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G-26 Free Communication/Slide - Emerging Concepts on the Assessment and Treatment of Athletes Saturday, June 4, 2016, 9: 00 AM - 11: 00 AM Room: 103

Development of a Clinician-Rated Drop Vertical Jump Scale for Patients Undergoing Rehabilitation After ACL Reconstruction

3554 June 4, 9

15 AM - 9

30 AM

Gagnon, Sheila S.; Birmingham, Trevor B.; Chesworth, Bert M.; Bryant, Dianne; Robert Giffin, J.

Author Information
Medicine & Science in Sports & Exercise: May 2016 - Volume 48 - Issue 5S - p 984
doi: 10.1249/01.mss.0000487958.79746.ae
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Biomechanical studies suggest performance on a drop vertical jump (DVJ) can predict anterior cruciate ligament (ACL) injury and should be targeted during rehabilitation after ACL reconstruction. A clinically feasible tool would be advantageous for quantitatively evaluating performance and change in DVJ following therapy. Such a tool should be developed by a panel of experts to establish consensus on the usefulness of the tool, and to verify that essential components are included.

PURPOSE: The purpose of the present study was to establish consensus on the content and scoring of a Clinician Rated DVJ Scale for use during rehabilitation after ACL reconstruction.

METHODS: Using a Delphi process, 20 experts on the risk factors, prevention, treatment and/or biomechanics of ACL injury, anonymously critiqued the proposed Clinician Rated DVJ Scale, using Likert-scales and written feedback. Three-to-five rounds were planned a priori as termination criteria, with the requirement of 75% agreement on items after the final round.

RESULTS: Nine researchers and eleven clinicians including physical therapists, athletic therapists and orthopaedic surgeons participated. Response rates were 55%, 85% and 70% for rounds two, three and four, respectively. After rounds one and two, the scale was revised to include only the components that ≥ 61% of experts agreed upon. After round three, only two components had ≤ 75% agreement, and these were refined for round four. After round four, ≥ 92% agreement was achieved. Final items on the scale include a rating of knee valgus collapse (No to Extreme), and other undesirable movements including evidence of lateral trunk lean, insufficient trunk flexion, insufficient knee flexion and limb-to-limb asymmetry. A scale from 0 (No knee valgus collapse and no undesirable movements) to 9 (Extreme knee valgus collapse ± undesirable movements) is included for each leg to monitor change throughout rehabilitation.

CONCLUSIONS: The Delphi process resulted in adequate agreement on the content and scoring of the Clinician Rated DVJ Scale to support its preliminary use as a measurement tool for functional testing throughout rehabilitation following ACL injury and/or reconstruction. A Beta version of the scale will be subsequently piloted.

© 2016 American College of Sports Medicine