Types of surgery after complete ACL injury may include surgery or conservative exercise-based treatment. Literature today Scientific evidence shows that both interventions can lead to positive outcomes too if there is still a tendency to favor reconstruction surgery. The purpose of this thesis is to show the effects of a therapy-based approach conservative for the return to sporting activity in a case study. A 23-year-old amateur soccer player underwent post-conservative treatment complete ACL tear. The work protocol in the gym included exercises of power, strength and aerobic conditioning and was held from February to June 2022. FMS tests were used for motion assessment and single leg hop, triple hop, crossover hop and agility T-test to evaluate the "return to sport". The tests were administered three times: at the end of the training period and at 6 e 10 months after the end of the work protocol The trials comparing the various tests gave the main outcome “similar or worst” and “similar and better”, with the exception of the triple hop test in which the outcome is "uncertainty". The single leg hop between test 3 and test 2 shows the most significant result. The agility t-test between test 2 and test 1 is the value where a change is most likely real. In relation to the symmetry index (LSI), the values obtained vary from 92% to 97%. The conservative work protocol after ACL injury has allowed the athlete involved in the study of returning to competitive activity respecting the parameters of "return to sport" indicated by the scientific literature. Further research should be conducted both to outline general guidelines to be followed and within the context decision-making, both as regards the "return to sport" for subjects not subjected to surgery.
Le tipologie di intervento post lesione completa del LCA possono includere la chirurgia o il trattamento conservativo basato sull’esercizio. Ad oggi la letteratura scientifica mostra che entrambi gli interventi possono portare a esiti positivi anche se si tende ancora a privilegiare l’intervento chirurgico di ricostruzione. Lo scopo di questa tesi è mostrare gli effetti di un approccio basato sulla terapia conservativa per il ritorno all’attività sportiva in un caso studio. Un calciatore dilettante di 23 anni è stato sottoposto a trattamento conservativo post lesione completa di LCA. Il protocollo di lavoro in palestra prevedeva esercizi di potenza, forza e condizionamento aerobico ed è stato svolto da febbraio a giugno 2022. Sono stati utilizzati i test FMS per la valutazione del movimento e il single leg hop, triple hop, crossover hop e agility T-test per valutare il “return to sport”. I test sono stati somministrati per tre volte: al termine del periodo di allenamento e a 6 e 10 mesi dopo la fine del protocollo di lavoro Le prove a confronto tra i vari test hanno dato come esito principale “simile o peggiore” e “simile e migliore”, ad eccezione del triple hop test in cui l’esito è di “incertezza”. Il single leg hop tra test 3 e test 2 evidenzia il risultato più significativo. L’agility t-test tra test 2 e test 1 è il valore in cui è più probabile un cambiamento reale. In relazione all’indice di simmetria (LSI), i valori ottenuti variano dal 92% al 97%. Il protocollo di lavoro conservativo post lesione di LCA ha permesso all’atleta coinvolto nello studio di ritornare all’attività competitiva rispettando i parametri di “return to sport” indicati dalla letteratura scientifica. Ulteriori ricerche dovrebbero essere condotte sia per delineare delle linee guida generali da seguire sia in ambito decisionale, sia per quanto riguarda il “return to sport” per soggetti non sottoposti ad intervento chirurgico.
Il trattamento conservativo post lesione di LCA nel calcio: caso studio di un calciatore dilettante
MACCAGNI, ANDREA
2021/2022
Abstract
Types of surgery after complete ACL injury may include surgery or conservative exercise-based treatment. Literature today Scientific evidence shows that both interventions can lead to positive outcomes too if there is still a tendency to favor reconstruction surgery. The purpose of this thesis is to show the effects of a therapy-based approach conservative for the return to sporting activity in a case study. A 23-year-old amateur soccer player underwent post-conservative treatment complete ACL tear. The work protocol in the gym included exercises of power, strength and aerobic conditioning and was held from February to June 2022. FMS tests were used for motion assessment and single leg hop, triple hop, crossover hop and agility T-test to evaluate the "return to sport". The tests were administered three times: at the end of the training period and at 6 e 10 months after the end of the work protocol The trials comparing the various tests gave the main outcome “similar or worst” and “similar and better”, with the exception of the triple hop test in which the outcome is "uncertainty". The single leg hop between test 3 and test 2 shows the most significant result. The agility t-test between test 2 and test 1 is the value where a change is most likely real. In relation to the symmetry index (LSI), the values obtained vary from 92% to 97%. The conservative work protocol after ACL injury has allowed the athlete involved in the study of returning to competitive activity respecting the parameters of "return to sport" indicated by the scientific literature. Further research should be conducted both to outline general guidelines to be followed and within the context decision-making, both as regards the "return to sport" for subjects not subjected to surgery.È consentito all'utente scaricare e condividere i documenti disponibili a testo pieno in UNITESI UNIPV nel rispetto della licenza Creative Commons del tipo CC BY NC ND.
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https://hdl.handle.net/20.500.14239/16069