Die ACL-Return to Sport after Injury Skala als wichtiger Parameter bei der Beurteilung Rückkehr zum Sport Level I und II nach Rekonstruktion des vorderen Kreuzbands (deutsche Version)

2014 ◽  
Vol 30 (2) ◽  
pp. 135-144 ◽  
Author(s):  
Ulrike Müller ◽  
Michael Schmidt ◽  
Michael Krüger-Franke ◽  
Bernd Rosemeyer
Keyword(s):  
Return To Sport ◽  
Rückkehr Zum Sport ◽  
Level I

scholarly journals Return to Sport nach Handgelenkverletzungen

2021 ◽  
Vol 02 (04) ◽  
pp. 160-166
Author(s):  
Ralf Oberhofer
Keyword(s):  
Return To Sport ◽  
Rückkehr Zum Sport

Nach einer Sportverletzung am Handgelenk ist ein frühzeitiges und gezieltes therapeutisches Handeln gefragt. Propriozeptive und sportspezifische Trainingsformen unterstützen den Rehabilitationsverlauf. Das Ziel ist eine erfolgreiche Rückkehr zum Sport bis hin zur Wettkampfbelastung. Erfahren Sie, wie ein progressiver Belastungsaufbau bei leichten und mittelschweren Verletzungen des Handgelenks aussehen kann.

scholarly journals A Pair-Matched Comparison of Return to Pivoting Sports at 1 Year in Anterior Cruciate Ligament–Injured Patients After a Nonoperative Versus an Operative Treatment Course

2012 ◽  
Vol 40 (11) ◽  
pp. 2509-2516 ◽  
Author(s):  
Hege Grindem ◽  
Ingrid Eitzen ◽  
Håvard Moksnes ◽  
Lynn Snyder-Mackler ◽  
May Arna Risberg
Keyword(s):  
Anterior Cruciate Ligament ◽  
Cruciate Ligament ◽  
Return To Sport ◽  
Sports Participation ◽  
Nonoperative Treatment ◽  
Baseline Testing ◽  
Level I ◽  
Anterior Cruciate ◽  
Injured Patients

Background: Patients usually return to pivoting sports between 6 months and 1 year after anterior cruciate ligament (ACL) reconstruction, but no matched study has so far examined 1-year return to sport rates in nonoperatively and operatively treated ACL-injured patients. Hypothesis: Anterior cruciate ligament-injured patients following a nonoperative treatment course, including recommendation of activity modification, will have lower return to pivoting sport rates than operatively treated patients 1 year after baseline testing/surgery, when matched by preinjury sports activity, age, and sex. Study Design: Cohort study; level of evidence, 3. Methods: Sixty-nine nonoperatively treated ACL-injured patients were pair-matched with 69 operatively treated patients (n = 138), based on specific preinjury sport, age, and sex. Nonoperatively treated patients were recommended not to return to level I sports. Patients were defined as nonoperatively or operatively treated according to their status at follow-up. The baseline and follow-up testing included registration of sports participation, KT-1000 arthrometer measurements, 4 hop tests, and patient-reported outcome measures. McNemars test and paired t tests or Wilcoxon test were used to compare outcomes of nonoperatively and operatively treated patients. Results: No significant baseline differences were found. At 12.9 ± 1.2 months (mean ± standard deviation) after baseline testing (nonoperative) and 12.7 ± 1.2 months after surgery (operative), there was no significant difference in overall return to sport rates (nonoperative: 68.1%, operative: 68.1%, P = 1.00), or in return to level I sport rates (nonoperative: 54.8%, operative: 61.9%, P = .66). Nonoperatively treated patients who participated in level I sports before injury had a significantly lower return to sport rate (54.8%) than nonoperatively treated patients who participated in level II sports (88.9%, P = .003). The nonoperatively treated patients had significantly higher knee joint laxity, but significantly better hop test limb symmetry indexes, Knee Outcome Survey Activities of Daily Living scores, and International Knee Documentation Committee Subjective Knee Form 2000 scores. None of the functional differences was larger than the smallest detectable difference. Conclusion: Anterior cruciate ligament-injured patients following a nonoperative treatment course, including recommendations of activity modifications, and operatively treated patients did not have significantly different rates of returning to pivoting sports after 1 year in this pair-matched cohort study. Clinicians should be aware of a potentially high level of noncompliance to recommendations of activity modifications. Although these results show that it is possible for nonoperatively treated patients to return to sport after rehabilitation, future follow-ups are needed to examine whether these patients maintain sports participation over time, and what long-term consequences they may suffer regarding subsequent injuries and knee osteoarthritis.

Return to sport: Welche Tests prognostizieren das Wiederverletzungsrisiko?

2021 ◽  
Vol 31 (02) ◽  
pp. 78-79
Keyword(s):  
Return To Sport ◽  
Rückkehr Zum Sport

Nach der Rekonstruktion einer vorderen Kreuzbandruptur (ACLR) steht die Entscheidung an, wann eine Rückkehr zum Sport (return to sport, RTS) wieder möglich ist. Um eine möglichst rasche Rückkehr bei möglichst geringem Wiederverletzungsrisiko sicherzustellen, werden Tests durchgeführt. Das vorliegende Review untersuchte den prognostischen Wert dieser Tests hinsichtlich eines Wiederverletzungsrisikos nach einer ACLR und der Rückkehr zum Sport.

scholarly journals Who passes return to sport tests and which tests are most associated with a return to play after anterior cruciate ligament reconstruction?

2020 ◽  
Vol 8 (7_suppl6) ◽  
pp. 2325967120S0036
Author(s):  
Kate Webster Julian Feller
Keyword(s):  
Acl Reconstruction ◽  
Cruciate Ligament ◽  
Return To Sport ◽  
Quadriceps Strength ◽  
Self Report ◽  
Functional Tests ◽  
Reconstruction Surgery ◽  
Level I ◽  
Anterior Cruciate ◽  
And Function

Objectives: Although return to sport (RTS) testing has become popular following anterior cruciate ligament (ACL) reconstruction surgery, its utility is still questioned. The purpose of this study was to determine if there are age, sex and activity level differences between patients who pass a battery of self-report and functional tests at 6 months following surgery and to determine which tests are associated with a return to competition sport at 12 months. Methods: This was a prospective longitudinal study in which 450 patients who had undergone a primary ACL reconstruction were assessed at 6- and 12-months following surgery. Patients with a prior contralateral ACL injury, or who did not regularly participate in sport prior to injury were not included. There were 176 females and 274 males with a mean age of 25 (SD = 4) years. Six return to sport tests were conducted at 6 months and included two patient self-report measures: IKDC subjective knee form to measure symptoms and function and the ACL-RSI scale to measure psychological readiness to RTS; and four functional measures: single and triple hop for distance and isokinetic quadriceps strength measured at 60 and 180 deg/sec. Limb symmetry index scores of ≥90 for functional tests and IKDC scores of ≥85 and ACL-RSI scores ≥65 were considered indicators of satisfactory recovery. Proportional statistics and contingency analysis were used to determine associations between age (<21 vs. ≥21 years), sex, sport level (Level I vs. Levels II/III sports) and meeting test criteria and return to sport. Results: Only 13 (3%) patients met all 6 of the test criteria at 6 months following ACL reconstruction surgery and 83 (18%) patients did not pass any of the tests. A significantly greater proportion of younger patients passed all the functional tests (p<0.01). A greater proportion of males passed the IKDC threshold for symptoms and function (30% vs. 21% p=0.03) but there were no other sex differences. Patients who had played Level I sports before injury had the same pass rates as those who played Level II or III sports. Patients who passed the threshold for the IKDC and ACL-RSI scales had 4 (95% CI 3-6) times the odds of returning to competition sport at 12 months (p<0.0001). Conversely, meeting the threshold for either quadriceps strength test or either hop test at 6 months was not associated with a return to sport at 12 months. Conclusion: Few patients pass all the thresholds of common tests which are used to assess the ability to return to sport at 6 months following ACL reconstruction surgery although younger patients have higher rates of passing functional tests. This has implications for the utility of such testing and when patients should be cleared to return to sport. Patients may base their decision to return to sport on self-perceived symptoms and psychological readiness more than physical performance and muscle strength. These findings have implications for how return to sport testing may be used to facilitate a return to sport following this surgery.

Neue endoluminale und chirurgische Verfahren für die Behandlung der morbiden Adipositas

2019 ◽  
Vol 76 (3) ◽  
pp. 138-142 ◽  
Author(s):  
Tarik Delko
Keyword(s):  
Gastric Bypass ◽  
Chirurgische Verfahren ◽  
Level I

Zusammenfassung. Bei der Behandlung der (morbiden) Adipositas wurden neu auch endoluminale Verfahren entwickelt, mit dem Ziel, schonungsvollere und für den Patienten eher akzeptable Methoden anzubieten. Mehrere dieser mittels Gastroskopie im oberen Magendarmtrakt durchführbaren Eingriffe werden vorgestellt. In der Schweiz sollten durch interdisziplinäre Arbeitsgruppen Studien designt werden, die deren Wirksamkeit und Sicherheit langfristig aufzeigen. Zwischenzeitlich sind diese endoluminalen Methoden als hoch experimentelle Verfahren an zu sehen und so dem betroffenen Patienten zu kommunizieren. Zudem werden neuere chirurgische Verfahren vorgestellt. Insbesondere der One Anastomis Gastric Bypass (OAGB) wird aufgrund vermehrter Level I Evidenz weltweit zunehmend akzeptiert, viele Befürchtungen haben sich nach 21 Jahren nicht bestätigt. Weitere Ergebnisse aus randomisiert kontrollierten Studien werden in naher Zukunft folgen und könnten als Basis dienen, dieses Verfahren auch in der Schweiz als etablierte Technik freizugeben.

Return to Sport bei Knorpelverletzungen – Bericht zum 7. Jahreskongress des OSINSTITUTs

Sportphysio ◽  
2020 ◽  
Vol 08 (05) ◽  
pp. 258-259
Author(s):  
Denis Overlöp ◽  
Natascha Bauer
Keyword(s):  
Return To Sport

Der „Return to Sport“-Prozess stellt Fachkräfte unterschiedlicher Disziplinen vor große Herausforderungen. PD Dr. med. Götz H. Welsch, leitender Mannschaftsarzt des HSV, und Bernhard Peters, ehemaliger Sportdirektor der TSG 1899 Hoffenheim und des HSV, stellten sich diesem Thema beim 7. Jahreskongress des OSINSTITUTs. Passend zum Thema der Veranstaltung „Prehab und Rehab – der Knorpel im Fokus“ lieferte Dr. med. Christina Valle, Fachärztin für Physikalische Medizin und Rehabilitation, Evidenz und Tipps rund um das Thema Ernährung und Knorpel.

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