Physical Therapy & Rehabilitation Science
DPT (Doctor of Physical Therapy)
Session and Year of Graduation
Laura Frey Law
Background: Predictive factors for reinjury, following an anterior cruciate ligament reconstruction (ACLR), have been clearly stated in literature. However, objective measures to prevent reinjury have not been implicated in a standardized form for clinical use. Purpose: The purpose of this case report is to present the clinical significance of using an ACLR progressive testing protocol to influence an individual’s plan of care, preparing them for return to sport. Case Description: The patient was a 26-year-old athlete who competed nationally in ultimate frisbee and underwent rehabilitation following her second ACLR with a medial meniscus repair. Interventions were based off of the UW-Madison return to sport testing protocol. Testing included the following: KT1000, leg-press, Y-balance, Biodex, vertical jump, vertical hop, 4 vertical hop, horizontal hop and 4 cross-over hop test, and was designed around literature cited for decreasing risk of reinjury following an ACLR. Outcomes: At 10.1 weeks following ACLR surgery, the KT1000, leg-press and Y-balance assessments were performed. Outcome measures demonstrated a limb symmetry index of 92% on the single-leg press test and 100% on the Y-balance test. Biodex isokinetic strength assessment was held secondary to tissue healing times. The patient’s plan of care was then progressed to prepare the patient for follow-up testing in 1.5 months. Discussion: This case report describes the clinical application of integrating both professional judgement and progressive testing within an individual’s plan of care, in order to optimize their return to sport and decrease their risk of reinjury.
Orthopedic & Sports
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