Return to Play and Performance After Primary ACL Reconstruction in American Football Players: A Systematic Review
Background: Anterior cruciate ligament (ACL) injuries are among the most common sports-related injuries, and they can have a negative impact on players’ ability to return to play (RTP). There is a paucity of literature focused on RTP after ACL reconstruction (ACLR) in collision sports. Purpose: To c...
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| Veröffentlicht in: | Orthopaedic Journal of Sports Medicine 2020-10, Vol.8 (10), p.2325967120959654-2325967120959654 |
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| container_title | Orthopaedic Journal of Sports Medicine |
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| creator | Ross, Bailey J. Savage-Elliott, Ian Brown, Symone M. Mulcahey, Mary K. |
| description | Background:
Anterior cruciate ligament (ACL) injuries are among the most common sports-related injuries, and they can have a negative impact on players’ ability to return to play (RTP). There is a paucity of literature focused on RTP after ACL reconstruction (ACLR) in collision sports.
Purpose:
To characterize the impact that an ACL injury has on the ability to RTP and the post-ACLR performance level in American football players.
Study Design:
Systematic review; Level of evidence, 4.
Methods:
An electronic search was performed using the following databases: the Cochrane Database of Systematic Reviews, the Cochrane Central Register of Controlled Trials, PubMed, Embase, and the Cumulative Index to Nursing and Allied Health Literature. Included studies were written in English; were published since the year 2000; examined only American football players; and reported on RTP, performance, and/or career length after primary ACLR.
Results:
The initial search yielded 442 unique studies. Of these, 427 were removed after screening, leaving 15 studies that met inclusion criteria. An additional 2 studies were identified in these studies’ references, yielding a total of 17. The rate of RTP after ACLR for football players was 67.2% (1249/1859), and the mean time to return was 11.6 months (range, 35.8-55.8 weeks). Although considerable heterogeneity existed in the study design and outcomes measured, in general, a majority of football players experienced greater declines from their preinjury performance level than controls over the same time period.
Conclusion:
An ACL injury negatively affected football players’ ability to RTP and their post-ACLR performance. The degree of effect varied by several factors, including playing position, preinjury performance level, and National Football League Draft round. These results may be used by physicians and football players to develop reasonable expectations for returning to play and performance after an ACL injury. |
| doi_str_mv | 10.1177/2325967120959654 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7607798</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_2325967120959654</sage_id><sourcerecordid>2461004600</sourcerecordid><originalsourceid>FETCH-LOGICAL-c462t-6a0456e625190baec63c807ff6f118d9b4c55c729b09cf86e9e98dff5c21c6773</originalsourceid><addsrcrecordid>eNp1UUFvFCEYJUZjm9q7J0PixcsoMAMMHkwmG6smm7ipeiYM-1FpZqAFpmb_vWy31tpELh_5eN_73uMh9JKSt5RK-Y61jCshKSOqVt49Qcf7VrPvPX1wP0KnOV-SenpOVSufo6O2pYpL2h2j63MoSwq4RLyZzA6bsMUbSC6m2QQLeHAFEt4kP5u0w8Nqjc_BxpBLWmzxMWAf8DBD8tYEfBZjGc003VJByu_xgL_tcoHZFG_r5I2HXy_QM2emDKd39QT9OPv4ffW5WX_99GU1rBvbCVYaYUjHBQhWNZPRgBWt7Yl0TjhK-60aO8u5lUyNRFnXC1Cg-q1z3DJqhZTtCfpw4L1axhm2FkJJZtJXBys6Gq__fQn-p76IN1oKIqXqK8GbO4IUrxfIRc8-W5gmEyAuWbNOUEI6QUiFvn4EvYz1V6u9iuoZF5TdKiIHlE0x5wTuXgwleh-pfhxpHXn10MT9wJ8AK6A5ALK5gL9b_0v4G5lfqSs</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2482561277</pqid></control><display><type>article</type><title>Return to Play and Performance After Primary ACL Reconstruction in American Football Players: A Systematic Review</title><source>SAGE Open Access</source><source>DOAJ Directory of Open Access Journals</source><source>PubMed Central</source><source>EZB Electronic Journals Library</source><creator>Ross, Bailey J. ; Savage-Elliott, Ian ; Brown, Symone M. ; Mulcahey, Mary K.</creator><creatorcontrib>Ross, Bailey J. ; Savage-Elliott, Ian ; Brown, Symone M. ; Mulcahey, Mary K.</creatorcontrib><description>Background:
Anterior cruciate ligament (ACL) injuries are among the most common sports-related injuries, and they can have a negative impact on players’ ability to return to play (RTP). There is a paucity of literature focused on RTP after ACL reconstruction (ACLR) in collision sports.
Purpose:
To characterize the impact that an ACL injury has on the ability to RTP and the post-ACLR performance level in American football players.
Study Design:
Systematic review; Level of evidence, 4.
Methods:
An electronic search was performed using the following databases: the Cochrane Database of Systematic Reviews, the Cochrane Central Register of Controlled Trials, PubMed, Embase, and the Cumulative Index to Nursing and Allied Health Literature. Included studies were written in English; were published since the year 2000; examined only American football players; and reported on RTP, performance, and/or career length after primary ACLR.
Results:
The initial search yielded 442 unique studies. Of these, 427 were removed after screening, leaving 15 studies that met inclusion criteria. An additional 2 studies were identified in these studies’ references, yielding a total of 17. The rate of RTP after ACLR for football players was 67.2% (1249/1859), and the mean time to return was 11.6 months (range, 35.8-55.8 weeks). Although considerable heterogeneity existed in the study design and outcomes measured, in general, a majority of football players experienced greater declines from their preinjury performance level than controls over the same time period.
Conclusion:
An ACL injury negatively affected football players’ ability to RTP and their post-ACLR performance. The degree of effect varied by several factors, including playing position, preinjury performance level, and National Football League Draft round. These results may be used by physicians and football players to develop reasonable expectations for returning to play and performance after an ACL injury.</description><identifier>ISSN: 2325-9671</identifier><identifier>EISSN: 2325-9671</identifier><identifier>DOI: 10.1177/2325967120959654</identifier><identifier>PMID: 33195714</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Football ; Injuries ; Knee ; Orthopedics ; Sports medicine ; Systematic review</subject><ispartof>Orthopaedic Journal of Sports Medicine, 2020-10, Vol.8 (10), p.2325967120959654-2325967120959654</ispartof><rights>The Author(s) 2020</rights><rights>The Author(s) 2020.</rights><rights>The Author(s) 2020. This work is licensed under the Creative Commons Attribution – Non-Commercial – No Derivatives License https://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2020 2020 SAGE Publications</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c462t-6a0456e625190baec63c807ff6f118d9b4c55c729b09cf86e9e98dff5c21c6773</citedby><cites>FETCH-LOGICAL-c462t-6a0456e625190baec63c807ff6f118d9b4c55c729b09cf86e9e98dff5c21c6773</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7607798/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7607798/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,313,314,723,776,780,788,860,881,21945,27830,27899,27901,27902,44921,45309,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33195714$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ross, Bailey J.</creatorcontrib><creatorcontrib>Savage-Elliott, Ian</creatorcontrib><creatorcontrib>Brown, Symone M.</creatorcontrib><creatorcontrib>Mulcahey, Mary K.</creatorcontrib><title>Return to Play and Performance After Primary ACL Reconstruction in American Football Players: A Systematic Review</title><title>Orthopaedic Journal of Sports Medicine</title><addtitle>Orthop J Sports Med</addtitle><description>Background:
Anterior cruciate ligament (ACL) injuries are among the most common sports-related injuries, and they can have a negative impact on players’ ability to return to play (RTP). There is a paucity of literature focused on RTP after ACL reconstruction (ACLR) in collision sports.
Purpose:
To characterize the impact that an ACL injury has on the ability to RTP and the post-ACLR performance level in American football players.
Study Design:
Systematic review; Level of evidence, 4.
Methods:
An electronic search was performed using the following databases: the Cochrane Database of Systematic Reviews, the Cochrane Central Register of Controlled Trials, PubMed, Embase, and the Cumulative Index to Nursing and Allied Health Literature. Included studies were written in English; were published since the year 2000; examined only American football players; and reported on RTP, performance, and/or career length after primary ACLR.
Results:
The initial search yielded 442 unique studies. Of these, 427 were removed after screening, leaving 15 studies that met inclusion criteria. An additional 2 studies were identified in these studies’ references, yielding a total of 17. The rate of RTP after ACLR for football players was 67.2% (1249/1859), and the mean time to return was 11.6 months (range, 35.8-55.8 weeks). Although considerable heterogeneity existed in the study design and outcomes measured, in general, a majority of football players experienced greater declines from their preinjury performance level than controls over the same time period.
Conclusion:
An ACL injury negatively affected football players’ ability to RTP and their post-ACLR performance. The degree of effect varied by several factors, including playing position, preinjury performance level, and National Football League Draft round. These results may be used by physicians and football players to develop reasonable expectations for returning to play and performance after an ACL injury.</description><subject>Football</subject><subject>Injuries</subject><subject>Knee</subject><subject>Orthopedics</subject><subject>Sports medicine</subject><subject>Systematic review</subject><issn>2325-9671</issn><issn>2325-9671</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>AFRWT</sourceid><sourceid>BENPR</sourceid><recordid>eNp1UUFvFCEYJUZjm9q7J0PixcsoMAMMHkwmG6smm7ipeiYM-1FpZqAFpmb_vWy31tpELh_5eN_73uMh9JKSt5RK-Y61jCshKSOqVt49Qcf7VrPvPX1wP0KnOV-SenpOVSufo6O2pYpL2h2j63MoSwq4RLyZzA6bsMUbSC6m2QQLeHAFEt4kP5u0w8Nqjc_BxpBLWmzxMWAf8DBD8tYEfBZjGc003VJByu_xgL_tcoHZFG_r5I2HXy_QM2emDKd39QT9OPv4ffW5WX_99GU1rBvbCVYaYUjHBQhWNZPRgBWt7Yl0TjhK-60aO8u5lUyNRFnXC1Cg-q1z3DJqhZTtCfpw4L1axhm2FkJJZtJXBys6Gq__fQn-p76IN1oKIqXqK8GbO4IUrxfIRc8-W5gmEyAuWbNOUEI6QUiFvn4EvYz1V6u9iuoZF5TdKiIHlE0x5wTuXgwleh-pfhxpHXn10MT9wJ8AK6A5ALK5gL9b_0v4G5lfqSs</recordid><startdate>20201001</startdate><enddate>20201001</enddate><creator>Ross, Bailey J.</creator><creator>Savage-Elliott, Ian</creator><creator>Brown, Symone M.</creator><creator>Mulcahey, Mary K.</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><scope>AFRWT</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20201001</creationdate><title>Return to Play and Performance After Primary ACL Reconstruction in American Football Players: A Systematic Review</title><author>Ross, Bailey J. ; Savage-Elliott, Ian ; Brown, Symone M. ; Mulcahey, Mary K.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c462t-6a0456e625190baec63c807ff6f118d9b4c55c729b09cf86e9e98dff5c21c6773</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Football</topic><topic>Injuries</topic><topic>Knee</topic><topic>Orthopedics</topic><topic>Sports medicine</topic><topic>Systematic review</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ross, Bailey J.</creatorcontrib><creatorcontrib>Savage-Elliott, Ian</creatorcontrib><creatorcontrib>Brown, Symone M.</creatorcontrib><creatorcontrib>Mulcahey, Mary K.</creatorcontrib><collection>SAGE Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Nursing and Allied Health Journals</collection><collection>ProQuest Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Orthopaedic Journal of Sports Medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ross, Bailey J.</au><au>Savage-Elliott, Ian</au><au>Brown, Symone M.</au><au>Mulcahey, Mary K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Return to Play and Performance After Primary ACL Reconstruction in American Football Players: A Systematic Review</atitle><jtitle>Orthopaedic Journal of Sports Medicine</jtitle><addtitle>Orthop J Sports Med</addtitle><date>2020-10-01</date><risdate>2020</risdate><volume>8</volume><issue>10</issue><spage>2325967120959654</spage><epage>2325967120959654</epage><pages>2325967120959654-2325967120959654</pages><issn>2325-9671</issn><eissn>2325-9671</eissn><abstract>Background:
Anterior cruciate ligament (ACL) injuries are among the most common sports-related injuries, and they can have a negative impact on players’ ability to return to play (RTP). There is a paucity of literature focused on RTP after ACL reconstruction (ACLR) in collision sports.
Purpose:
To characterize the impact that an ACL injury has on the ability to RTP and the post-ACLR performance level in American football players.
Study Design:
Systematic review; Level of evidence, 4.
Methods:
An electronic search was performed using the following databases: the Cochrane Database of Systematic Reviews, the Cochrane Central Register of Controlled Trials, PubMed, Embase, and the Cumulative Index to Nursing and Allied Health Literature. Included studies were written in English; were published since the year 2000; examined only American football players; and reported on RTP, performance, and/or career length after primary ACLR.
Results:
The initial search yielded 442 unique studies. Of these, 427 were removed after screening, leaving 15 studies that met inclusion criteria. An additional 2 studies were identified in these studies’ references, yielding a total of 17. The rate of RTP after ACLR for football players was 67.2% (1249/1859), and the mean time to return was 11.6 months (range, 35.8-55.8 weeks). Although considerable heterogeneity existed in the study design and outcomes measured, in general, a majority of football players experienced greater declines from their preinjury performance level than controls over the same time period.
Conclusion:
An ACL injury negatively affected football players’ ability to RTP and their post-ACLR performance. The degree of effect varied by several factors, including playing position, preinjury performance level, and National Football League Draft round. These results may be used by physicians and football players to develop reasonable expectations for returning to play and performance after an ACL injury.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>33195714</pmid><doi>10.1177/2325967120959654</doi><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 2325-9671 |
| ispartof | Orthopaedic Journal of Sports Medicine, 2020-10, Vol.8 (10), p.2325967120959654-2325967120959654 |
| issn | 2325-9671 2325-9671 |
| language | eng |
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| source | SAGE Open Access; DOAJ Directory of Open Access Journals; PubMed Central; EZB Electronic Journals Library |
| subjects | Football Injuries Knee Orthopedics Sports medicine Systematic review |
| title | Return to Play and Performance After Primary ACL Reconstruction in American Football Players: A Systematic Review |
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