Questioning the rules of engagement: a critical analysis of the use of limb symmetry index for safe return to sport after anterior cruciate ligament reconstruction

The use of LSI from tests of muscle function to determine safe RTS after ACL-R, that is, RTS without sustaining a second ACL injury within 2 years, cannot differentiate between athletes who had a safe RTS and those who did not, regardless of whether LSI was used as cut-offs, incremental or as deviation from symmetry. Thus, it is of clinical importance that clinicians do not solely rely on the LSI to clear athletes for RTS.

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Publication Details

Journal
British Journal of Sports Medicine
Published
2024-12-20
DOI
https://doi.org/10.1136/bjsports-2024-108079
Citations
9
Primary Topic
Knee injuries and reconstruction techniques
Type
article
Field-Weighted Citation Impact
5.15
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article

Questioning the rules of engagement: a critical analysis of the use of limb symmetry index for safe return to sport after anterior cruciate ligament reconstruction

Carl Senorski, Roland Thomeé, Axel Sundberg, Francesco Della Villa et al.
9 citations
British Journal of Sports Medicine
Knee injuries and reconstruction techniques
5.15
article

Questioning the rules of engagement: a critical analysis of the use of limb symmetry index for safe return to sport after anterior cruciate ligament reconstruction

Carl Senorski, Roland Thomeé, Axel Sundberg, Francesco Della Villa, Kristian Samuelsson, Ramana Piussi, Johan Högberg, Rebecca Simonson, Eric Hamrin Senorski
article en
9 citations

Abstract

The use of LSI from tests of muscle function to determine safe RTS after ACL-R, that is, RTS without sustaining a second ACL injury within 2 years, cannot differentiate between athletes who had a safe RTS and those who did not, regardless of whether LSI was used as cut-offs, incremental or as deviation from symmetry. Thus, it is of clinical importance that clinicians do not solely rely on the LSI to clear athletes for RTS.

British Journal of Sports MedicineVol. 59(6)
Sahlgrenska University Hospital (SE), University of Gothenburg (SE)
Reduced inequalities
Openalex Percentile: Top 4%
Knee injuries and reconstruction techniques
5.15
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