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Unanticipated jump-landing quality in patients with anterior cruciate ligament reconstruction: How long after the surgery and return to sport does the re-injury risk factor persist?

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  • معلومة اضافية
    • Author-Supplied Keywords:
      Cognitive perturbation
      LSI
      Non-anticipated
      Return to play
      Return to sports
      RTS
      Single leg hop
      Unexpected
      Visual distraction
      Visuomotor
    • Abstract:
      Inadequate reactions to unforeseen external stimuli are regarded as a major cause for non-contact anterior cruciate ligament (ACL) injuries. We aimed to delineate a potential deficit in the ability to perform unanticipated jump-landing manoeuvres, its sustainability and potential as a new outcome measure after ACL-reconstruction. Physically active adults (n = 27, 13 females, 14 males, 29.7 standard deviation 3.1 years) with a history of unilateral ACL rupture and subsequent reconstruction (6 months to 7 years ago), cleared for return to sports, were included. All participants performed counter-movement jumps with unanticipated single leg landings. Visual information shown after jump take-off indicated the required landing leg. Jump time [s] and successfulness [yes/no], vertical peak ground reaction forces at landing [N], as well as time to stabilisation after landing [s] and path length of the centre of pressure (CoP, [mm]) were calculated. Limb symmetry ratios were determined and analysed for their association with the time since surgery. Time since ACL reconstruction was logarithmically (basis 10) associated with side symmetry improvements in peak ground reaction force (R2 = 0.23, p <.01) and time to stabilisation (R2 = 0.18, p <.01) during and after landing in unanticipated/unpredictable single-leg jump landing tasks. The asymmetry found persists up to 18–26 months post-surgery. A deficit in unanticipated jump-landing ability seems to persist far beyond surgical restoration of mechanical stability and resumption of initial physical activities levels. The assessment of the ability to suddenly adapt movements to unanticipated visual stimuli may be a relevant complementary component within current functional testing canon in monitoring therapy success and return to sport testing. • Deficits in unplanned jump-landings persist after anterior cruciate ligament reconstruction. • The assessment of the ability to suddenly adapt movements may be a relevant new test. • An anterior cruciate ligament injury affects both legs. [ABSTRACT FROM AUTHOR]
    • Abstract:
      Copyright of Clinical Biomechanics is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
    • Author Affiliations:
      1Department of Sports Medicine and Exercise Physiology, Goethe University Frankfurt am Main, Germany
      2Preventive and Sports Medicine, Institute of Occupational, Social and Environmental Medicine, Hospital of the Goethe-University Frankfurt am Main, Goethe University, Frankfurt, Germany
      3Department of Trauma- Hand and Reconstructive Surgery, Hospital of the Goethe-University Frankfurt am Main, Goethe University, Frankfurt, Germany
      4Department of Sport Traumatology-, Knee- and Shoulder-Surgery, Berufsgenossenschaftliche Unfallklinik Frankfurt am Main, Germany
    • Full Text Word Count:
      5442
    • ISSN:
      0268-0033
    • Accession Number:
      10.1016/j.clinbiomech.2019.12.021
    • Accession Number:
      142319403
  • Citations
    • ABNT:
      NIEDERER, D. et al. Unanticipated jump-landing quality in patients with anterior cruciate ligament reconstruction: How long after the surgery and return to sport does the re-injury risk factor persist? Clinical Biomechanics, [s. l.], v. 72, p. 195–201, 2020. DOI 10.1016/j.clinbiomech.2019.12.021. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asn&AN=142319403&custid=s8280428. Acesso em: 29 maio. 2020.
    • AMA:
      Niederer D, Giesche F, Janko M, et al. Unanticipated jump-landing quality in patients with anterior cruciate ligament reconstruction: How long after the surgery and return to sport does the re-injury risk factor persist? Clinical Biomechanics. 2020;72:195-201. doi:10.1016/j.clinbiomech.2019.12.021.
    • APA:
      Niederer, D., Giesche, F., Janko, M., Niemeyer, P., Wilke, J., Engeroff, T., Stein, T., Frank, J., Banzer, W., & Vogt, L. (2020). Unanticipated jump-landing quality in patients with anterior cruciate ligament reconstruction: How long after the surgery and return to sport does the re-injury risk factor persist? Clinical Biomechanics, 72, 195–201. https://doi.org/10.1016/j.clinbiomech.2019.12.021
    • Chicago/Turabian: Author-Date:
      Niederer, Daniel, Florian Giesche, Maren Janko, Philipp Niemeyer, Jan Wilke, Tobias Engeroff, Thomas Stein, Johannes Frank, Winfried Banzer, and Lutz Vogt. 2020. “Unanticipated Jump-Landing Quality in Patients with Anterior Cruciate Ligament Reconstruction: How Long after the Surgery and Return to Sport Does the Re-Injury Risk Factor Persist?” Clinical Biomechanics 72 (February): 195–201. doi:10.1016/j.clinbiomech.2019.12.021.
    • Harvard:
      Niederer, D. et al. (2020) ‘Unanticipated jump-landing quality in patients with anterior cruciate ligament reconstruction: How long after the surgery and return to sport does the re-injury risk factor persist?’, Clinical Biomechanics, 72, pp. 195–201. doi: 10.1016/j.clinbiomech.2019.12.021.
    • Harvard: Australian:
      Niederer, D, Giesche, F, Janko, M, Niemeyer, P, Wilke, J, Engeroff, T, Stein, T, Frank, J, Banzer, W & Vogt, L 2020, ‘Unanticipated jump-landing quality in patients with anterior cruciate ligament reconstruction: How long after the surgery and return to sport does the re-injury risk factor persist?’, Clinical Biomechanics, vol. 72, pp. 195–201, viewed 29 May 2020, .
    • MLA:
      Niederer, Daniel, et al. “Unanticipated Jump-Landing Quality in Patients with Anterior Cruciate Ligament Reconstruction: How Long after the Surgery and Return to Sport Does the Re-Injury Risk Factor Persist?” Clinical Biomechanics, vol. 72, Feb. 2020, pp. 195–201. EBSCOhost, doi:10.1016/j.clinbiomech.2019.12.021.
    • Chicago/Turabian: Humanities:
      Niederer, Daniel, Florian Giesche, Maren Janko, Philipp Niemeyer, Jan Wilke, Tobias Engeroff, Thomas Stein, Johannes Frank, Winfried Banzer, and Lutz Vogt. “Unanticipated Jump-Landing Quality in Patients with Anterior Cruciate Ligament Reconstruction: How Long after the Surgery and Return to Sport Does the Re-Injury Risk Factor Persist?” Clinical Biomechanics 72 (February 2020): 195–201. doi:10.1016/j.clinbiomech.2019.12.021.
    • Vancouver/ICMJE:
      Niederer D, Giesche F, Janko M, Niemeyer P, Wilke J, Engeroff T, et al. Unanticipated jump-landing quality in patients with anterior cruciate ligament reconstruction: How long after the surgery and return to sport does the re-injury risk factor persist? Clinical Biomechanics [Internet]. 2020 Feb [cited 2020 May 29];72:195–201. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asn&AN=142319403&custid=s8280428