Interventions for increasing return to sport rates after an anterior cruciate ligament reconstruction surgery : a systematic review

Drole, Kristina (author), Paravlić, Armin (author)

Background: An injury followed by surgery poses many challenges to an athlete, one of which is rehabilitation, with the goal of returning to sport. While total restoration of physical abilities is a primary goal for most athletes, psychosocial factors also play an important role in the success of an athlete’s return to sport (RTS). The purpose of this review was to examine the eectiveness of exercise and psychosocial interventions on RTS rates, which might be one of the most important outcomes for elite athletes. Methods: To carry out this review, PubMed, SAGE Journals, Web of Science, SPORTDiscus, ScienceDirect, and Google Scholar databases were searched from inception to July 2022. The inclusion criteria consisted exercise or psychosocial intervention for athletes after anterior cruciate ligament reconstruction (ACLR), with reporting RTS rates as an outcome. Results: From 1032 identified articles, four reports (N = 130) met inclusion criteria, all of which examined the recovery after ACLR. The mean MINORS score for the included studies was 16.3 ± 6.1, of which non-comparative studies scored 11.0 ± 1.4, while comparative studies scored 21.5 ± 0.7. There were consistent findings for benefits of exercise and psychosocial interventions on RTS rates. Return to preinjury rates in the reviewed studies vary between 63 and 95% with lower % observed in female athletes and with shorter follow-up. Interventional studies reporting RTS rates with a larger sample size and longer follow-up are needed. Conclusion: Physical and psychological function, as well as social support can be influenced by appropriate interventions, indicating future work on rehabilitation programs for return to preinjury might consider taking the holistic approach addressing those.

• Language: English
• Keywords: return to preinjury, anterior cruciate ligament injury, exercise interventions, psychosocial interventions, injury rehabilitation, return to play
• Work type: Article
• Typology: 1.02 - Review Article
• Organization: FŠ - Faculty of Sport
• Publication status: Published
• Publication version: Version of Record
• Year: 2022
• Number of pages: 12 str.
• Numbering: Vol. 13, art. 939209
• PID: 20.500.12556/RUL-145361
• UDC: 615.82/.84:796.012
• ISSN on article: 1664-1078
• DOI: 10.3389/fpsyg.2022.939209
• COBISS.SI-ID: 119595267
• Publication date in RUL: 19.04.2023

Record is a part of a journal

• Title: Frontiers in psychology
• Shortened title: Front. psychol.
• Publisher: Frontiers Media
• ISSN: 1664-1078
• COBISS.SI-ID: 519967513

Licences

• License: CC BY 4.0, Creative Commons Attribution 4.0 International
• Link: http://creativecommons.org/licenses/by/4.0/
• Description: This is the standard Creative Commons license that gives others maximum freedom to do what they want with the work as long as they credit the author.

Secondary language

• Language: Slovenian
• Keywords: vadbene intervencije, psihosocialne intervencije, vrnitev v stanje pred poškodbo, vrnitev v igro, športne poškodbe, sprednji križni ligament kolena, medicinska rehabilitacija, telesna pripravljenost, telovadba

Projects

• Funder: ARRS - Slovenian Research Agency
• Project number: P5-0147
• Name: Kineziologija monostrukturnih, polistrukturnih in konvencionalnih športov