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                    <dim:field mdschema="dc" element="title" lang="en">Evidence-based data models for return-to-play criteria after anterior cruciate ligament reconstruction</dim:field>
                    <dim:field mdschema="dc" element="date" qualifier="issued">2022</dim:field>
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                    <dim:field mdschema="dc" element="contributor" qualifier="author" authority="id:52175" confidence="-1">Daggett, M.C.</dim:field>
                    <dim:field mdschema="dc" element="contributor" qualifier="author" authority="id:52176" confidence="-1">Witte, K.A.</dim:field>
                    <dim:field mdschema="dc" element="contributor" qualifier="author" authority="id:52177" confidence="-1">Cabarkapa, D.</dim:field>
                    <dim:field mdschema="dc" element="contributor" qualifier="author" authority="orcid::0000-0003-4680-0313" confidence="-1">Cabarkapa, D.V.</dim:field>
                    <dim:field mdschema="dc" element="contributor" qualifier="author" authority="id:52179" confidence="-1">Fry, A.C.</dim:field>
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Open AccessTechnical Note
Evidence-Based Data Models for Return-to-Play Criteria after Anterior Cruciate Ligament Reconstruction
by Matthew C. Daggett 1,Kevin A. Witte 1,Dimitrije Cabarkapa 2,*ORCID,Damjana V. Cabarkapa 2 andAndrew C. Fry 2ORCID
1
Sano Orthopedics, Lee’s Summit, MO 64064, USA
2
Jayhawk Athletic Performance Laboratory, Wu Tsai Human Performance Alliance, University of Kansas, Lawrence, KS 66045, USA
*
Author to whom correspondence should be addressed.
Healthcare 2022, 10(5), 929; https://doi.org/10.3390/healthcare10050929
Submission received: 5 April 2022 / Revised: 11 May 2022 / Accepted: 17 May 2022 / Published: 18 May 2022
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Abstract
The anterior cruciate ligament (ACL) tear is one of the most common knee injuries in sports that require side-to-side pivoting movements. While the timeline and specific goals during rehabilitation protocols may vary, ACL reconstruction (ACLR) is the preferred procedure necessary to return these athletes to their respective field of play. However, there are no validated guidelines that define a specific timepoint when it is safe for an athlete to return-to-play, as functional movement deficit may be present much longer than six months post ACLR. A retrospective cross-sectional analysis was conducted on 33 subjects that underwent ACLR. As a part of standard of care, each subject completed a movement screening protocol at a singular timepoint during their rehabilitation process. An innovative three-dimensional markerless motion capture system was used to obtain three algorithm-derived biometric variables: mobility, alignment, and readiness. Significant gradual improvements in mobility and readiness were observed throughout a 3–6-month post ACLR procedure period. When examining the data trends, it was obvious that not all patients responded identically to treatment plans provided by clinical professionals. Therefore, the findings of the present study suggest that the decision regarding when it is safe to return to play needs to be determined on an individual basis.</dim:field>
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                    <dim:field mdschema="dc" element="citation" qualifier="issue">5</dim:field>
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                    <dim:field mdschema="dc" element="identifier" qualifier="issn">2227-9032</dim:field>
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