return to play Archives | Jeremy M. Burnham, MD

Orthopedic Surgery, Sports Medicine, & Knee Doctor | Board Certified


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All Posts Tagged: return to play

Functional Progression After ACL Surgery

The following parameters should serve as a general guideline for functional progression after ACL reconstruction. These guidelines should not replace surgeon and therapist judgement. When Can I Jog After ACL Surgery? Clearance for Jogging can be tested at 12 weeks if isolated ligament reconstruction or 16 weeks with Meniscal involvement/bone bruise/microfracture Minimum Standard 30 Step […]

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Timing of Common ACL Postoperative Milestones

Many patients and healthcare providers have questions regarding the timing of certain milestones after ACL surgery. The following time points are evidence-based, but will vary from patient to patient. These findings are also based on isolated ACL reconstruction, and will be different if additional procedures are performed at the same time (meniscus repair, cartilage restoration, […]

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Sports Medicine Protocols

Rehabilitation and Postoperative Protocols Knee Hip Shoulder Elbow Foot & Ankle Baseball Throwing Program Overuse & Running Injuries Postoperative Discharge Instructions All Postoperative Instructions

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single leg step-down screening test return to play baton rouge anterior cruciate ligament acl reconstruction acl

Return to Play after ACL Surgery (New Research) – Single Leg Step-Down Test

Dr. Burnham and colleagues recently published a research study on a test that may be useful in determining when patients can return to sports after ACL (anterior cruciate ligament) reconstruction. The test is called the Single Leg Step-Down test (SLSD). It has been shown to identify patients with weak hip and core musculature, which are important muscle groups to rehabilitate after undergoing ACL surgery. Although the surgery to reconstruct or repair the ACL usually takes only 1-2 hours, the rehabilitation can take 6-10 months. Determining the optimal time to return to sports is difficult, and no one test or measurement can determine when you are ready to return after surgery. However, numerous studies have shown that the trunk, hip, and core muscles are important factors in the neuromuscular control of the lower extremity, and that adequately strengthening these muscles after ACL surgery can help prevent against re-injury. In this study, performance on the SLSD test was significantly correlated with hip and core strength, especially in females. Further research will be performed to help determine the role of the SLSD test in predicting injury in athletes.

The research study was performed at the Biodynamics Gait Lab at the University of Kentucky, under the guidance of Mary Lloyd Ireland, MD and Brian Noehren, PT PhD. 

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