Return to Sport Following Anterior Cruciate Ligament Reconstruction: Women's Lacrosse

Authors

  • Rachel E. Lampros, PT, DPT, SCS, MS Massachusetts General Hospital
  • Isabella Sprague, PT, DPT, SCS Massachusetts General Hospital

DOI:

https://doi.org/10.53646/jwsm.v1i1.6

Keywords:

ACL, Rehabilitation, Women, Lacrosse, Physical Therapy, Return to Sport, anterior cruciate ligament, women's lacrosse

Abstract

Participation in women’s lacrosse has increased in popularity over the last 20 years with a subsequent rise in sports-related injuries. Despite this increase, there is a paucity of research examining this population, particularly regarding guidelines for safe return to lacrosse after anterior cruciate ligament (ACL) reconstruction.  A lacrosse-specific functional rehabilitation program is critical to the success of the athlete.  The athlete must be prepared and demonstrate the ability to cut, pivot, jump, pass, and shoot with the incidental contact required for sport clearance.  A criterion-based program delineating a progression of range of motion, mobility, strength, neuromuscular control, agility, and cardiovascular training is an essential part of ACL rehabilitation.  Early incorporation of lacrosse-specific skills emphasizing multiplanar neuromuscular control should gradually progress to more challenging field-based tasks as the athlete transitions through their rehabilitation program.  A multidisciplinary team of physicians, physical therapists, athletic trainers, strength and conditioning specialists, coaches, and parents must collaborate effectively to reduce the athlete’s risk for reinjury, meet the demands of the sport, and facilitate returning to the field without complications. 

Associated video content

Author Biographies

  • Rachel E. Lampros, PT, DPT, SCS, MS, Massachusetts General Hospital

    Massachusetts General Hospital Sports Physical Therapy Department

    Senior Physical Therapist

    Board Certified Specialist in Sports Physical Therapist

  • Isabella Sprague, PT, DPT, SCS, Massachusetts General Hospital

    Massachusetts General Hospital Sports Physical Therapy Department

    Staff Physical Therapist

    Board Certified Specialist in Sports Physical Therapist

References

Kvist J. Rehabilitation following anterior cruciate ligament injury: current recommendations for sports participation. Sports Med. 2004;34(4):269-80.

Davies GJ, McCarty E, Provencher M, Manske RC. ACL Return to sport guidelines and criteria. Curr Rev Musculoskelet Med. 2017;10(3):307-314.

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 reconstruc-tion. Knee Surg Sports Traumatol Arthrosc. 2017;25(1):192-199.

Rambaud AJM, Semay B, Samozino P, et al. Criteria for return to sport after anterior cruciate ligament reconstruction with lower reinjury risk (CR’STAL study): protocol for a prospective observational study in France. BMJ Open 2017;7:e015087.

Van Melick N, van Cingel RE, Brooijmans F, et al. Evidence-based clinical practice update: practice guidelines for anterior cruciate ligament rehabilita-tion based on a systematic review and multidisci-plinary consensus. Br J Sports Med. 2016; 50:1506.

Bousquet BA, O'Brien L, Singleton S, Beggs M. Post-operative criterion based rehabilitation of ACL re-pairs: a clinical commentary. Int J Sports Phys Ther. 2018;13(2):293-305.

US Lacrosse. Participation report. US Lacrosse Or-ganization website. Published 2018. Accessed Janu-ary 15, 2021. https://www.uslacrosse.org/sites/default/files/public/documents/about-us-lacrosse/2018-participation-report.pdf

US Lacrosse. Girls’ game overview. US Lacrosse Organization website. Published 2021. Accessed May 25, 2021.

https://www.usalacrosse.com/girls-game-overview

Vincent HK, Zdziarski LA, Vincent KR. Review of lacrosse-related musculoskeletal injuries in high school and collegiate players. Sports Health. 2015;7(5):448-51.

Barber Foss KD, Le Cara E, McCambridge T, Hin-ton RY, Kushner A, Myer GD. Epidemiology of inju-ries in women's lacrosse: implications for sport-, level-, and sex-specific injury prevention strategies. Clin J Sport Med. 2018;28(4):406-413.

Dick R, Lincoln A, Agel J, et al. Descriptive epidemi-ology of collegiate women’s lacrosse injuries: Na-tional Collegiate Athletic Association Injury Surveil-lance System, 1988–1989 through 2003–2004. J Athl Train. 2007; 42: 262–9.

Dick R, Romani W, Agel J, et al. Descriptive epide-miology of collegiate men’s lacrosse injuries: Na-tional Collegiate Athletic Association Injury Surveil-lance System, 1988–1989 through 2003–2004. J. Athl. Train. 2007; 42: 255–61.

Hinton R, Lincoln A, Almquist J, et al. Epidemiology of lacrosse injuries in high school-aged girls and boys. A 3-year prospective study. Am. J. Sports Med. 2005; 33: 1–11.

Hootman J, Dick R, Agel J. Epidemiology of colle-giate injuries for 15 sports: summary and recom-mendations for injury prevention initiatives. J Athl Train. 2007; 42: 311–9.

Agel J, Rockwood T, Klossner D. Collegiate ACL injury rates across 15 sports: National Collegiate Athletic Association injury surveillance system data update (2004-2005 Through 2012-2013). Clin J Sport Med. 2016 Nov;26(6):518-523.

Gornitzky AL, Lott A, Yellin JL, Fabricant PD, Law-rence JT, Ganley TJ. Sport-specific yearly risk and incidence of anterior cruciate ligament tears in high school athletes: a systematic review and meta-analysis. Am J Sports Med. 2016 Oct;44(10):2716-2723.

Pierpoint LA, Caswell SV, Walker N, et al. The first decade of web-based sports injury surveillance: de-scriptive epidemiology of injuries in US high school girls' lacrosse (2008-2009 through 2013-2014) and National Collegiate Athletic Association women's lacrosse (2004-2005 through 2013-2014). J Athl Train. 2019;54:42-54.

Kerr ZY, Lincoln AE, Caswell SV, Klossner DA, Walker N, Dompier TP. Epidemiology of National Collegiate Athletic Association women's lacrosse in-juries, 2009-10 through 2014-15. J Sport Rehabil. 2018;27(2):118-125.

Warner K, Savage J, Kuenze CM, et al. A comparison of high school boys' and girls' lacrosse injuries: aca-demic years 2008–2009 through 2015–2016. J Athl Train. 2018;53:1049-1055.

Carter EA, Westerman BJ, Lincoln AE, Hunting KL. Common game injury scenarios in men's and wom-en's lacrosse. Int J Inj Contr Saf Promot. 2010;17(2):111-8.

Stanley LE, Kerr ZY, Dompier TP, Padua DA. Sex differences in the incidence of anterior cruciate lig-ament, medial collateral ligament, and meniscal in-juries in collegiate and high school sports: 2009–2010 through 2013–2014. Am Sports Med. 2016; 44:1565–72.

Putukian M, Lincoln AE, Crisco JJ. Sports-specific issues in men’s and women’s lacrosse. Curr Sports Med Rep. 2014; 13: 334-340.

Renstrom P, Ljungqvist A, Arendt A, et al. Non-contact ACL injuries in female athletes: an Interna-tional Olympic Committee current concepts state-ment. Br J Sports Med. 2008; 42: 394–412.

Mihata LC, Beutler AI, Boden BP. Comparing the incidence of anterior cruciate ligament injury in col-legiate lacrosse, soccer and basketball players: im-plications for anterior cruciate ligament mechanism and prevention. Am J Sports Med. 2006; 34: 899–904.

Prodromos CC, Han Y, Rogowski J, et al. A meta-analysis of the incidence of anterior cruciate liga-ment tears as a function of gender, sport, and a knee injury-reduction regimen. Arthroscopy. 2007; 23: 1320–1325.

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

Myer GD, Martin L Jr, Ford KR, Paterno MV, Schmitt LC, Heidt RS Jr, Colosimo A, Hewett TE. No association of time from surgery with functional deficits in athletes after anterior cruciate ligament reconstruction: evidence for objective return-to-sport criteria. Am J Sports Med. 2012; 40 (10):2256-63.

Barber-Westin SD, Noyes FR. Factors used to de-termine return to unrestricted sports activities after anterior cruciate ligament reconstruction. Arthros-copy. 2011; 27:1697-1705.

Logerstedt D, Di Stasi S, Grindem H, et al. Self-reported knee function can identify athletes who fail return-to-activity criteria up to 1 year after anterior cruciate ligament reconstruction: a Delaware-Oslo ACL cohort study. J Orthop Sports Phys The.2014;44:914–23.

Hartigan EH, Axe MJ, Snyder-Mackler L. Time line for noncopers to pass return-to-sports criteria after anterior cruciate ligament reconstruction. J Orthop Sports Phys Ther. 2010;40:141–54.

Risberg MA, Holm I, Myklebust G, Engebretsen L. Neuromuscular training versus strength training during first 6 months after anterior cruciate liga-ment reconstruction: a randomized clinical trial. Phys Ther. 2007; 87:737.

van Grinsven S, van Cingel RE, Holla CJ, van Loon CJ. Evidence-based rehabilitation following anteri-or cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc. 2010; 18:1128.

Bizzini M, Hancock D, Impellizzeri F. Suggestions from the field for return to sports participation fol-lowing anterior cruciate ligament reconstruction: soccer. JOSPT. 2012 Apr;42(4):304-12.

Waters E. Suggestions from the field for return to sports participation following anterior cruciate lig-ament reconstruction: basketball. JOSPT. 2012 Apr;42(4):326-36.

Verstegen M, Falsone S, Orr R, Smith S. Suggestions from the field for return to sports participation fol-lowing anterior cruciate ligament reconstruction: American football. JOSPT. 2012 Apr;42(4):337-44.

Kokmeyer D, Wahoff M, Mymern M. Suggestions from the field for return-to-sport rehabilitation fol-lowing anterior cruciate ligament reconstruction: alpine skiing. JOSPT. 2012 Apr;42(4):313-25.

Vincent HK, Vincent KR. Core and back rehabilita-tion for high-speed rotation sports: highlight on la-crosse. Curr Sports Med Rep. 2018;17:208-214.

Downloads

Published

2021-09-26

Issue

Section

Articles

How to Cite

Return to Sport Following Anterior Cruciate Ligament Reconstruction: Women’s Lacrosse. (2021). Journal of Women’s Sports Medicine, 1(1), 6-16. https://doi.org/10.53646/jwsm.v1i1.6

Similar Articles

1-10 of 34

You may also start an advanced similarity search for this article.

Most read articles by the same author(s)

1 2 3 4 > >>