Evidence map›Paper›PMID 32699921›Full record

ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2020

Return to sports bridge program improves outcomes, decreases ipsilateral knee re-injury and contralateral knee injury rates post-ACL reconstruction.

J Nyland, J Greene, S Carter, J Brey, R Krupp, D Caborn

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Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.9field-weighted citation impact, top 9% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 30 citations in OpenAlex.

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  10. Secondary Anterior Cruciate Ligament Injury Prevention Training in Athletes: What Is the Missing Link?International journal of environmental research and public health · 2023
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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

6 authors at 2 institutions in 1 country.

J NylandAthletic Training Program, Kosair Charities College of Health and Natural Sciences, Spalding University, Louisville, KY, USA. jnyland@spalding.edu.
J GreeneDepartment of Orthopaedic Surgery, University of Louisville, Louisville, KY, USA.
S CarterDepartment of Orthopaedic Surgery, University of Louisville, Louisville, KY, USA.
J BreyAthletic Training Program, Kosair Charities College of Health and Natural Sciences, Spalding University, Louisville, KY, USA.
R KruppAthletic Training Program, Kosair Charities College of Health and Natural Sciences, Spalding University, Louisville, KY, USA.
D CabornDepartment of Orthopaedic Surgery, University of Louisville, Louisville, KY, USA.
University of Louisville · USSpalding University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo present the results of a return to sports bridge program designed to reduce knee injuries following ACL reconstruction and physical therapy.

methodsOne hundred and fifty (male = 83, female = 67) patients participated in a whole body neuromuscular control, progressive resistance strength and agility training program. Post-program testing included functional movement form, dynamic knee stability, lower extremity power, agility, and sports skill assessments. Participants completed the Knee Outcome Survey-Sports Activity Scale (KOS-SAS) before and after program initiation. Pre-participation scores were re-estimated following program completion.

resultsGlobal rating KOS-SAS score at program entry was 75 ± 13. Post-program global rating and calculated KOS-SAS were 91.0 ± 9.8 and 90.9 ± 9.7, respectively (p < 0.0001). Pre-participation KOS-SAS score re-estimates at program completion were 54.5 ± 23.3 and 57.3 ± 18.5, respectively. The approximately 20% lower pre-program KOS-SAS score re-estimates (p < 0.0001) observed at program completion suggests that subjects had inaccurately high sports readiness perceptions at program entry. Perceived overall sports activity knee function ratings improved from 2.9 ± 0.6 (abnormal) at program entry to 1.3 ± 0.5 (normal) at completion (p < 0.0001). Most subjects returned back to sports at or above their pre-injury performance skill/performance level (84%, 126/150). By 6.8 ± 3.2 years (range = 2-13 years) post-surgery, ten subjects had sustained an ipsilateral knee re-injury or contralateral knee injury (6.7%). The 2.7% non-contact contralateral and 1.3% non-contact ipsilateral knee injury rates observed were significantly lower than those cited in previous reports.

conclusionSupplementing primary ACL reconstruction and standard physical therapy with a return to sports bridge program prior to release to unrestricted sports performance was effective at improving patient outcomes and decreasing ipsilateral knee re-injury and contralateral knee injury rates. LEVEL OF EVIDENCE: II.

Indexed as

Anterior Cruciate Ligament ReconstructionAthletic PerformanceReturn to SportAdolescentAdultAnterior Cruciate Ligament InjuriesExercise TherapyFemaleHumansKneeKnee InjuriesKnee JointMalePhysical ExaminationProspective StudiesReinjuriesACL outcomesFunctional testingKnee rehabilitation

Identifiers

PMID32699921
OpenAlexW3044698375

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.