Evidence map›Paper›PMID 23522373›Full record

Trial reportBMC musculoskeletal disorders2013

Anterior cruciate ligament- specialized post-operative return-to-sports (ACL-SPORTS) training: a randomized control trial.

Kathleen White, Stephanie L Di Stasi, Angela H Smith, Lynn Snyder-Mackler

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC musculoskeletal disorders, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01773317 (Can Neuromuscular Training Alter Movement Patterns After Anterior Cruciate Ligament Injury?), which is not on this map. Cited by 57 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01773317 nacompletednot on this map

Can Neuromuscular Training Alter Movement Patterns After Anterior Cruciate Ligament Injury?

TypeinterventionalSponsorLynn Snyder-MacklerRan2011 to 2018Enrolled80ConditionsAcute Injury of Anterior Cruciate LigamentArmsPerturbation, Control
3 · Its place in the literature

Who cites it

57 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Can a Knee Brace Prevent ACL Reinjury: A Systematic Review.International journal of environmental research and public health · 2021
    Pooled it
  3. Guideline
  4. Trial
  5. Gait Mechanics in Women of the ACL-SPORTS Randomized Control Trial: Interlimb Symmetry Improves Over Time Regardless of Treatment Group.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2019
    Trial
  6. Gait mechanics and tibiofemoral loading in men of the ACL-SPORTS randomized control trial.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2018
    Trial
  7. Trial
  8. Trial
  9. Trial
  10. Trial
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Kathleen WhiteUniversity of Delaware, Biomechanics and Movement Science Program, Newark, DE, USA. katwhite@udel.edu
Stephanie L Di Stasi
Angela H Smith
Lynn Snyder-Mackler

Funding

CAN NEUROMUSCULAR TRAINING ALTER MOVEMENT PATTERNS?R01AR048212 · NIAMS · UNIVERSITY OF DELAWARE · PI SNYDER-MACKLER, LYNN · 2005 to 2015
$3.6M
NIAMS NIH HHS 5R01AR048212-07
6 · The paper itself

Abstract

backgroundAnterior cruciate ligament reconstruction (ACLR) is standard practice for athletes that wish to return to high-level activities; however functional outcomes after ACLR are poor. Quadriceps strength weakness, abnormal movement patterns and below normal knee function is reported in the months and years after ACLR. Second ACL injuries are common with even worse outcomes than primary ACLR. Modifiable limb-to-limb asymmetries have been identified in individuals who re-injure after primary ACLR, suggesting a neuromuscular training program is needed to improve post-operative outcomes. Pre-operative perturbation training, a neuromuscular training program, has been successful at improving limb symmetry prior to surgery, though benefits are not lasting after surgery. Implementing perturbation training after surgery may be successful in addressing post-operative deficits that contribute to poor functional outcomes and second ACL injury risk. METHODS/

design80 athletes that have undergone a unilateral ACLR and wish to return to level 1 or 2 activities will be recruited for this study and randomized to one of two treatment groups. A standard care group will receive prevention exercises, quadriceps strengthening and agility exercises, while the perturbation group will receive the same exercise program with the addition of perturbation training. The primary outcomes measures will include gait biomechanics, clinical and functional measures, and knee joint loading. Return to sport rates, return to pre-injury level of activity rates, and second injury rates will be secondary measures. DISCUSSION: The results of this ACL-Specialized Post-Operative Return To Sports (ACL-SPORTS) Training program will help clinicians to better determine an effective post-operative treatment program that will improve modifiable impairments that influence outcomes after ACLR.

trial registrationRandomized Control Trial NIH 5R01AR048212-07. ClinicalTrials.gov: NCT01773317.

Indexed as

Anterior Cruciate Ligament InjuriesAnterior Cruciate Ligament ReconstructionAthletesAdolescentAdultAnterior Cruciate LigamentExercise TherapyFemaleHumansMaleMiddle AgedPostoperative CareSingle-Blind MethodSportsYoung Adult

Identifiers

PMID23522373
PMCPMC3617067

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.