Incorporating Internal and External Training Load Measurements in Clinical Decision Making After ACL Reconstruction: A Clinical Commentary
# Background and Purpose Poor outcomes after anterior cruciate ligament reconstruction (ACLr), including the relatively high risk of suffering a subsequent ACL injury, suggest the need to optimize rehabilitation and return-to-sport testing. The purpose of this commentary is to introduce clinicians...
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| Format: | Article |
| Language: | English |
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North American Sports Medicine Institute
2021-04-01
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| Series: | International Journal of Sports Physical Therapy |
| Online Access: | https://doi.org/10.26603/001c.21152 |
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| _version_ | 1825197061300027392 |
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| author | Jeffrey B Taylor Kevin R Ford Robin M Queen Elizabeth C Owen Angela Spontelli Gisselman |
| author_facet | Jeffrey B Taylor Kevin R Ford Robin M Queen Elizabeth C Owen Angela Spontelli Gisselman |
| author_sort | Jeffrey B Taylor |
| collection | DOAJ |
| description | # Background and Purpose
Poor outcomes after anterior cruciate ligament reconstruction (ACLr), including the relatively high risk of suffering a subsequent ACL injury, suggest the need to optimize rehabilitation and return-to-sport testing. The purpose of this commentary is to introduce clinicians to the concept of monitoring training load during rehabilitation, to review methods of quantifying internal and external loads, and to suggest ways that these technologies can be incorporated into rehabilitation progressions and return-to-sport decisions after anterior ACLr.
# Description of Topic with Related Evidence
Quantifying and identifying the effects of training load variables, external (distance, impacts, decelerations) and internal (heart rate, heart rate variability) workload, during rehabilitation can indicate both positive (improved physical, physiological, or psychological capacity) or negative (heightened risk for injury or illness) adaptations and allow for the ideal progression of exercise prescription. When used during return-to-sport testing, wearable technology can provide robust measures of movement quality, readiness, and asymmetry not identified during performance-based testing.
# Discussion / Relation to Clinical Practice
Researchers have reported the actual in-game demands of men and women of various ages and competition levels during multi-directional sport. Wearable technology can provide similar variables during rehabilitation, home exercise programs, and during on-field transition back to sport to ensure patients have met the expected fitness capacity of their sport. Additionally, clinicians can use internal load measures to objectively monitor patient’s physiological responses to rehabilitation progressions and recovery rather than relying on subjective patient-reported data.
# Level of Evidence
5 |
| format | Article |
| id | doaj-art-fda848e7b50546ee8ccc81fbd4b58393 |
| institution | Kabale University |
| issn | 2159-2896 |
| language | English |
| publishDate | 2021-04-01 |
| publisher | North American Sports Medicine Institute |
| record_format | Article |
| series | International Journal of Sports Physical Therapy |
| spelling | doaj-art-fda848e7b50546ee8ccc81fbd4b583932025-02-11T20:27:29ZengNorth American Sports Medicine InstituteInternational Journal of Sports Physical Therapy2159-28962021-04-01162Incorporating Internal and External Training Load Measurements in Clinical Decision Making After ACL Reconstruction: A Clinical CommentaryJeffrey B TaylorKevin R FordRobin M QueenElizabeth C OwenAngela Spontelli Gisselman# Background and Purpose Poor outcomes after anterior cruciate ligament reconstruction (ACLr), including the relatively high risk of suffering a subsequent ACL injury, suggest the need to optimize rehabilitation and return-to-sport testing. The purpose of this commentary is to introduce clinicians to the concept of monitoring training load during rehabilitation, to review methods of quantifying internal and external loads, and to suggest ways that these technologies can be incorporated into rehabilitation progressions and return-to-sport decisions after anterior ACLr. # Description of Topic with Related Evidence Quantifying and identifying the effects of training load variables, external (distance, impacts, decelerations) and internal (heart rate, heart rate variability) workload, during rehabilitation can indicate both positive (improved physical, physiological, or psychological capacity) or negative (heightened risk for injury or illness) adaptations and allow for the ideal progression of exercise prescription. When used during return-to-sport testing, wearable technology can provide robust measures of movement quality, readiness, and asymmetry not identified during performance-based testing. # Discussion / Relation to Clinical Practice Researchers have reported the actual in-game demands of men and women of various ages and competition levels during multi-directional sport. Wearable technology can provide similar variables during rehabilitation, home exercise programs, and during on-field transition back to sport to ensure patients have met the expected fitness capacity of their sport. Additionally, clinicians can use internal load measures to objectively monitor patient’s physiological responses to rehabilitation progressions and recovery rather than relying on subjective patient-reported data. # Level of Evidence 5https://doi.org/10.26603/001c.21152 |
| spellingShingle | Jeffrey B Taylor Kevin R Ford Robin M Queen Elizabeth C Owen Angela Spontelli Gisselman Incorporating Internal and External Training Load Measurements in Clinical Decision Making After ACL Reconstruction: A Clinical Commentary International Journal of Sports Physical Therapy |
| title | Incorporating Internal and External Training Load Measurements in Clinical Decision Making After ACL Reconstruction: A Clinical Commentary |
| title_full | Incorporating Internal and External Training Load Measurements in Clinical Decision Making After ACL Reconstruction: A Clinical Commentary |
| title_fullStr | Incorporating Internal and External Training Load Measurements in Clinical Decision Making After ACL Reconstruction: A Clinical Commentary |
| title_full_unstemmed | Incorporating Internal and External Training Load Measurements in Clinical Decision Making After ACL Reconstruction: A Clinical Commentary |
| title_short | Incorporating Internal and External Training Load Measurements in Clinical Decision Making After ACL Reconstruction: A Clinical Commentary |
| title_sort | incorporating internal and external training load measurements in clinical decision making after acl reconstruction a clinical commentary |
| url | https://doi.org/10.26603/001c.21152 |
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