Which Hop Tests Can Best Identify Functional Limb Asymmetry in Patients 9-12 Months After Anterior Cruciate Ligament Reconstruction Employing a Hamstrings Tendon Autograft?

# Background Hop tests are commonly employed to evaluate functional limb symmetry after anterior cruciate ligament reconstruction (ACLR). # Purpose To investigate the ability of eight hop tests to identify functional limb asymmetry in patients after ACLR. # Study Design Prospective cohort. # Meth...

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Autores principales: Jay R Ebert, Luke Du Preez, Bonnie Furzer, Peter Edwards, Brendan Joss
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Publicado: North American Sports Medicine Institute 2021
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spelling oai:doaj.org-article:f9811ffd4b864d7ca86b240dd1d60a932021-12-02T16:01:55ZWhich Hop Tests Can Best Identify Functional Limb Asymmetry in Patients 9-12 Months After Anterior Cruciate Ligament Reconstruction Employing a Hamstrings Tendon Autograft?10.26603/001c.211402159-2896https://doaj.org/article/f9811ffd4b864d7ca86b240dd1d60a932021-04-01T00:00:00Zhttps://ijspt.scholasticahq.com/article/21140-which-hop-tests-can-best-identify-functional-limb-asymmetry-in-patients-9-12-months-after-anterior-cruciate-ligament-reconstruction-employing-a-hamstr.pdfhttps://doaj.org/toc/2159-2896# Background Hop tests are commonly employed to evaluate functional limb symmetry after anterior cruciate ligament reconstruction (ACLR). # Purpose To investigate the ability of eight hop tests to identify functional limb asymmetry in patients after ACLR. # Study Design Prospective cohort. # Methods Fifty patients were assessed 9-12 months following ACLR. Functional performance on both the operated and non-operated limb was assessed via eight hop tests, assessed in a randomised order. These included the: single (SHD), triple (THD) and triple crossover (TCHD) hop for distance, 6m timed hop (6MTH), single medial (MHD) and single lateral (LHD) hop for distance, single countermovement jump (SLCMJ) and timed speedy hop (TSHT). Differences in Limb Symmetry Indices (LSIs) across hop tests were compared, while Pearson’s correlations were undertaken to investigate the significance and strength of the association between hop test LSIs. # Results Significant differences were observed across hop LSIs (p\<0.0001). Mean LSIs for the SHD (95.0%), 6MTH (95.0%), THD (96.1%) and TCHD (95.3%) were ≥90% and significantly greater (p\<0.05) than the MHD (87.3%), LHD (87.5%), SLCMJ (83.4%) and TSHT (86.5%), which were all \<90%. The LSI for the SLCMJ was significantly lower (p\<0.05) than all other hop tests. While significant correlations existed across the majority of hop LSIs, the strongest correlations existed between the SHD, THD and TCHD (r=0.70-0.80), and lowest correlations between the TSHT and the other hop tests (r=0.26-0.49). # Conclusions The LHD, MHD and TSHT, as well as the SLCMJ in particular, were best able to demonstrate functional limb asymmetry in patients following ACLR. These hop measures should be incorporated into hop test batteries, if the purpose is to detect the presence of lingering functional deficits. # Level of Evidence Level 3.Jay R EbertLuke Du PreezBonnie FurzerPeter EdwardsBrendan JossNorth American Sports Medicine InstitutearticleSports medicineRC1200-1245ENInternational Journal of Sports Physical Therapy, Vol 16, Iss 2 (2021)
institution DOAJ
collection DOAJ
language EN
topic Sports medicine
RC1200-1245
spellingShingle Sports medicine
RC1200-1245
Jay R Ebert
Luke Du Preez
Bonnie Furzer
Peter Edwards
Brendan Joss
Which Hop Tests Can Best Identify Functional Limb Asymmetry in Patients 9-12 Months After Anterior Cruciate Ligament Reconstruction Employing a Hamstrings Tendon Autograft?
description # Background Hop tests are commonly employed to evaluate functional limb symmetry after anterior cruciate ligament reconstruction (ACLR). # Purpose To investigate the ability of eight hop tests to identify functional limb asymmetry in patients after ACLR. # Study Design Prospective cohort. # Methods Fifty patients were assessed 9-12 months following ACLR. Functional performance on both the operated and non-operated limb was assessed via eight hop tests, assessed in a randomised order. These included the: single (SHD), triple (THD) and triple crossover (TCHD) hop for distance, 6m timed hop (6MTH), single medial (MHD) and single lateral (LHD) hop for distance, single countermovement jump (SLCMJ) and timed speedy hop (TSHT). Differences in Limb Symmetry Indices (LSIs) across hop tests were compared, while Pearson’s correlations were undertaken to investigate the significance and strength of the association between hop test LSIs. # Results Significant differences were observed across hop LSIs (p\<0.0001). Mean LSIs for the SHD (95.0%), 6MTH (95.0%), THD (96.1%) and TCHD (95.3%) were ≥90% and significantly greater (p\<0.05) than the MHD (87.3%), LHD (87.5%), SLCMJ (83.4%) and TSHT (86.5%), which were all \<90%. The LSI for the SLCMJ was significantly lower (p\<0.05) than all other hop tests. While significant correlations existed across the majority of hop LSIs, the strongest correlations existed between the SHD, THD and TCHD (r=0.70-0.80), and lowest correlations between the TSHT and the other hop tests (r=0.26-0.49). # Conclusions The LHD, MHD and TSHT, as well as the SLCMJ in particular, were best able to demonstrate functional limb asymmetry in patients following ACLR. These hop measures should be incorporated into hop test batteries, if the purpose is to detect the presence of lingering functional deficits. # Level of Evidence Level 3.
format article
author Jay R Ebert
Luke Du Preez
Bonnie Furzer
Peter Edwards
Brendan Joss
author_facet Jay R Ebert
Luke Du Preez
Bonnie Furzer
Peter Edwards
Brendan Joss
author_sort Jay R Ebert
title Which Hop Tests Can Best Identify Functional Limb Asymmetry in Patients 9-12 Months After Anterior Cruciate Ligament Reconstruction Employing a Hamstrings Tendon Autograft?
title_short Which Hop Tests Can Best Identify Functional Limb Asymmetry in Patients 9-12 Months After Anterior Cruciate Ligament Reconstruction Employing a Hamstrings Tendon Autograft?
title_full Which Hop Tests Can Best Identify Functional Limb Asymmetry in Patients 9-12 Months After Anterior Cruciate Ligament Reconstruction Employing a Hamstrings Tendon Autograft?
title_fullStr Which Hop Tests Can Best Identify Functional Limb Asymmetry in Patients 9-12 Months After Anterior Cruciate Ligament Reconstruction Employing a Hamstrings Tendon Autograft?
title_full_unstemmed Which Hop Tests Can Best Identify Functional Limb Asymmetry in Patients 9-12 Months After Anterior Cruciate Ligament Reconstruction Employing a Hamstrings Tendon Autograft?
title_sort which hop tests can best identify functional limb asymmetry in patients 9-12 months after anterior cruciate ligament reconstruction employing a hamstrings tendon autograft?
publisher North American Sports Medicine Institute
publishDate 2021
url https://doaj.org/article/f9811ffd4b864d7ca86b240dd1d60a93
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