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Fatigue affects quality of movement more in ACL-reconstructed soccer players than in healthy soccer players
PURPOSE: Athletes who meet return to play (RTP) criteria after anterior cruciate ligament reconstruction (ACLR) rehabilitation still have a substantially increased risk of second ACL injury. One of the contributing factors to this increased risk could be that the RTP criteria are often not tested in...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6394549/ https://www.ncbi.nlm.nih.gov/pubmed/30259146 http://dx.doi.org/10.1007/s00167-018-5149-2 |
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author | van Melick, N. van Rijn, L. Nijhuis-van der Sanden, M. W. G. Hoogeboom, T. J. van Cingel, R. E. H. |
author_facet | van Melick, N. van Rijn, L. Nijhuis-van der Sanden, M. W. G. Hoogeboom, T. J. van Cingel, R. E. H. |
author_sort | van Melick, N. |
collection | PubMed |
description | PURPOSE: Athletes who meet return to play (RTP) criteria after anterior cruciate ligament reconstruction (ACLR) rehabilitation still have a substantially increased risk of second ACL injury. One of the contributing factors to this increased risk could be that the RTP criteria are often not tested in an ecologically valid environment and in a fatigued state. The purpose of this cross-sectional case-control study was to investigate the influence of neuromuscular fatigue on both movement quantity and quality in fully-rehabilitated soccer players after ACLR and to compare them with healthy soccer players. METHODS: ACL-reconstructed soccer players (n = 14) and healthy soccer players (n = 19) participated in the study and were matched by playing level and training hours. RTP measurements were performed on the soccer field, in both a non-fatigued and fatigued state. The RTP measurements focussed on both movement quantity (hop tests) and quality [countermovement jump with a Landing Error Scoring System (LESS) score]. RESULTS: Movement quantity did not differ between ACL-reconstructed and healthy soccer players, both expressed in absolute values and the LSI-D/ND (calculated as dominant/non-dominant*100%). However, movement quality decreased more in the ACL-reconstructed soccer players in the fatigued state compared to the non-fatigued state. CONCLUSIONS: Ideally, RTP measurements should focus on movement quality and should be conducted on the soccer field in a fatigued state, creating an ecologically valid environment. The LSI-D/ND can be used as an outcome parameter for RTP measurements of movement quantity and should be at least 95%. LEVEL OF EVIDENCE: Therapeutic, Level III. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s00167-018-5149-2) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-6394549 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-63945492019-03-15 Fatigue affects quality of movement more in ACL-reconstructed soccer players than in healthy soccer players van Melick, N. van Rijn, L. Nijhuis-van der Sanden, M. W. G. Hoogeboom, T. J. van Cingel, R. E. H. Knee Surg Sports Traumatol Arthrosc Knee PURPOSE: Athletes who meet return to play (RTP) criteria after anterior cruciate ligament reconstruction (ACLR) rehabilitation still have a substantially increased risk of second ACL injury. One of the contributing factors to this increased risk could be that the RTP criteria are often not tested in an ecologically valid environment and in a fatigued state. The purpose of this cross-sectional case-control study was to investigate the influence of neuromuscular fatigue on both movement quantity and quality in fully-rehabilitated soccer players after ACLR and to compare them with healthy soccer players. METHODS: ACL-reconstructed soccer players (n = 14) and healthy soccer players (n = 19) participated in the study and were matched by playing level and training hours. RTP measurements were performed on the soccer field, in both a non-fatigued and fatigued state. The RTP measurements focussed on both movement quantity (hop tests) and quality [countermovement jump with a Landing Error Scoring System (LESS) score]. RESULTS: Movement quantity did not differ between ACL-reconstructed and healthy soccer players, both expressed in absolute values and the LSI-D/ND (calculated as dominant/non-dominant*100%). However, movement quality decreased more in the ACL-reconstructed soccer players in the fatigued state compared to the non-fatigued state. CONCLUSIONS: Ideally, RTP measurements should focus on movement quality and should be conducted on the soccer field in a fatigued state, creating an ecologically valid environment. The LSI-D/ND can be used as an outcome parameter for RTP measurements of movement quantity and should be at least 95%. LEVEL OF EVIDENCE: Therapeutic, Level III. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s00167-018-5149-2) contains supplementary material, which is available to authorized users. Springer Berlin Heidelberg 2018-09-27 2019 /pmc/articles/PMC6394549/ /pubmed/30259146 http://dx.doi.org/10.1007/s00167-018-5149-2 Text en © The Author(s) 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Knee van Melick, N. van Rijn, L. Nijhuis-van der Sanden, M. W. G. Hoogeboom, T. J. van Cingel, R. E. H. Fatigue affects quality of movement more in ACL-reconstructed soccer players than in healthy soccer players |
title | Fatigue affects quality of movement more in ACL-reconstructed soccer players than in healthy soccer players |
title_full | Fatigue affects quality of movement more in ACL-reconstructed soccer players than in healthy soccer players |
title_fullStr | Fatigue affects quality of movement more in ACL-reconstructed soccer players than in healthy soccer players |
title_full_unstemmed | Fatigue affects quality of movement more in ACL-reconstructed soccer players than in healthy soccer players |
title_short | Fatigue affects quality of movement more in ACL-reconstructed soccer players than in healthy soccer players |
title_sort | fatigue affects quality of movement more in acl-reconstructed soccer players than in healthy soccer players |
topic | Knee |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6394549/ https://www.ncbi.nlm.nih.gov/pubmed/30259146 http://dx.doi.org/10.1007/s00167-018-5149-2 |
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