Vertical Jump Testing after Anterior Cruciate Ligament Reconstruction : A Systematic Review and Meta-analysis
Journal article
Dutaillis, Benjamin, Diamond, Laura E., Lazarczuk, Stephanie L., Timmins, Ryan Gregory and Bourne, Matthew. (2024). Vertical Jump Testing after Anterior Cruciate Ligament Reconstruction : A Systematic Review and Meta-analysis. Medicine and Science in Sports and Exercise. 56(2), pp. 181-192. https://doi.org/10.1249/MSS.0000000000003298
Authors | Dutaillis, Benjamin, Diamond, Laura E., Lazarczuk, Stephanie L., Timmins, Ryan Gregory and Bourne, Matthew |
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Abstract | Introduction: Recently, there has been a call for vertical jump testing via force–plate analysis to be included in the assessment of individuals after anterior cruciate ligament reconstruction (ACLR) and as part of return-to-play criteria. However, a synthesis of current literature is needed to help guide clinicians on what tests to perform, which force–plate metrics to assess, and how these may change over the time course of rehabilitation. Methods: Four online databases were searched from inception to July 2022. The Downs and Black checklist was used to assess study quality. Multilevel meta-analyses and meta-regressions were undertaken in conjunction with a best evidence synthesis. Results: Forty-two articles were included, capturing 2375 participants with a history of ACLR. Reconstructed limbs displayed 1) lower peak eccentric forces, concentric forces, landing forces, and lower eccentric and concentric impulses (standardized means difference [SMD] = −1.84 to −0.46) than uninjured contralateral limbs during bilateral countermovement jumps (CMJ) and drop vertical jumps (DVJ); 2) lower jump heights and reactive strength indices (RSI), and longer contact times than uninjured contralateral limbs during unilateral CMJ and DVJ (SMD = −0.86 to 0.26); and 3) lower jump heights, RSI, and longer contact times during bilateral and unilateral CMJ, and unilateral DVJ, than uninjured controls (SMD = −1.19 to 1.08). Meta-regression revealed that time postsurgery was a significant moderator (P < 0.05) for 1) bilateral CMJ height, peak concentric force, and peak landing force; 2) between-limb differences in unilateral CMJ height; and 3) differences in unilateral DVJ height, RSI, and contact time between reconstructed limbs and healthy controls with no history of injury. Conclusions: Individuals with a history of ACLR display chronic deficits in vertical jumping performance during a range of bilateral and unilateral tasks, which may have implications for return-to-play criteria and the design of interventions targeted at restoring long-term deficits in explosive lower limb strength after ACLR. |
Keywords | Return to play; Explosive strength; Knee |
Year | 01 Jan 2024 |
Journal | Medicine and Science in Sports and Exercise |
Journal citation | 56 (2), pp. 181-192 |
Publisher | Lippincott Williams & Wilkins |
ISSN | 0195-9131 |
Digital Object Identifier (DOI) | https://doi.org/10.1249/MSS.0000000000003298 |
Web address (URL) | https://journals.lww.com/acsm-msse/fulltext/2024/02000/vertical_jump_testing_after_anterior_cruciate.3.aspx |
Open access | Published as non-open access |
Research or scholarly | Research |
Page range | 181-192 |
Publisher's version | License All rights reserved File Access Level Controlled |
Output status | Published |
Publication dates | |
Feb 2024 | |
Publication process dates | |
Accepted | Aug 2023 |
Deposited | 27 Feb 2024 |
Additional information | Copyright © 2023 by the American College of Sports Medicine. |
Place of publication | United States |
https://acuresearchbank.acu.edu.au/item/9030v/vertical-jump-testing-after-anterior-cruciate-ligament-reconstruction-a-systematic-review-and-meta-analysis
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