{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,8,1]],"date-time":"2023-08-01T04:14:52Z","timestamp":1690863292936},"reference-count":25,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Sportverletz Sportschaden"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n            Hintergrund Es ist unklar, welche validen Kriterien herangezogen werden sollen, um eine Freigabe zum Sport (Return to Sport, RTS) nach Rekonstruktion des vorderen Kreuzbandes (VKBR) zu begr\u00fcnden. Die Fragestellung ist, ob das Geschlecht, das Alter, das Outcome der isokinetischen Maximalkraftmessung und des Einbein-Sprungtests (quantitativ\/qualitativ) Einfluss auf die Entscheidung f\u00fcr eine R\u00fcckkehr zum Sport 9 Monate nach VKBR haben.<\/jats:p><jats:p>\n            Methoden Die vorliegende Studie ist eine retrospektiven Datenanalyse. Die Fragestellung wurde anhand einer multiplen logistischen Regressionsanalyse (MLR) beantwortet. Die abh\u00e4ngige Variable \u201eRTS ja\/nein\u201c basiert auf der Entscheidung des behandelnden Orthop\u00e4den 9 Monate (\u00b130 Tage) nach VKBR unter Ber\u00fccksichtigung der Funktionstests. Der Einfluss folgender Faktoren wurde gepr\u00fcft: Geschlecht, Alter, Limb Symmetry Index (LSI) der Maximalkrafttests der Knieextensoren und -flexoren bei 60\u00b0\/s, LSI des Einbein-Sprungtests und die Beurteilung der funktionellen Beinachse bez\u00fcglich der Knievalgusstellung zum Zeitpunkt der RTS-Entscheidung.<\/jats:p><jats:p>\n            Resultate 71 Patientendaten wurden in die MLR eingeschlossen. Die Odds Ratio (OR) f\u00fcr eine Sportfreigabe wurde erh\u00f6ht durch das weibliche Geschlecht (OR 4,808; p=0,035), h\u00f6here Werte des LSI der maximalen Knieextensionskraft (OR 1,117; p=0,009) und h\u00f6here Werte des LSI des Einbein-Sprungtests (OR 1,125; p=0,020). Das Alter, der LSI der Maximalkraft der Knieflexion und die funktionelle Beinachse (Valgus) hatten keinen Einfluss auf die RTS-Entscheidung.<\/jats:p><jats:p>\n            Schlussfolgerung Das Geschlecht sowie die LSI-Werte der Maximalkraft der Knieextensoren und des Einbein-Sprungtests stehen in Zusammenhang mit RTS nach 9 Monaten. Die Resultate sollen zur Optimierung der Rehabilitation nach VKBR in Betracht gezogen werden. In Zukunft sollten das pr\u00e4operative Aktivit\u00e4tslevel und die psychologische Bereitschaft, um in den Sport zur\u00fcckzukehren, erhoben werden, um dessen Einfluss auf die RTS-Entscheidung \u00fcberpr\u00fcfen zu k\u00f6nnen.<\/jats:p>","DOI":"10.1055\/a-2025-1090","type":"journal-article","created":{"date-parts":[[2023,6,23]],"date-time":"2023-06-23T03:45:42Z","timestamp":1687491942000},"page":"133-140","source":"Crossref","is-referenced-by-count":0,"title":["R\u00fcckkehr zum Sport nach Rekonstruktion des vorderen Kreuzbandes \u2013 Welche Faktoren beeinflussen die Return to Sport-Entscheidung?"],"prefix":"10.1055","volume":"37","author":[{"given":"Sibylle","family":"Achermann","sequence":"additional","affiliation":[{"name":"School of Health Professions, Bern University of Applied Sciences: Berner Fachhochschule, Bern, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julia","family":"Marty","sequence":"additional","affiliation":[{"name":"Altius Swiss Sportmed Center, Rheinfelden, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"Beck","sequence":"additional","affiliation":[{"name":"Altius Swiss Sportmed Center, Rheinfelden, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bertram","family":"Rieger","sequence":"additional","affiliation":[{"name":"Altius Swiss Sportmed Center, Rheinfelden, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anja","family":"Hirschm\u00fcller","sequence":"additional","affiliation":[{"name":"Altius Swiss Sportmed Center, Rheinfelden, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heiner","family":"Baur","sequence":"additional","affiliation":[{"name":"School of Health Professions, Bern University of Applied Sciences: Berner Fachhochschule, Bern, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,6,22]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"804","DOI":"10.1136\/bjsports-2016-096031","article-title":"Simple decision rules can reduce reinjury risk by 84% after ACL reconstruction: the Delaware-Oslo ACL cohort study","volume":"50","author":"H Grindem","year":"2016","journal-title":"British journal of sports medicine"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"561","DOI":"10.26603\/ijspt20180561","article-title":"Influence of Patient Demographics and Graft Types on ACL Second Injury Rates in Ipsilateral Versus Contralateral Knees: A Systematic Review and Meta-Analysis","volume":"13","author":"Z Nawasreh","year":"2018","journal-title":"International journal of sports physical therapy"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"224","DOI":"10.1177\/1941738115578131","article-title":"Anterior Cruciate Ligament Reconstruction-Not Exactly a One-Way Ticket Back to the Preinjury Level: A Review of Contextual Factors Affecting Return to Sport After Surgery","volume":"7","author":"CL Ardern","year":"2015","journal-title":"Sports health"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"249","DOI":"10.1136\/bjsports-2020-103677","article-title":"Single leg hop for distance symmetry masks lower limb biomechanics: time to discuss hop distance as decision criterion for return to sport after ACL reconstruction?","volume":"56","author":"A Kotsifaki","year":"2022","journal-title":"British journal of sports medicine"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"512","DOI":"10.1136\/bjsports-2018-100310","article-title":"How should clinicians rehabilitate patients after ACL reconstruction? 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