Every week, we read in the sports newspapers that a professional athlete rupture her or his anterior cruciate ligament (ACL). Patients who wish to return to sports (RTS) after an ACL rupture are advised to undergo an ACL reconstruction (ACLR) to restore knee function and stability. The most frequent question a patient asks after an ACLR is: “when can I play again?”. However, the multifactorial decision whether and when a patient can RTS is one of the most challenging and complex decisions to make. Before surgery, more than 90% of patients expect to RTS without any restrictions. Unfortunately, only 65% of amateur athletes return to their pre-injury level of sports. Furthermore, patients who RTS have a relatively high risk for a second ACL injury (up to 23%), especially for patients younger than 25 years. There is need to improve current rehabilitation approaches. Furthermore, current RTS decisions are mostly based on subjective criteria. Therefore, it is unknown if a patient is physically and mentally ready for RTS. To support RTS decisions, a test battery was developed in this dissertation including tests for measuring muscle strength, jump-landing performance, jump-landing technique and psychological readiness for RTS.
|Qualification||Doctor of Philosophy|
|Place of Publication||[Groningen]|
|Publication status||Published - 2022|