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Document Title: Shelbourne-AJSM-Mar99
Article Title: Evaluation
of knee stability before and after participation in a functional sports agility
program during rehabilitation after anterior cruciate ligament reconstruction
Authors: K. Donald Shelbourne, Thorp J. Davis.
Publication: The American Journal of Sports Medicine
ISSN: 03635465
Date: March-April 1999.
(Figures included. Reference-denoting numbers appear in the same point size as document text.)
Volume: 27
Issue: 2
Pages: 156-161
Key Words: Knee, ACL reconstruction, stability, effect of sports-agility training.
ABSTRACT
We sought
to determine whether participation in a functional sports agility program as
early as 4 weeks after anterior cruciate ligament reconstruction with
autogenous patellar tendon graft would affect objective knee stability in 603
patients. The rehabilitation program prescribed a functional sports agility
program at a mean of 5.1 + 1.0 weeks postoperatively when full knee
hyperextension, knee flexion to 1200, and quadriceps muscle strength of 60% of
the normal leg had been achieved. The patients had KT-1000 arthrometer testing
before beginning the program and at subsequent follow-up after they had
performed the sport activity. The mean manual maximum KT-1000 arthrometer
difference was 1.9 1.3 mm at initial testing and 1.9 + 1.2 mm at follow-up
testing. The frequency distribution of the KT-1000 arthrometer scores revealed
that 92.7% of patients at initial testing and 93.2% of patients at follow-up
testing had displacement difference of 3 mm or less. The results of this study
show that functional sports agility programs during the early rehabilitation
period after anterior cruciate ligament reconstruction with a correctly placed
autogenous patellar tendon graft do not cause a change in graft stability.
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