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      Quality of life in anterior cruciate ligament-deficient individuals: a systematic review and meta-analysis.

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          Abstract

          Physical and psychological impairments impacting quality of life (QOL) are common following ACL reconstruction. Rehabilitation alone is an effective alternative to reconstruction for some patients, warranting the investigation of QOL in ACL-deficient individuals.

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          Most cited references35

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          Measures of knee function: International Knee Documentation Committee (IKDC) Subjective Knee Evaluation Form, Knee Injury and Osteoarthritis Outcome Score (KOOS), Knee Injury and Osteoarthritis Outcome Score Physical Function Short Form (KOOS-PS), Knee Outcome Survey Activities of Daily Living Scale (KOS-ADL), Lysholm Knee Scoring Scale, Oxford Knee Score (OKS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Activity Rating Scale (ARS), and Tegner Activity Score (TAS).

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            Knee osteoarthritis after anterior cruciate ligament injury: a systematic review.

            This is a systematic review of studies on the prevalence of osteoarthritis in the tibiofemoral joint more than 10 years after an anterior cruciate ligament injury, the radiologic classification methods used, and risk factors for development of knee osteoarthritis. A systematic search was performed in PubMed, EMBASE, and AMED. Inclusion criteria were studies involving patients with anterior cruciate ligament injury, either isolated or combined with medial collateral ligament or meniscal injury and either surgically or nonsurgically treated, and a minimum 10-year follow-up with radiologic assessment. Methodological quality was evaluated using a modified version of the Coleman methodology score. Seven prospective and 24 retrospective studies were included. The mean modified Coleman methodology score was 52 of 90. Reported prevalence of knee osteoarthritis for subjects with isolated anterior cruciate ligament injury was between 0% and 13%. For subjects with anterior cruciate ligament and additional meniscal injury, the prevalence varied between 21% and 48%. Seven different radiologic classification systems were used in the studies. Only 3 studies reported reliability results for the radiologic assessments. The most frequently reported risk factor for development of knee osteoarthritis was meniscal injury. This systematic review suggests that the prevalence rates of knee osteoarthritis after anterior cruciate ligament reconstruction reported by previous reviews have been too high. The highest rated studies reported low prevalence of knee osteoarthritis for individuals with isolated anterior cruciate ligament injury (0%-13%) and a higher prevalence of knee osteoarthritis for subjects with combined injuries (21%-48%). Overall, the modified Coleman methodology score was low for the included studies. No universal methodological radiologic classification method exists, making comparisons of the studies and stating firm conclusions on the prevalence of knee osteoarthritis more than 10 years after anterior cruciate ligament injury difficult.
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              A systematic review of the psychological factors associated with returning to sport following injury.

              Psychological factors have been shown to be associated with the recovery and rehabilitation period following sports injury, but less is known about the psychological response associated with returning to sport after injury. The aim of this review was to identify psychological factors associated with returning to sport following sports injury evaluated with the self-determination theory framework.
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                Author and article information

                Journal
                Br J Sports Med
                British journal of sports medicine
                1473-0480
                0306-3674
                Aug 2015
                : 49
                : 16
                Affiliations
                [1 ] School of Health and Rehabilitation Sciences, University of Queensland, Brisbane, Queensland, Australia.
                [2 ] Melbourne EpiCentre, the University of Melbourne, Melbourne, Victoria, Australia.
                [3 ] School of Health and Rehabilitation Sciences, University of Queensland, Brisbane, Queensland, Australia The College of Science, Health and Engineering, La Trobe University, Melbourne, Victoria, Australia.
                Article
                49/16/1033
                10.1136/bjsports-2015-094864
                26224582
                f5b708ef-cd3b-41cb-97fc-6362ef02e227
                Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.
                History

                ACL,Knee,Osteoarthritis,Rehabilitation,Sports medicine
                ACL, Knee, Osteoarthritis, Rehabilitation, Sports medicine

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