Authors (including presenting author) :
Chan H(1), Tsang CC(1), Wong CK(1), Pang PY(1), Chan YL(1)
Affiliation :
(1)Physiotherapy department , MacLehose Medical Rehabilitation Centre
Introduction :
Patient often reported difficulties in return to sports (RTS) after knee anterior cruciate ligament reconstruction surgery (ACLR). Common reasons include inadequate muscle strength and lack of confidence in transiting to on-field sports from gym training. Specific training on sport-simulating tasks and training in group environment can enhance functional performance and may provide additional psychological encouragement for future RTS. The programme aims at facilitating RTS by boosting physical competence and confidence through integration of sport-simulating tasks into rehabilitation.
Objectives :
1.To enhance functional performance and muscle strength with systematic progression in late rehabilitation phase. 2.To improve confidence in RTS by introduction of sport-simulating tasks under physiotherapists’ supervision within existing protocol. 3.To shift RTS rehabilitation from physiotherapy department to interactive group exercise in the basketball court.
Methodology :
Program design: A 12-wk class training from November 2019 to February 2020. Patients with six months post-ACLR were recruited. 1-hour sport-simulating group exercise in the basketball court plus 1-hour equipment training in physiotherapy department. Two sessions held per week. Program content: 1. Intensive strengthening exercises for Hamstring and Quadriceps 2. Progressive single leg hopping and jumping, plyometric exercises and advanced agility drills 3. Sport-simulating training and drills within existing protocol for common sports (football, basketball etc.) 4. Neuromuscular control and prevention of re-injury 5. Core stability strengthening and cardiopulmonary training
Result & Outcome :
Nine participants completed the program in February 2020. Isokinetic muscle testing: 1.Quadriceps strength improvement: At 6 weeks: 12.44%; 12 weeks 17.56% 2.Hamstring strength improvement: At 6 weeks: 16.22%; 12 weeks 17.83%. Confidence in RTS: ACL Return to sports after injury questionnaire: Statistically significant improvement with a mean improvement 16.1 out of 100 (p=0.006*, SD 13.12) Patient satisfaction questionnaire: 100% Patients agreed that: 1. Training in class environment was more motivating and has better training effect 2. Sports-simulating tasks supervised by physiotherapists was specific and could improve physical performance and confidence in RTS. 3. Were satisfied and would recommend RTS class
