> Hi!
>
> For my dissertation I'm going to try to evaluate the return to function
> following an ACL reconstruction one to two years post-op by using single
> legged hop test and a subjective knee score questionnaire.
>
Sharon
I have rehabilitated ACL reconstructions, primarily in sportspeople, and
perhaps a few comments about factors that affect the outcome may not go
amiss here (from my practical experience).
i. Why do you wish to use the hop test? it is not, in my experience an
effective measure of outcome- certainly if used in isolation. Many patients
are able to hop a long distance (>90% of contralateral limb) within 8-10
months if they have had moderately aggressive rehab but they are by no means
ready to play any form of contact sport or activity that involves
cutting/twisting etc.
ii. On that score, your outcome is also affected by whether the injured
leg was the dominant one or not - in most cases one leg even pre-injury is
likely to be significantly different to the other.
iii. Take into account factors such as the surgeons involved, the type of
surgery (patellar tendon, semitendinosus, artificial graft etc). The status
of the knee at the time of surgery - full extension available immediately
pre-op? the delay between the injury and the op etc. The rehab received
.....
There are many variables that need to be considered (perhaps you have). You
are welcome to email me at [log in to unmask] or alternatively post
questions and I have no doubt that Mel and others can help you.
regards
dave riddell
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