Superior 2-Year Functional Outcomes Among Young Female Athletes After ACLR in 10 Return-to-Sport Training Sessions: Comparison of ACL-SPORTS RCT with Deleware-Oslo and MOON Cohorts
Source: OJSM, first published August 1, 2019
Clinical Question: How can we better develop rehab and return-to-sport (RTS) programs and evaluate their outcomes?
Bottom Line: 10 sessions of return-to-sport training, compared to criterion-based post op rehab alone, yielded statistically significant and clinically meaningfully higher 2-year functional outcomes among young, high-level female athletes following ACLR.
Points to Consider: 40 level 1 and level 2 female athletes enrolled following ACLR. Subjects were randomized to 10 SAPP (secondary prevention exercises) or SAPP + PERT (with perturbation training). They were tested 1 and 2 years post ACLR on quad strength, functional outcomes and RTS rates. Subjects were compared to homogenous cohorts of young (<25 yo) female athletes who had completed traditional criterion-based rehab.
Takeaway: No significant differences were found btw SAPP vs. SAPP + PERT. At 2 year follow up, ACLR-SPORTS had highest scores on multiple functional outcome measures. PERT training provided no additional benefit.
About the Author:
Catherine A. Logan, MD, MBA, MSPT is a sports medicine Orthopaedic Surgeon and writer. Based in Denver, CO, she is an attending at Colorado Sports Medicine & Orthopaedics at Rose Medical Center. Dr. Logan is the Head League Physician for Premier Lacrosse League (PLL) member of the team physician pool for the US Ski & Snowboard teams each year. Dr. Logan completed her Orthopaedic Surgery residency at the Harvard Combined Orthopaedic Residency Program and her Sports Medicine Fellowship training at the prestigious Steadman Philippon Research Institute/The Steadman Clinic in Vail, CO. Logan is also on the board of The Chill Foundation.