Return to Sport Following Anterior Cruciate Ligament Reconstruction: Women’s Indoor Volleyball

Authors

  • Katherine W. Tarantino, PT, DPT, SCS Massachusetts General Hospital Sports Physical Therapy, Boston, Massachusetts USA

DOI:

https://doi.org/10.53646/jwsm.v2i2.23

Keywords:

Volleyball, Female-athlete, post-operative rehabilitation, anterior cruciate ligament injury

Abstract

Women’s volleyball participation has increased over the past four decades resulting in a rise of sports-related injuries during practice and competition. Although volleyball is considered a non-contact sport, the sport requires jumping, landing, pivoting, directional changes, and digging which can lead to an anterior cruciate ligament (ACL) injury and reconstruction. There are limited studies on guidelines for safe return to volleyball competition after an ACL injury. A volleyball-specific functional rehabilitation program is critical for optimal return to sport following ACL reconstruction. A volleyball athlete must be trained and proficient in jumping and landing to serve, hit, and block as well as pivot, cut, and change direction on the court to retrieve balls or prepare a set. Proper landing mechanics from a jump become a crucial part of post-operative ACL rehabilitation to avoid re-injury and ensure safe return to competitive sport. A critical part of ACL rehabilitation is following a criteria-based approach exhibiting progressions in range of motion, mobility, strength, neuromuscular control, agility, and cardiovascular training. Incorporating volleyball-specific skills early in the athlete’s rehabilitation program allows re-training of important skills during a time when then athlete is removed from play. Volleyball-specific tasks can be integrated early in proprioceptive and neuromuscular training drills and eventually progressed towards more challenging court-based tasks as the athlete advances through the phases of their rehabilitation program. Collaboration and communication of a multidisciplinary team made up of physicians, physical therapist, athletic trainers, strength and conditioning specialists, coaches, and parents must work together to determine an athlete’s readiness for return to sport (RTS). It is important to take into consideration the athlete’s sport, risk of re-injury, demands of the sport, and their psychological readiness when facilitating RTS decisions.

References

Baugh CM, Weintraub GS, Gregory AJ, Djoko A, Dompier TP, Kerr ZY. Descriptive epidemiology of injuries sustained in National Collegiate Athletic Association men’s and women’s volleyball, 2013-2014 to 2014-2015. Sports Health. 2018 Jan/Feb;10(1):60-69.

USAVolleyball. Play. United States Volleyball website. Published 2020. Accessed February 14, 2022.

Juhan T, Bolia IK, Kang HP, Homere A, Romano R, Tibone JE, et al. Injury epidemiology and time lost from participation in women’s NCAA division I indoor versus beach volleyball players. Orthop J Sports Med. 2021 Apr:9(4): 1-6.

Agel J, Palmieri-Smith RM, Dick R, Wojtys EM, Marshall SW. Descriptive epidemiology of collegiate women’s volleyball injuries: National Collegiate Athletic Association Injury Surveillance System, 1988-1989 through 2003-2004. J Athl Train. 2007;42(2):295-302.

Kerr ZY, Gregory AJ, Wosmek J, Pierpoint LA, Currie DW, Knowles SB, et al. The first decade of web-based sports injury surveillance: descriptive epidemiology of injuries in US high school girls’ volleyball (2005–2006 through 2013– 2014) and national collegiate athletic association women’s volleyball (2004–2005 through 2013–2014). J Athl Train. 2018 Oct:53(10):926-937.

Reeser JC, Gregory A, Berg RL, and Comstock RD. A comparison of women’s collegiate and girls’ high school volleyball injury data collected prospectively over a four-year period. Sport Health. 2015 Nov-Dec;7(6):504-10.

USAVolleyball. Rules. United States Volleyball website. Published 2020. Accessed February 14, 2022.

Verhagen EA, Van der Beek AJ, Bouter LM, Bahr RM, Van Mechelen W. A one season prospective cohort study of volleyball injuries. Br J Sports Med. 2004 Aug;38(4):477-81.

Brumitt J, Mattocks A, Loew J, Lentz P. Preseason functional performance test measures are associated with injury in female college volleyball players. J Sport Rehabil. 2020 Mar;29(3):320-325.

Karita Y, Kimura Y, Yamamoto Y, Naraoka T, Sasaki S, Miura K, et al. Mechanisms of anterior cruciate ligament injuries in volleyball. Br J Sports Med. 2017;51(4):284-413.

Sole CJ, Kavanaugh AA, Stone MH. Injuries in collegiate women’s volleyball: a four-year retrospective analysis. Sports (Basel). 2017 Jun;5(2):26.

Kaeding CC, Léger‐St‐Jean B, Magnussen RA. Epidemiology and diagnosis of anterior cruciate ligament injuries. Clin Sports Med. 2017 Jan;36(1):1‐8.

Pfeiffer RP, Shea KG, Roberts D, Grandstrand S, Bond L. Lack of effect of a knee ligament injury prevention program on the incidence of noncontact anterior cruciate ligament injury. J Bone Joint Surgery Am. 2006 Aug;88(8):1769-74.

Zahradnik D, Jandacka D, Farana R, Uchytil J, Hamill J. Identification of types of landings after blocking in volleyball associated with risk of ACL injury. Eur J of Sport Sci. 2017 Mar;17(2): 241-248.

Zahradnik D, Jandacka D, Uchytil J, Farana R, Hamill J. Lower extremity mechanics during landing after a volleyball block as a risk factor for anterior cruciate ligament injury. Phys Ther Sport. 2015 Feb;16(1):53-8.

Takahashi S, Nagano Y, Ito W, Kido Y, Okuwaki T. A retrospective study of mechanisms of anterior cruciate ligament injuries in high school basketball, handball, judo, soccer, and volleyball. Medicine (Baltimore). 2019 June; 98(26).

Arundale AJH, Silvers-Granelli HJ, Myklebust G. ACL injury prevention: where have we come from and where are we going? J Orthop Res. 2022 Jan;40(1)43-54.

Michaelidis M, Koumantakis GA. Effects of knee injury primary prevention programs on anterior cruciate ligament injury rates in female athletes in different sports: a systematic review. Phys Ther Sport. 2014 Aug;15(3):200‐10.

Fox AS, Bonacci J, McLean SG, Spittle M, Saunders N. What is normal? Female lower limb kinematic profiles during athletic tasks used to examine anterior cruciate ligament injury risk: a systematic review. Sports Med. 2014 Jun; 44(6):815–32.

Graziano J, Chiaia T, de Mille P, Nawabi DH, Green DW, Cordasco FA. Return to sport for skeletally immature athletes after ACL reconstruction: preventing a second injury using a quality movement assessment and quantitative measures to address modifiable risk factors. Orthop J Sports Med. 2017 Apr;5(4).

Ardern CL, Glasgow P, Schneiders A, Witvrouw E, Clarsen B, Cools A, et al. Consensus statement on return to sport from the First World Congress in Sports Physical Therapy, Bern. Br J Sports Med. 2016 Jul;50(14):853–64.

Gokeler A, Welling W, Zaffagnini S, Seil R, Padua D. Development of a test battery to enhance safe return to sports after anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc. 2017 Jan; 25(1):192–199.

Czuppon S, Racette BA, Klein SE, Harris-Hayes M. Variables associated with return to sport following anterior cruciate ligament reconstruction: a systematic review. Br J Sports Med. 2014 Mar;48(5):356-364.

Myer GD, Paterno MV, Ford KR, Quatman CE, Hewett TE. Rehabilitation after anterior cruciate ligament reconstruction: criteria-based progression through the return-to-sport phase. J Orthop Sports Phys Ther. 2006 Jun;36(6):385-402.

Grindem H, Snyder-Mackler L, Moksnes H, Engebretsen L, Risberg MA. Simple decision rules can reduce reinjury risk by 84% after ACL reconstruction: the Delaware-Oslo ACL cohort study. Br J Sports Med. 2016 Jul;50(13):804-8.

Dingenen B, Gokeler A. Optimization of the return-to-sport paradigm after anterior cruciate ligament reconstruction: a critical step back to move forward. Sports Med. 2017 Aug;47(8):1487-1500.

Paterno MV, Huang B, Thomas S, Hewett TE, Schmitt LC. Clinical factors that predict a second ACL injury after ACL reconstruction and return to sport: preliminary development of a clinical decision algorithm. Orthop J Sports Med. 2017 Dec;5(12)

Gustavsson A, Neeter C, Thomeé P, Silbernagel KG, Augustsson J, Thomeé R, et al. A test battery for evaluating hop performance in patients with an ACL injury and patients who have undergone ACL reconstruction. Knee Surg Sports Traumatol Arthrosc. 2006 Aug;14(8):778-88.

Nagelli CV, Hewett TE. Should return to sport be delayed until 2 years after anterior cruciate ligament reconstruction? Biological and functional considerations. Sports Med. 2017 Feb;47(2):221-232.

Lampros RE, Sprague I. Return to sport following anterior cruciate ligament reconstruction: women’s lacrosse. Journal of Women’s Sport Medicine. 2021;1(1)6-16.

Bizzini M, Hancock D, Impellizzeri F. Suggestions from the field for return to sport participation following anterior cruciate ligament reconstruction: soccer. J Orthop Sports Phys Ther. 2012 Apr;42(4):304-12.

Waters E. Suggestions from the field for return to sports participation following anterior cruciate ligament reconstruction: basketball. J Orthop Sports Phys Ther. 2012 Apr;42(4):326-36.

Verstegen M, Falsone S, Orr R, Smith S. Suggestions from the field for return to sport participation following anterior cruciate ligament reconstruction: American football. J Orthop Sports Phys Ther. 2012 Apr;42(4):337-44.

Kokmeyer D, Wahoff M, Mymern M. Suggestions from the field for return-to-sport rehabilitation following anterior cruciate ligament reconstruction: alpine skiing. J Orthop Sports Phys Ther. 2012 Apr;42(4):313-25.

van Grinsven S, van Cingel RE, Holla CJ, van Loon CJ. Evidence-based rehabilitation following anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc. 2010 Aug;18(8):1128-44.

Padua DA, Boling MC, Distefano LJ, Onate JA, Beutler AI, Marshall SW. Reliability of the landing error scoring system-real time, a clinical assessment tool of jump-landing biomechanics. J Sport Rehabil. 2011 May;20(2):145-56.

Padua DA, DiStefano LJ, Beutler AI, de la Motte SJ, DiStefano MJ, Marshall SW. The landing error scoring system as a screening tool for an anterior cruciate ligament injury-prevention program in elite-youth soccer athletes. J Athl Train. 2015;50(6):589-595.

Haitz K, Shultz R, Hodgins M, Matheson GO. Test-retest and interrater reliability of the functional lower extremity evaluation. J Orthop Sports Phys Ther. 2014 Dec;44(12):947-54.

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Published

2022-08-30

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How to Cite

Return to Sport Following Anterior Cruciate Ligament Reconstruction: Women’s Indoor Volleyball. (2022). Journal of Women’s Sports Medicine, 2(2), 42-56. https://doi.org/10.53646/jwsm.v2i2.23

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