Better and Safer Return to Sport

Summary

A prospective cohort design will be used to assess differences in outcomes between pivoting sport athletes with anterior cruciate ligament reconstruction (ACLR) who follow usual care and those who follow a treatment algorithm with a RTS and rehabilitation tool. Athletes aged 15-40 at injury with primary ACLR who express a goal to return to sports with frequent pivoting are eligible. The RTS and rehabilitation tool includes standardized clinical, functional and muscle strength testing 6, 8, 10, and 12 months after surgery. Individual test results guide progression in sports participation and the content of further rehabilitation according to a standardized algorithm.

Conditions

• Anterior Cruciate Ligament Injuries
• Sport Injury

Interventions

OTHER

Better and safer return to sport (BEAST)

The RTS assessment includes a Lachman test, modified stroke test, side hop test, triple hop test, and quadriceps muscle power test. The sport-specific progression plans have 6 participation levels in practice and 6 participation levels in match play. A minimum of 2 weeks and 4 training sessions without pain or effusion must be completed before the athlete progresses to the next level. Criteria for full, unrestricted participation in practice: (1)at least 9 months from ACLR, (2)modified stroke test grade 0, (3)completed previous levels in the sport-specific progression plan, (4)negative Lachman test, (5)side hop test limb symmetry at least 90%, (6)triple hop test limb symmetry at least 90%, (7)quadriceps power symmetry at least 90%. The strength training and knee control exercise protocols each have 3-4 different exercises of 3-4 sets that are performed 3 days per week.

OTHER

Usual care

Usual care is determined by the treating health care professional

Sponsors & Collaborators

• Norwegian Fund for Postgraduate Training in Physiotherapy

  collaborator OTHER

• International Olympic Committee

  collaborator UNKNOWN

• Swedish Research Council for Sport Science

  collaborator OTHER

• Linkoeping University

  collaborator OTHER_GOV

• Karolinska Institutet

  collaborator OTHER

• Norwegian School of Sport Sciences

  lead OTHER

Principal Investigators

• Hege Grindem, PT PhD · Norwegian School of Sport Sciences

Study Design

Allocation

NON_RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Model

PARALLEL

Eligibility

Min Age

15 Years

Max Age

40 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2019-03-27

Primary Completion

2024-05-31

Completion

2024-05-31

Countries

• Norway

Study Locations