e ]+y"M__NLB }WZ#Ni);3tr. Unauthorized use of these marks is strictly prohibited. endobj endobj **A systemic review by Andrade et al., (2020) recommend against functional bracing and continuous passive motion.[3]. Three major. stream 3 0 obj This . A test battery consisting of a knee-extension, knee-flexion and leg-press muscle power test had high ability to determine deficits in leg power 6months after ACL injury and reconstruction and may contribute to the decision-making process when deciding whether and when patients can safely return to strenuous physical activities. This study aims at reviewing the available literature on reliability and validity of existing subjective test protocols, and first recommendations for the use of different subjective screening test methods are given. Exercises should be light intensity (<50% of 1-RM) high repetitions (15-20) for 3 or more sets with less than 60 seconds of rest, 2-3 times weekly with 48 hours rest between sessions to target type 1 atrophied muscle fibers, due to arthrogenic inhibition[14]. Symmetries in Muscle Torque and Landing Kinematics Are Associated With Maintenance of Sports Participation at 5 to 10 Years After ACL Reconstruction in Young Men. The purposes of this study are 1) to describe a functional test (Vail Sport Test) that includes the evaluation of muscle strength, endurance, power, and movement quality in those patients attempting to return to sports following ACL reconstruction and 2) to assess the reliability of the Vail Sport Test. Design: Increasing running tolerance should be gradual and slow for up to 4 weeks. A prospective cohort study design. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> measure the time it takes to patient to complete the test. In the acute management phase, there are some considerations to protect the surgical repair and allow healing without compromising ROM. a dissertation . 2012 Feb;7(1):20-30. Knee Surgery, Sports Traumatology, Arthroscopy. This site needs JavaScript to work properly. 8600 Rockville Pike 1 0 obj 1d, Fig. 2 0 obj Waldron K, Brown M, Calderon A, Feldman M. Andrade R, Pereira R, van Cingel R, Staal JB, Espregueira-Mendes J. Adams D, Logerstedt D, Hunter-Giordano A, Axe MJ, Snyder-Mackler L. Sinacore JA, Evans AM, Lynch BN, Joreitz RE, Irrgang JJ, Lynch AD. %PDF-1.5 % Bousquet BA, O'Brien L, Singleton S, Beggs M. Y Balance Test Explained. <> endobj <> endobj 2017-12-06T10:45:58-06:00 endobj Clipboard, Search History, and several other advanced features are temporarily unavailable. cOOPvqzjCp. Author: Candace Walker . 147 0 obj <>/Filter/FlateDecode/ID[<14B400B356AB134B832E197A3AE22728>]/Index[131 30]/Info 130 0 R/Length 82/Prev 123080/Root 132 0 R/Size 161/Type/XRef/W[1 2 1]>>stream 199 Vail Sport Test - Backward Jog -- Texas Health Ben Hogan Sports Medicine Exercises TexasHealthBenHogan 281 subscribers Subscribe Like Share 4.6K views 10 years ago Show more Show more. Developing velocity requires lower resistance, about 30% 1 RM for 6 reps, 1-3 sets with 3 minutes rest. Microsoft Word 2016 Objectives: To determine the validity and inter-session reliability of the Vail Sport TestTM. (Males 4.5-5.5 seconds; Females 5.5-6.5 seconds) See diagram. MeSH Progress each week by increasing a minute of running and decrease a minute of walking, till the athlete is able to run for a progressive 20 minutes. From a clinical perspective, the results of this The ACL rehabilitation plan has 9 Phases: Time frames vary among different sports. Would you like email updates of new search results? uuid:0145AEDA-8081-4B56-969A-0706CADDFBEE the validity and reliability of the vail sport test as a measure of . JFIF C The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Search life-sciences literature (Over 39 million articles, preprints and more) (Over 39 million articles, preprints and more) endobj The intermediate rehabilitation phase goals: Quadriceps Index :''the ratio of involved-side quadriceps strength to uninvolved-side quadriceps strength"[4]. 2 0 obj A systematic review of clinical practice guidelines (CPGs) with a focus on quality appraisal (AGREE II). hYr~L& t2c;77qn>HLF"UN>vI,{,X`|UMHyF:EVj>r GqCD!Q,QTJu3QSj$H]d )q!RZ+G*0%U^BHd. Int J Sports Phys Ther. Due to the inadequacy of current return-to-sport tests, the Vail Sport Test (Fig. school of physical therapy Participants: Forty-eight participants who underwent ACL-R. Main outcome measure: Participants performance on the Vail Sport TestTM was graded by an experienced rater in real-time, and . S.C]} Depending on the previous level of strength, 1-12 reps for 1-3 sets with 2 minutes rest between sets. <> endobj government site. 1 0 obj Comparing the injured knee to the other side and trying to reach as much as possible symmetry is essential for recovery and return to function. endobj The purposes of this study are 1) to describe a functional test (Vail Sport Test) that includes the evaluation of muscle strength, endurance, power, and movement quality in those patients attempting to return to sports following ACL reconstruction and 2) to assess the reliability of the Vail Sport Test. PDF Texas Health Resources | Health & Hospital System in North Texas %PDF-1.7 endstream endobj 309 0 obj <> endobj 310 0 obj <>/ExtGState<>/Font<>/XObject<>>>/Rotate 0/Tabs/S/Type/Page>> endobj 311 0 obj <>stream 2017-12-06T10:45:58-06:00 Annals of the Academy of Medicine, Singapore. reconstruction . Compared with matched healthy controls, the participants who underwent ACLR demonstrated an inferior objective profile at RTS, consisting of deficits in surgical limb loading, self-reported outcomes, and strength. The site is secure. Semantic Scholar is a free, AI-powered research tool for scientific literature, based at the Allen Institute for AI. For example, building a 30-40 minutes lower body workout would look like. 6. The test batteries in the current literature show high variability and a lack of essential components necessary for RTS, suggesting a disconnect between recommended guidelines and clinical practice. For the donor site, rehabilitation should be directed towards strengthening the muscles, while ROM is the main concern in the initial phases of rehabilitation for the ACL-reconstructed knee[9]. Complete 10 rep squat / 10 rep leg press with >90% of the predicted 1RM. Post-operative criterion based rehabilitaiton of ACL repairs: A clinical commentary. The results show that the described series of hop tests provide a reliable and valid performance-based outcome measure for patients undergoing rehabilitation following ACL reconstruction, and these findings support the use and facilitate the interpretation ofHop tests for research and clinical practice. Before PDF The Validity and Reliability of The Vail Sport Test As a Measure of A for the degree of doctor of philosophy . A problem may arise when the surgical graft is obtained from the contralateral leg. Thomas AC, Villwock M, Wojtys EM, Palmieri-Smith RM. Federal government websites often end in .gov or .mil. Setting up milestones and goals depends on your patient's needs and aspired function. Bethesda, MD 20894, Web Policies J?c@WMvl{U[ ~OpgbhUVF7&u7jR,*kaT)Y ,kP>roF'm4R W|Ub8x^. Available from: Demonstration of Anti-Gravity Treadmill at Michigan Medicine. 1 . Return to sport test Weeks 20-24 (Prior to 6-month follow-up appointment) Test Dynamic Valgus * (Y/N) R L % Y-Balance Leg length (ASIS to medial . Good inter-session reliability (ICC = 0.787) was found for the involved limb. &!7\,=(*B0(`e8X8V.rI90C6v^AH\q ^>)7.9I(l@sRaBuv?A0 8d+1${T %PDF-1.7 [PDF] Physical Therapy in Sport | Semantic Scholar The Journal of orthopaedic and sports physical therapy. Archives of orthopaedic and trauma surgery. 308 0 obj <> endobj Rehabilitation for patients following ACL reconstruction: Arthrofibrosis following ACL reconstructionreasons and outcome. 4 0 obj What I have learned about the ACL: utilizing a progressive rehabilitation scheme to achieve total knee symmetry after anterior cruciate ligament reconstruction. stream This study aims at reviewing the available literature on reliability and validity of existing subjective test protocols, and first recommendations for the use of different subjective screening test methods are given. METHODS x[[s9~OU/*,SnR3>$+/INHZ?IGo'^|N y}|1$D+F`v|O'fg*!zN ~9308f900dNOraG_JpKA It requires heavy to moderate loads (60-67% of 1-RM), with frequent increase of resistance, either by external weight or single leg posture. Objectives: Following the first 6 weeks of acute management after ACL reconstruction, creating a long-term rehabilitation plan can be challenging for physiotherapists. The Vail Sport Test has great potential to be an optimal test for safely returning athletes to sports. Predicting outcomes and time-frames, using your clinical experience and clinical reasoning skills, for each goal is also part of your role. 1 Since the inception of this test, it has remained unchanged in design but has undergone scoring changes to increase reliability. PDF Return to Sports after Lower Extremity Injuries: Assessment of Movement The reliability of the vail sport test as a measure of physical performance following anterior cruciate ligament reconstruction. Purpose: To test single leg endurance strength and evaluate patellar tracking. The relatively low rate of return to competitive sport despite the high rates of successful outcome in terms of knee impairment-based function suggests that other factors such as psychological factors may be contributing to return-to-sport outcomes. Forty-eight participants who underwent ACL-R. Main outcome measure: Setting: ,(s*@ ;@p'D2g g.wxaCOi!o\/~iwY_\R>9 ~:KmPDP\ S@YVPc^4?~)=TJ`sK+lvS|o%SMm 9 A/naYMM@&(gq[`-RKsUBH$m,'MCkOo0_^x0?W~6}Xlz*i:EsTJbcW#xsH/,x.29YgeULX!N$MS"7a4F.AaonTl@^O.l1wnxg(wYap_@s{T'\i*\eTG4@4c,lra;.$-mhJ]sKMDhK[)Ktq^u-1]~ vo!,bA National Library of Medicine Y BALANCE TEST ANTERIOR REACH SYMMETRY AT THREE MONTHS IS RELATED TO SINGLE LEG FUNCTIONAL PERFORMANCE AT TIME OF RETURN TO SPORTS FOLLOWING ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION. HHS Vulnerability Disclosure, Help texas woman's university. hW_o6*zldIC>Hq%Yv.LWKbe8aLjk$%S Please enable it to take advantage of the complete set of features! PDF The Validity and Reliability of The Vail Sport Test As a Measure - Tdl Return to Sport after ACL Reconstruction and Other Knee Operations, This chapter summarizes return to sport (RTS) and reinjury data after anterior cruciate ligament (ACL) reconstruction in 42,275 patients from 95 studies published from 2004 to 2018. Setting: Clinical Research Laboratory. }, author={James Craig Garrison and Ellen Shanley and Charles A. Thigpen and Ryan Geary and Mike Osler and Jackie Delgiorno}, journal={International journal of sports . hbbd```b```^"^IQ*&@$=L L`l2( xN "co\`Aj| RKl&nD#aPf We Available from: Monday Academic Session - Luke O'Brien - Rehabilitation. (18) conducted an analysis on the prevalence of injuries in World Cup Ski Racing, finding that 9.8 injuries occurred for every 1,000 runs taken, 38% of which were to the knee. The purposes of this study are 1) to describe a functional, Physical therapy in sport : official journal of the Association of Chartered Physiotherapists in Sports Medicine. %PDF-1.5 % acute management after ACL reconstruction, Anterior cruciate ligament (BTB) rehabilitation guideline. @article{Garrison2012TheRO, title={The reliability of the vail sport test{\texttrademark} as a measure of physical performance following anterior cruciate ligament reconstruction. endobj <> <> Sixty-two per cent of patients who had ACL surgery returned to their previous level of sport at 5 years after ACL reconstruction, and the subgroups that did not return to sport because of fear of re-injury and because of an unstable knee found that the difference in knee outcome scores between these 3 groups were statistically significant. PDF Post-Op ACL Reconstruction Return to Sport Test Instructions The effect of insufficient quadriceps strength on gait after anterior cruciate ligament reconstruction. These goals should be prioritized depending on athletic needs. hbbd``b` Candace Walker Further examples and more on the progression of exercises are found in table 6 in this article. 4 0 obj Careers. Participants performance on the Vail Sport Test was graded by an experienced rater in real-time, and simultaneously recorded by a three-dimensional (3D) motion capture system. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features Press Copyright Contact us Creators . <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> The test batteries in the current literature show high variability and a lack of essential components necessary for RTS, suggesting a disconnect between recommended guidelines and clinical practice. X7+FR "m~^ w8&@f` XK10.22 l}t Anatomic-based popliteus tendon reconstructions resulted in improved outcomes and a high patient satisfaction in patients with a complete tear of the popliteu tendon and symptomatic knee instability. <> Garrison JC, Shanley E, Thigpen C, Geary R, Osler M, Delgiorno J. Int J Sports Phys Ther. % The .gov means its official. Kokmeyer et al. x][s~0/9/jW-$r Regardless of the donor site, both knees should be incorporated throughout the rehabilitation process. https://www.youtube.com/watch?v=njfP29KabO4, https://www.youtube.com/watch?v=u0o-8MmKArg, https://www.youtube.com/watch?v=XkPsoV6-HJw, https://www.youtube.com/watch?v=wMc9G7Kzj0w, https://www.physio-pedia.com/index.php?title=ACL_Rehabilitation:_Rehabilitation_Planning&oldid=323048, Low load recovery (core stability + pool exercise), Knee flexion within 10 of the contralateral side, Knee joint effusion equal to a grade of trace or less, Hetsroni and colleagues found that maintaining participation in sports 5-10 years after ACL surgery was associated with symmetries in muscle torque and landing kinematics, Cristiani and colleagues found that symmetrical isokinetic quadriceps strength and single-leg-hop test performance at 6 post-ACL surgery consistently increased the likelihood that a patient would achieve a PASS (i.e. Current concepts for anterior cruciate ligament reconstruction: a criterion-based rehabilitation progression. 2020 Oct 15;7(1):83. doi: 10.1186/s40634-020-00298-8. Starting power training should begin when the athlete shows the following criteria: A different characteristic of muscular strength is power which is a combination of force and velocity. Physiopedia articles are best used to find the original sources of information (see the references list at the bottom of the article). The validity and reliability of the Vail Sport Test as a measure of Lai CCH, Ardern CL, Feller JA, Webster KE. Ability to walk on treadmill or cycle with resistance for 20 minutes. in the graduate school of the . * Patient must score 46/54 on the test in order to pass Forward Jogging Set Up: Video: Scoring Minute 1 Minute 2 Knee flexion angle is 30o or greater during landing Patient performs repetitions . Limited evidence for return to sport testing after ACL reconstruction in children and adolescents under 16years: a scoping review. <>/Metadata 500 0 R/ViewerPreferences 501 0 R>> ACL rehabilitation progression: where are we now? Age, gender, quadriceps strength and hop test performance are the most important factors affecting the achievement of a patient-acceptable symptom state after ACL reconstruction. The validity and reliability of the Vail Sport Test as a measure of performance following anterior cruciate ligament reconstruction The results of this study showed good reliability and partially support the validity of the Vail Sport Test as a measure of readiness to return to play. *'*,zvchs08S7E?#7`C=>xW1hRU$6RXY"]uVhD&J\VrW.V3Aa&HkSAxNsA+a.pUzN6^1IAga`m","6u(P?w#ZvW 2 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 540 720] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Back leg squat/Leg press for 10 rep at >70% of the predicted 10 RM. The validity and reliability of the Vail Sport Test as a measure of Methods: A prospective cohort study design. 1 0 obj DOI: 10.4236/health.2017.910104 1420 Health recommendations concerning the use of the tests and to verify the quality crite-ria. Microsoft Word 2016 ;R~*:x5Tj8GY~*6vUFDe}>:}CDY~*6v*}}( %%EOF Unable to load your collection due to an error, Unable to load your delegates due to an error. performance following anterior cruciate ligament . The Reliability of the Vail Sport Test As a Measure of Physical Performance Following Anterior Cruciate Ligament Reconstruction. 1 0 obj <>/Metadata 378 0 R/Pages 2 0 R/StructTreeRoot 46 0 R/Type/Catalog/ViewerPreferences 376 0 R>> endobj 378 0 obj <>stream There is no specific program that is superior to the others, however, there are similar goals within in all rehabilitation programs. These criteria are based upon quality criteria such as efficiency, utility and Accessibility Available from: Single Leg Drop Jump | OSU Sports Medicine. The Vail Sport Test is a return to sports assessment that incorporates a series of dynamic multiplanar functional activities against the resistance of a sportcord . 160 0 obj <>stream Speed and Agility are important for re-conditioning and return to sport. Construct validity was assessed using the reference standards of the camera system and the IKDC short form. Int J Sports Phys Ther. The Vail sports test will give you an idea how your patient loads his/her injured knee which will reflect on running. 3 0 obj x[o8 ,`#+( Functional Assessment - Vail Sports Test - YouTube Every two weeks, a week of de-loading is recommended to allow recovery[14]. International journal of sports physical therapy, PURPOSE/BACKGROUND sharing sensitive information, make sure youre on a federal Published in International Journal of Sports Physical Therapy 2012, J. C. Garrison, E. Shanley, C. Thigpen, R. Geary, M. Osler, Jackie Delgiorno. Journal of orthopaedic research : official publication of the Orthopaedic Research Society. A criterion-based postoperative protocol was derived based on current evidence regarding rehabilitation following cruciate ligament reconstruction and evidence regarding lower extremity rehabilitation principles and injury prevention and allowed the patient to return to competitive athletics. 378 0 obj <>stream The Reliability of the Vail Sport Test As a Measure of Physical Performance Following Anterior Cruciate Ligament Reconstruction. struction can be controversial. To determine the validity and inter-session reliability of the Vail Sport Test. PDF The Vail Hip Score - Dr JN Cakic Disclaimer. 2017;5(8):1-5. Conclusion: Physiopedia is not a substitute for professional advice or expert medical services from a qualified healthcare provider. attempting to return to sports following ACL reconstruction and 2) to assess the reliability of the Vail Sport Test. stream Br J Sports Med. DOI: 10.1016/j.ptsp.2019.05.001 Corpus ID: 174805383; The validity and reliability of the Vail Sport Test as a measure of performance following anterior cruciate ligament reconstruction. <> endobj By the end of this phase your patient must be able to[14]: Anterior cruciate ligament (BTB) rehabilitation guideline [12], Get Top Tips Tuesday and The Latest Physiopedia updates, The content on or accessible through Physiopedia is for informational purposes only. endobj The reliability of the vail sport test as a measure of physical 1c, Fig. Regaining full ROM for both knees should be aimed during rehabilitation. Vail J, Rugg CM, Hame S. Lower Quarter Y-Balance Test Scores and Lower Extremity Injury in NCAA Division I Athletes. Supplies: Sport Cord (Topp er Sports Medicine, black cord) GoniometerStopwatch Description: The Athlete will perform single knee bends with cord resistance to 60 at a cadence of 1 second up and 1 second down for a goal of 3 minutes. There was a significant difference for the uninvolved limb (p = 0.015). Hop testing was the most commonly reported functional test following ACL reconstruction and differences between graft types were examined, providing information that may assist providers in determining timing of return to unrestricted sporting activity. Knee Surgery, Sports Traumatology, Arthroscopy. How should clinicians rehabilitate patients after ACL reconstruction? 131 0 obj <> endobj <> w.99@nFb[x(A[ SjU-4~*=2m]ri&C|@-E/PueJdk$/brwsOo99" S6r*R1i@&WjK9y@{8p5$4rRCm@uM,2RBrmlLf>=+X4!["R)ju(y[J@u"ZI,Kx{;ZjF* W$[me Alter-G treadmill or pool running is helpful when you want to start with partial weight-bearing, progressing 5% each session till full weigh-bearing. PDF Original Researchthe Reliability of The Vail Sport Test Tm As A Evidence-based recommendations for the management of anterior cruciate ligament (ACL) rupture. endobj 1173185, Selecting Proper Exercises and Parameters. @]aYb%0R1YjbE:>{\qwWM8e)RT|B [WdOn1P4{hq|Rdf? endobj (PDF) The reliability of the vail sport test as a measure of physical In most cases Physiopedia articles are a secondary source and so should not be used as references. 8 0 obj ACL Rehabilitation: Rehabilitation Planning - Physiopedia 5 0 obj In young patients with high functional demands, return to sports is allowed no earlier than 912 months after they have undergone a thorough rehabilitation programme, but it is known to be associated with secondary stiffness. I2^L*./Oe'Yrx` 8^, Participants: 2016 May;51(5):425-7. doi: 10.4085/1062-6050.51.5.11. The Vail Sport Test, originally described by Hagerman and Atkins, 34 is a functional assessment to return to alpine skiing and has been used as a criterion to return to sport, as previously described in the literature.
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