Hop to It! A Systematic Review and Longitudinal Meta-analysis of Hop Performance After ACL Reconstruction

被引:0
作者
Girdwood, Michael A. [1 ]
Crossley, Kay M. [1 ]
Rio, Ebonie K. [1 ,2 ,3 ]
Patterson, Brooke E. [1 ]
Haberfield, Melissa J. [1 ]
Couch, Jamon L. [1 ,4 ]
Mentiplay, Benjamin F. [1 ,5 ]
Hedger, Michael [1 ]
Culvenor, Adam G. [1 ]
机构
[1] La Trobe Univ, La Trobe Sport & Exercise Med Res Ctr, Sch Allied Hlth Human Serv & Sport, Bundoora, Vic 3086, Australia
[2] Australian Ballet, Melbourne, Vic, Australia
[3] Victorian Inst Sport, Melbourne, Vic, Australia
[4] Arthrit Res Canada, Vancouver, BC, Canada
[5] La Trobe Univ, Sch Allied Hlth Human Serv & Sport, Sport Performance & Nutr Res Grp, Melbourne, Australia
关键词
CRUCIATE LIGAMENT RECONSTRUCTION; RESPONSE RATIOS; ANTERIOR; REHABILITATION; KNEE;
D O I
10.1007/s40279-024-02121-1
中图分类号
G8 [体育];
学科分类号
04 ; 0403 ;
摘要
BackgroundHop testing is widely used by clinicians to monitor rehabilitation and decide when to return to sport following anterior cruciate ligament reconstruction (ACLR); however, the trajectory of long-term hop performance has not been summarised.ObjectiveTo investigate hop performance change over time after ACLR.DesignSystematic review with longitudinal meta-analysis.Data SourcesMEDLINE, EMBASE, CINAHL, Scopus, Cochrane CENTRAL and SPORTDiscus to 28 February 2023.Eligibility CriteriaStudies with >= 50 participants following primary ACLR, with mean participant age of 18-40 years, reporting a quantitative measure of hop performance (e.g. single forward hop distance). Results had to be reported for the ACLR limb and compared with (1) the contralateral limb (within person) and/or (2) an uninjured control limb (between person).ResultsWe included 136 studies of 23,360 participants. Performance was similar across different hop tests, with steep initial improvements in within-person symmetry, tailing off after 18-24 months. ACLR limb hop performance was 5-10% lower compared with the contralateral limb at 1 year post-surgery, with largest deficits observed for vertical hop [87.0% contralateral limb (95% CI 85.3-88.8) compared with single forward hop 93.8% (95% CI 92.8-94.9)]. By 3-5 years, results were similar between ACLR and contralateral limbs. There were limited data for between-person comparisons (n = 17 studies). Exploratory analyses showed deficits in all forward hopping tests to be very strongly correlated with each other [e.g. single forward and triple hop rho = 0.96 (95% CI 0.90-0.99)], though there was discordance in the relationship between single forward hop and vertical hop performance [rho = 0.27 (95% CI - 0.53 to 0.79)].ConclusionsHop performance is comparable to the uninjured limb by 3-5 years post-ACLR, with the greatest deficits in within-person symmetry present in vertical and side hop tests. Assessment of hopping in multiple planes and comparison with uninjured controls, may provide the most complete evaluation of functional performance.
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收藏
页码:101 / 113
页数:13
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