Single-Leg Vertical Hop Test Detects Greater Limb Asymmetries Than Horizontal Hop Tests After Anterior Cruciate Ligament Reconstruction in NCAA Division 1 Collegiate Athletes

# Background Knee function deficits may persist after anterior cruciate ligament reconstruction (ACLR). Return to sport (RTS) testing batteries assess recovery after ACLR and can guide RTS progression, but the ideal test components are debatable. The single leg vertical hop for height (SLVH) test u...

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Autores principales: Michael J Zarro, Matthew G Stitzlein, Jason S Lee, Robert W Rowland, Vicki L Gray, Jeffrey B Taylor, Sean J Meredith, Jonathan D Packer, Christa M Nelson
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Publicado: North American Sports Medicine Institute 2021
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spelling oai:doaj.org-article:f1287f4dc5364012a1a86d4c2bb226952021-12-02T00:38:45ZSingle-Leg Vertical Hop Test Detects Greater Limb Asymmetries Than Horizontal Hop Tests After Anterior Cruciate Ligament Reconstruction in NCAA Division 1 Collegiate Athletes2159-2896https://doaj.org/article/f1287f4dc5364012a1a86d4c2bb226952021-12-01T00:00:00Zhttps://ijspt.scholasticahq.com/article/29595-single-leg-vertical-hop-test-detects-greater-limb-asymmetries-than-horizontal-hop-tests-after-anterior-cruciate-ligament-reconstruction-in-ncaa-divisi.pdfhttps://doaj.org/toc/2159-2896# Background Knee function deficits may persist after anterior cruciate ligament reconstruction (ACLR). Return to sport (RTS) testing batteries assess recovery after ACLR and can guide RTS progression, but the ideal test components are debatable. The single leg vertical hop for height (SLVH) test using a commercially available jump mat may provide a valuable assessment of knee function. # Hypothesis/Purpose The purpose of this study was to compare the limb symmetry index (LSI) of SLVH to horizontal hop testing in a cohort of National Collegiate Athletic Association (NCAA) Division 1 collegiate athletes after ACLR. The hypothesis was the SLVH would elicit significantly lower LSI than horizontal hop tests. # Study design Cross-Sectional Study # Methods Eighteen National Collegiate Athletic Association (NCAA) Division 1 collegiate athletes (7 males, 11 females) at 7.33 ± 2.05 months after ACLR were included in this retrospective study. LSI was calculated for single hop for distance (SHD), triple hop for distance (THD), cross-over hop for distance (CHD), timed 6-meter hop (T6H), and SLVH. A repeated measures ANOVA was performed to identify differences in LSI for each test. Spearman's Rho correlation coefficient was calculated to examine the relationship between LSIs for each test. # Results The LSI for SLVH (84.48% ± 11.41%) was significantly lower than LSI for SHD (95.48 ± 8.02%, p = 0.003), THD (94.40 ± 3.70%, p = 0.002), CHD (95.85 ± 7.00, p = 0.007), and T6H (97.69 ± 6.60%, p = 0.001). The correlation of LSI between SLVH and the horizontal hop tests was weak and non-significant for SHD (r~s~ = 0.166, p = 0.509), CHD (r~s~ = 0.199, p = 0.428), and T6H (r~s~ = 0.211, p = 0.401) and moderate and non-significant for THD (r~s~ = 0.405, p = 0.096). # Conclusions Individuals after ACLR had lower LSI on the SLVH than on horizontal hop tests and weak to moderate correlations between the tests suggest SLVH detects performance deficits not identified by the horizontal hop tests. # Level of evidence 3Michael J ZarroMatthew G StitzleinJason S LeeRobert W RowlandVicki L GrayJeffrey B TaylorSean J MeredithJonathan D PackerChrista M NelsonNorth American Sports Medicine InstitutearticleSports medicineRC1200-1245ENInternational Journal of Sports Physical Therapy, Vol 16, Iss 6 (2021)
institution DOAJ
collection DOAJ
language EN
topic Sports medicine
RC1200-1245
spellingShingle Sports medicine
RC1200-1245
Michael J Zarro
Matthew G Stitzlein
Jason S Lee
Robert W Rowland
Vicki L Gray
Jeffrey B Taylor
Sean J Meredith
Jonathan D Packer
Christa M Nelson
Single-Leg Vertical Hop Test Detects Greater Limb Asymmetries Than Horizontal Hop Tests After Anterior Cruciate Ligament Reconstruction in NCAA Division 1 Collegiate Athletes
description # Background Knee function deficits may persist after anterior cruciate ligament reconstruction (ACLR). Return to sport (RTS) testing batteries assess recovery after ACLR and can guide RTS progression, but the ideal test components are debatable. The single leg vertical hop for height (SLVH) test using a commercially available jump mat may provide a valuable assessment of knee function. # Hypothesis/Purpose The purpose of this study was to compare the limb symmetry index (LSI) of SLVH to horizontal hop testing in a cohort of National Collegiate Athletic Association (NCAA) Division 1 collegiate athletes after ACLR. The hypothesis was the SLVH would elicit significantly lower LSI than horizontal hop tests. # Study design Cross-Sectional Study # Methods Eighteen National Collegiate Athletic Association (NCAA) Division 1 collegiate athletes (7 males, 11 females) at 7.33 ± 2.05 months after ACLR were included in this retrospective study. LSI was calculated for single hop for distance (SHD), triple hop for distance (THD), cross-over hop for distance (CHD), timed 6-meter hop (T6H), and SLVH. A repeated measures ANOVA was performed to identify differences in LSI for each test. Spearman's Rho correlation coefficient was calculated to examine the relationship between LSIs for each test. # Results The LSI for SLVH (84.48% ± 11.41%) was significantly lower than LSI for SHD (95.48 ± 8.02%, p = 0.003), THD (94.40 ± 3.70%, p = 0.002), CHD (95.85 ± 7.00, p = 0.007), and T6H (97.69 ± 6.60%, p = 0.001). The correlation of LSI between SLVH and the horizontal hop tests was weak and non-significant for SHD (r~s~ = 0.166, p = 0.509), CHD (r~s~ = 0.199, p = 0.428), and T6H (r~s~ = 0.211, p = 0.401) and moderate and non-significant for THD (r~s~ = 0.405, p = 0.096). # Conclusions Individuals after ACLR had lower LSI on the SLVH than on horizontal hop tests and weak to moderate correlations between the tests suggest SLVH detects performance deficits not identified by the horizontal hop tests. # Level of evidence 3
format article
author Michael J Zarro
Matthew G Stitzlein
Jason S Lee
Robert W Rowland
Vicki L Gray
Jeffrey B Taylor
Sean J Meredith
Jonathan D Packer
Christa M Nelson
author_facet Michael J Zarro
Matthew G Stitzlein
Jason S Lee
Robert W Rowland
Vicki L Gray
Jeffrey B Taylor
Sean J Meredith
Jonathan D Packer
Christa M Nelson
author_sort Michael J Zarro
title Single-Leg Vertical Hop Test Detects Greater Limb Asymmetries Than Horizontal Hop Tests After Anterior Cruciate Ligament Reconstruction in NCAA Division 1 Collegiate Athletes
title_short Single-Leg Vertical Hop Test Detects Greater Limb Asymmetries Than Horizontal Hop Tests After Anterior Cruciate Ligament Reconstruction in NCAA Division 1 Collegiate Athletes
title_full Single-Leg Vertical Hop Test Detects Greater Limb Asymmetries Than Horizontal Hop Tests After Anterior Cruciate Ligament Reconstruction in NCAA Division 1 Collegiate Athletes
title_fullStr Single-Leg Vertical Hop Test Detects Greater Limb Asymmetries Than Horizontal Hop Tests After Anterior Cruciate Ligament Reconstruction in NCAA Division 1 Collegiate Athletes
title_full_unstemmed Single-Leg Vertical Hop Test Detects Greater Limb Asymmetries Than Horizontal Hop Tests After Anterior Cruciate Ligament Reconstruction in NCAA Division 1 Collegiate Athletes
title_sort single-leg vertical hop test detects greater limb asymmetries than horizontal hop tests after anterior cruciate ligament reconstruction in ncaa division 1 collegiate athletes
publisher North American Sports Medicine Institute
publishDate 2021
url https://doaj.org/article/f1287f4dc5364012a1a86d4c2bb22695
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