The Role of the Strength and Conditioning Professional during Long-Term Anterior Cruciate Ligament Reconstruction Recovery
by Jonathan Kilian, PT, DPT, CSCS, CSPS and Garrett Kendall, PT, DPT, ATC, CSCS
NSCA Coach
August 2023
Vol 10, Issue 2
This article focuses on interprofessional collaboration for optimizing athlete return to sport (RTS).
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This article originally appeared in NSCA Coach, a quarterly publication for NSCA Members that provides valuable takeaways for every level of strength and conditioning coach. You can find scientifically based articles specific to a wide variety of your athletes’ needs with Nutrition, Programming, and Youth columns. Read more articles from NSCA Coach »
References
- Badawy, CR, Jan, K, Beck, EC, Fleet, N, Taylor, J, Ford, K, and Waterman, BR. Contemporary principles for postoperative rehabilitation and return to sport for athletes undergoing anterior cruciate ligament reconstruction. Arthroscopy, Sports Medicine, and Rehabilitation 4(1): 2022.
- Barber-Westin, S, and Noyes, FR. One in 5 athletes sustain reinjury upon return to high-risk sports after ACL reconstruction: A systematic review in 1239 athletes younger than 20 years. Sports Health 12(6): 587-597, 2020.
- Beaulieu, ML, DeClercq, MG. Rietberg, NT, Li, SH, Harker, EC, Weber, AE, et al. The anterior cruciate ligament can become hypertrophied in response to mechanical loading: A magnetic resonance imaging study in elite athletes. American Journal of Sports Medicine 49(9): 2371-2378, 2021.
- Beischer, S, Gustavsson, L, Senorski, EH, Karlsson, J, Thomee, C, Samuelsson, K, and Thomee, R. Young athletes who return to sport before 9 months after anterior cruciate ligament reconstruction have a rate of new injury 7 times that of those who delay return. The Journal of Orthopaedic and Sports Physical Therapy 50(2): 83-90, 2020.
- Buckthorpe, M. Optimizing the late-stage rehabilitation and return-to-sport training and testing process after ACL reconstruction. Sports Medicine 49(7): 1043-1058, 2019.
- Buckthorpe, M, and Della Villa, F. Recommendations for plyometric training after ACL reconstruction - A clinical commentary. International Journal of Sports Physical Therapy 16(3): 879-895, 2021.
- Capin, JJ, Snyder-Mackler, L, Risberg, MA, and Grindem, H. Keep calm and carry on testing: A substantive reanalysis and critique of ‘what is the evidence for and validity of return-to-sport testing after anterior cruciate ligament reconstruction surgery? A systematic review and meta-analysis. British Journal of Sports Medicine 53(23): 1444-1447, 2019.
- De Mille, P, and Osmack, J. Performance: Bridging the gap after ACL surgery. Current Reviews in Musculoskeletal Medicine 10(3): 297-306, 2017.
- Gornitzky, AL, Lott, A, Yellin, JL, Fabricant, PD, Lawrence, JT, and Ganley, TJ. Sport-specific yearly risk and incidence of anterior cruciate ligament tears in high school athletes. The American Journal of Sports Medicine 44(10): 2716-2723, 2016.
- Grzelak, P, Podgorski, M, Stefanczyk, L, Krochmalski, M, and Domzalski, M. Hypertrophied cruciate ligament in high performance weightlifters observed in magnetic resonance imaging. International Orthopaedics 36(8): 1715-1719, 2012.
- Hewett, TE, Myer, GD, Ford, KR, Paterno, MV, and Quatman, CE. Mechanisms, prediction, and prevention of ACL injuries: Cut isk with three sharpened and validated tools. Journal of Orthopaedic Research 34(11): 1843-1855, 2016.
- Ithburburn, MP, Altenburger, AR, Hewett, TE, Paterno, MV, and Schmitt, LC. Young athletes after ACL reconstruction with quadriceps strength asymmetry at the time of return-to-sport demonstrate decreased knee function 1 year later. Knee Surgery, Sports Traumatology, Arthroscopy 26(2): 426-433, 2018.
- Joseph, AM, Collins, CL, Henke, NM, Yard, EE, Fields, SK, and Comstock, RD. A multisport epidemiologic comparison of anterior cruciate ligament injuries in high school athletics. Journal of Athletic Training 48(6): 810-817, 2013.
- Kamath, GV, Murphy, T, Creighton, A, Viradia, N, Taft, TN, and Spang, JT. Anterior cruciate ligament injury, return to play, and reinjury in the elite collegiate athlete. The American Journal of Sports Medicine 42(7): 1638-1643, 2014.
- Kay, J, Memon, M, Marx, RG, Peterson, D, Simunovic, N, and Ayeni, OR. Over 90% of children and adolescents return to sport after anterior cruciate ligament reconstruction: A systematic review and meta-analysis. Knee Surgery, Sports Traumatology, Arthroscopy 26(4): 1019-1036, 2018.
- Lauersen, JB, Betelsen, DM, and Anderson, LB. The effectiveness of exercise interventions to prevent sports injuries: A systematic review and meta-analysis of randomized controlled trials. British Journal of Sports Medicine 48: 871-877, 2014.
- Nagelli, CV, and Hewett, TE. Should return to sport be delayed until two years after anterior cruciate ligament reconstruction? Biological and functional considerations. Sports Medicine 47(2): 221-232, 2017.
- Pfeifer, CE, Beattie, PF, Sacko, RS, and Hand, A. Risk factors associated with non-contact anterior cruciate ligament injury: A systematic review. International Journal of Sports Physical Therapy 13(4): 575-587, 2018.
- Sanders, TL, Maradit Kremers, H, Bryan, AJ, Larson, DR, Dahm, DL, Levy, BA, et al. (2016). Incidence of anterior cruciate ligament tears and reconstruction: A 21-year population-based study. The American Journal of Sports Medicine 44(6): 1502–1507, 2016.
- Schwiertz, G, Brueckner, D, Beurskens, R, and Muehlbauer, T. Lower quarter Y balance test performance: Reference values for healthy youth aged 10 to 17 years. Gait and Posture 80: 148–154, 2020.
- Sugimoto, D, Myer, GD, Barber Foss, KD, Pepin, MJ, Micheli, LJ, and Hewett, TE. Critical components of neuromuscular training to reduce ACL injury risk in female athletes: Metaregression analysis. British Journal of Sports Medicine 50(20): 1259–1266, 2016.
- Taberner, M, Allen, T, and Cohen, DD. Progressing rehabilitation after injury: consider the ‘control-chaos continuum’. British Journal of Sports Medicine 53(18): 1132–1136, 2019.
- Thompson, SW, Rogerson, D, Dorrell, HF, Ruddock, A, and Barnes, A. The reliability and validity of current technologies for measuring barbell velocity in the free-weight back squat and power clean. Sports (Basel, Switzerland) 8(7): 94, 2020.
- Toole, AR, Ithurburn, MP, Rauh, MJ, Hewett, TE, Paterno, MV, and Schmitt, LC. Young athletes cleared for sports participation after anterior cruciate ligament reconstruction: How many actually meet recommended return-to-sport criterion cutoffs?. The Journal of Orthopaedic and Sports Physical Therapy 47(11): 825–833, 2017.
- Webster, KE, and Hewett, TE. What is the evidence for and validity of return-to-sport testing after anterior cruciate ligament reconstruction surgery? A systematic review and meta-analysis. Sports Medicine 49, 917-929, 2019.
- Wellsandt, E, Failla, MJ, and Snyder-Mackler, L. Limb symmetry indexes can overestimate knee function after anterior cruciate ligament injury. The Journal of Orthopaedic Sports Physical Therapy 47(5): 334-338, 2017.
- Widner, M, Dunleavy, M, and Lynch, S. Outcomes following ACL reconstruction based on graft type: Are all grafts equivalent? Current Reviews in Musculoskeletal Medicine 12(4): 460-465, 2019.
- Wiggins, AJ, Grandhi, RK, Schneider, DK, Stanfield, D, Webster, KE, and Myer, GD. Risk of secondary injury in younger athletes after anterior cruciate ligament reconstruction: A systematic review and meta-analysis. American Journal of Sports Medicine 44(7): 1861-1876, 2016.
- Wilk, K, Thomas, ZM, Arrigo, CA, and Davies, GJ. The need to change return to play testing in athletes following ACL injury: A theoretical model. International Journal of Sports Physical Therapy 18(1): 272–281, 2023.
- Zemková, E. Instability resistance training for health and performance. Journal of Traditional and Complementary Medicine 7(2): 245-250, 2016.
