Evidence map›Paper›PMID 31413963›Full record

ArticleOrthopaedic journal of sports medicine2019

Superior 2-Year Functional Outcomes Among Young Female Athletes After ACL Reconstruction in 10 Return-to-Sport Training Sessions: Comparison of ACL-SPORTS Randomized Controlled Trial With Delaware-Oslo and MOON Cohorts.

Jacob J Capin, Mathew Failla, Ryan Zarzycki, Celeste Dix, Jessica L Johnson, Angela H Smith, May Arna Risberg, Laura J Huston, Kurt P Spindler, Lynn Snyder-Mackler

Registry-linked trialOpen access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Orthopaedic journal of sports medicine, 2019. 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 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
4.0field-weighted citation impact, top 6% of its field
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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Trial
  4. Secondary Anterior Cruciate Ligament Injury Prevention Training in Athletes: What Is the Missing Link?International journal of environmental research and public health · 2023
    Review
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  6. 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

10 authors at 6 institutions in 2 countries.

Jacob J CapinBiomechanics and Movement Science Program, University of Delaware, Newark, Delaware, USA.
Mathew FaillaDepartment of Rehabilitation and Movement Science, University of Vermont, Burlington, Vermont, USA.
Ryan ZarzyckiDepartment of Physical Therapy, Arcadia University, Glenside, Pennsylvania, USA.
Celeste DixBiomechanics and Movement Science Program, University of Delaware, Newark, Delaware, USA.
Jessica L JohnsonBiomechanics and Movement Science Program, University of Delaware, Newark, Delaware, USA.
Angela H SmithDepartment of Physical Therapy, University of Delaware, Newark, Delaware, USA.
May Arna RisbergDepartment of Sport Medicine, Norwegian School of Sports Sciences, Oslo, Norway.
Laura J HustonDepartment of Orthopaedics and Rehabilitation, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Kurt P SpindlerDepartment of Orthopaedic Surgery, Cleveland Clinic, Cleveland, Ohio, USA.
Lynn Snyder-MacklerBiomechanics and Movement Science Program, University of Delaware, Newark, Delaware, USA.
University of Delaware · USArcadia University · USCleveland Clinic · USNorwegian School of Sport Sciences · NOUniversity of Vermont · USVanderbilt University Medical Center · US

Funding

Prognosis and Predictors of ACL Reconstruction: A Multicenter Cohort StudyR01AR053684 · NIAMS · VANDERBILT UNIVERSITY · PI SPINDLER, KURT PAUL · 2006 to 2020
$8.3M
Dynamic Stability in the ACL Injured KneeR37HD037985 · NICHD · UNIVERSITY OF DELAWARE · PI GRAVARE SILBERNAGEL, KARIN M E · 2012 to 2021
$4.2M
CAN NEUROMUSCULAR TRAINING ALTER MOVEMENT PATTERNS?R01AR048212 · NIAMS · UNIVERSITY OF DELAWARE · PI SNYDER-MACKLER, LYNN · 2005 to 2015
$3.6M
Walking Mechanics, Early Osteoarthritis Development, and Neuromuscular Training after Traumatic Knee InjuryF30HD096830 · NICHD · UNIVERSITY OF DELAWARE · PI CAPIN, JACOB J · 2018 to 2019
$53k
NIAMS NIH HHS R01 AR048212NIAMS NIH HHS R01 AR053684NICHD NIH HHS F30 HD096830NICHD NIH HHS R37 HD037985
6 · The paper itself

Abstract

backgroundOutcomes after anterior cruciate ligament reconstruction (ACLR) are not uniformly good and are worse among young female athletes. Developing better rehabilitation and return-to-sport training programs and evaluating their outcomes are essential. PURPOSE: (1) Test the effect of strength, agility, plyometric, and secondary prevention (SAPP) exercises with and without perturbation training (SAPP + PERT) on strength, hops, function, activity levels, and return-to-sport rates in young female athletes 1 and 2 years after ACLR and (2) compare 2-year functional outcomes and activity levels among young female athletes in the Anterior Cruciate Ligament Specialized Post-Operative Return-to-Sports (ACL-SPORTS) trial to homogeneous cohorts who completed criterion-based postoperative rehabilitation alone (Multicenter Orthopaedic Outcomes Network [MOON]) and in combination with extended preoperative rehabilitation (Delaware-Oslo). STUDY

designRandomized controlled trial, Level of evidence, 1; and cohort study, Level of evidence, 3.

methodsA total of 40 level 1 and level 2 female athletes were enrolled after postoperative impairment resolution 3 to 9 months after primary ACLR. Participants were randomized to 10 SAPP or SAPP + PERT sessions and were tested 1 and 2 years after ACLR on quadriceps strength, hop tests, functional outcomes, and return-to-sport rates. Participants were then compared with homogeneous cohorts of young (<25 years) female athletes who completed criterion-based postoperative rehabilitation alone (MOON) and in combination with extended preoperative rehabilitation (Delaware-Oslo) on 2-year functional outcomes.

resultsNo significant or meaningful differences were found between SAPP and SAPP + PERT, so groups were collapsed for comparison with the other cohorts. At 2-year follow-up, ACL-SPORTS had the highest scores (

conclusionAlthough perturbation training provided no added benefit, 10 sessions of return-to-sport training, compared with criterion-based postoperative rehabilitation alone, yielded statistically significant and clinically meaningfully higher 2-year functional outcomes among young, high-level female athletes after ACLR. REGISTRATION: NCT01773317 (ClinicalTrials.gov identifier).

Indexed as

anterior cruciate ligament (ACL)female athletefunctional outcomesphysical therapy/rehabilitationreturn-to-sport training

Identifiers

PMID31413963
PMCPMC6676263
OpenAlexW2965761280

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.