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Is It Time We Better Understood the Tests We are Using for Return to Sport Decision Making Following ACL Reconstruction? A Critical Review of the Hop Tests.
Sports Medicine ( IF 9.8 ) Pub Date : 2020-03-01 , DOI: 10.1007/s40279-019-01221-7
William T Davies 1 , Gregory D Myer 2, 3, 4 , Paul J Read 1
Affiliation  

There has been a move towards a criterion-based return to play in recent years, with 4 single-leg hop tests commonly used to assess functional performance. Despite their widespread integration, research indicates that relationships between 'passing' 'hop test criteria and successful outcomes following rehabilitation are equivocal, and, therefore, require further investigation. This critical review includes key information to examine the evolution of these tests, their reliability, relationships with other constructs, and sensitivity to change over time. Recommendations for how measurement and administration of the tests can be improved are also discussed. The evidence presented in this review shows that hop tests display good reliability and are sensitive to change over time. However, the use of more than 2 hop tests does not appear to be necessary due to high collinearity and no greater sensitivity to detect abnormality. The inclusion of other hop tests in different planes may give greater information about the current function of the knee, particularly when measured over time using both relative and absolute measures of performance. It is recommended that the contralateral limb be tested prior to surgery for a more relevant benchmark for performance, and clinicians are strongly advised to measure movement quality, as hop distance alone appears to overestimate the recovery of the knee.

中文翻译:

现在是时候更好地了解ACL重建后用于回归运动决策的测试了吗?跳跃测试的批判性评论。

近年来,已经朝着基于标准的回归迈进了一步,通常使用4种单腿跳测试来评估功能性能。尽管它们的广泛集成,但研究表明,“通过”“跳跃测试”标准与康复后成功结果之间的关系是模棱两可的,因此需要进一步研究。这份重要的评论包括检查这些测试的演变,其可靠性,与其他结构的关系以及随时间变化的敏感性的关键信息。还讨论了有关如何改进测试的度量和管理的建议。这篇评论中提供的证据表明,跃点测试显示出良好的可靠性,并且对随时间的变化敏感。然而,由于共线性高且检测异常的敏感性更高,因此似乎不必使用2个以上的跳跃测试。在不同平面中包含其他跃点测试可能会提供有关膝盖当前功能的更多信息,尤其是在使用相对和绝对性能指标随时间进行测量时。建议在手术前测试对侧肢体,以获得更相关的性能基准,并强烈建议临床医生测量运动质量,因为单跳距离似乎过高估计了膝盖的恢复。特别是当使用相对和绝对性能指标随时间进行衡量时。建议在手术前测试对侧肢体,以获得更相关的性能基准,并强烈建议临床医生测量运动质量,因为单跳距离似乎过高估计了膝盖的恢复。特别是当使用相对和绝对性能指标随时间进行衡量时。建议在手术前测试对侧肢体,以获得更相关的性能基准,并强烈建议临床医生测量运动质量,因为单跳距离似乎过高估计了膝盖的恢复。
更新日期:2019-11-19
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