Demographic characteristics did not differ between the SAPP and SAPP + PERT groups (Appendix Table A1). *Comprising the surgery, orthopaedics, vision and interventional solutions businesses within Johnson & Johnson’s Medical Devices segment, [1] https://www.biosensewebster.com/patients/, © 1985 - 2020 BioSpace.com. Advisor FL Sensor Enabled Circular Mapping Catheter- 8Fr x 115cm, Advisor FL Sensor Enabled Circular Mapping Catheter- Bi-Directional Decapolar 5-5-5 D-F CURVE-20mm loop diameter 8Fr x 105 cm length, Agilis NxT™ Steerable Introducer SML Curl- Dual Reach Bi Direct Non-Expired(10-31-2020)-8.5Fr x 71cm, Agilis NxT™ Steerable Introducer-Sml Curl- 8.5Fr x 40cm length, Blazer DX - 20 Duodecapolar - Medium Curve - 2-2-2mm - 7Fr x 109cm, Blazer DX - 20 Duodecapolar - Medium Curve - 2-5-2mm - 7Fr x 109cm, Blazer DX - 20 Duodecapolar - Super Large Curve - 2/25/2mm - 7Fr x 100cm, Boston Scientific Viking Diagnostic Electrode Catheter-CS Curve- Expiration Not Listed On Package, BW CS Bi-Directional Diagnostic 7Fr FJ Curve 115cm - Reprocessed -Stryker - 7Fr, BW CS Bi-Directional Diagnostic EP Catheter - 7Fr x 115cm, BW Webster Steerable Diagnostic EP Catheter Reprocessed - 7Fr x 115cm, CARTO® 3 THERMOCOOL® SMARTTOUCH® SF Bi-Directional w-Curve Visualization-DD Curve-1-6-2mm-8Fr x 115cm, Celsius FLTR Catheter-F Type Curve-0.5-5-2mm - 7.5Fr x 115cm, Celsius® RMT ThermoCool Steerable Irrigated Ablation 2-5-2 mm 3.5 mm tip - 8Fr x 130 cm length, Celsius™ - 4 mm PEANUT tip- D-Type - 7Fr x 4mm, Celsius™ - Electrophysiology Catheter - 8Fr x 4mm, Celsius™ Deflectable Braided Tip-(Thermistor) Quad D-Type Curve 2-5-2 - 7Fr x 4mm, Celsius™ Deflectable Tip - (Thermistor) DcType Curve 2-5-2 - 8Fr x 4mm, Celsius™ DS Deflectable Braided Tip Thermocouple D-Type Curve 1-6-2 - 7Fr x 8mm, Celsius™ DS Deflectable Braided Tip Thermocouple F-Type Curve 1-6-2 8MM Tip - 7Fr x 8mm, Celsius™ DS J-Type Deflectable Braided Tip - Thermocouple 1-6-2 - 7Fr x 8mm, Celsius™ Quad F-Type Curve Deflectable Tip - (Thermistor) 2-5-2 - 6Fr x 4mm, Celsius™ RMT Quadripolar 2-5-2mm - 7Fr x 4mm, Celsius™ Thermo-Cool™ Irrigated Tip-Thermocouple Quad B-Type Curve 2-5-2 - 7Fr x 3.5mm, Celsius™ Thermo-Cool™ Irrigated Tip-Thermocouple Quad D-Type Curve 2-5-2(35R-33R) - 7Fr x 3.5mm, Celsius™ Thermo-Cool™ Irrigated Tip-Thermocouple Quad F-Type Curve 2-5-2 - - 7Fr x 115cm, CristaCath Steerable DuoDeca Deflectable Diagnositic -7Fr- Reprocessed, Deflectable D Cure-Deca w/ 10mm Spacing- 36G33Q - 7Fr x 1mm, Dynamic Deca -2-6-2-Steerable Electrode -6Fr x 2mm x 110cm, Dynamic XT - Deca Steerable Decapolar Large - 2-5-2 - 6Fr x 2mm - REPROCESSED, Dynamic XT Deca Steerable Decapolar Large 4.0 2-5-2 - 6Fr x 2mm, Dynamic XT QUAD Steerable Decapolar Large-2-5-2- 6Fr x 2mm - Reprocessed(09-12-2021), Dynamic XT Steerable Diagnostic 6 Fr -Octa- Reprocessed - 6Fr x 110cm, Dynamic XT Steerable Diagnostic 6 Fr Reprocessed - 6Fr x 110cm, Dynamic XT Steerable Diagnostic 6 Fr-Octa- Large Curve 4.0 - Reprocessed - 6Fr x 110cm, EnSite™ Array Multi-electrode Diagnostic Catheter, EnSite™ EC1000 Multi-electrode Diagnostic Catheter, Epicardial Catheter System w-Agilis NXT-Sm Curl Response EP Cath, Tuohy Needle(17G) - Non-Expired (08-31-2021), Epicardial Catheter System w/Agilis NXT Steerable Introducer Small Curl - Response EP Catheter, Tuohy Needle Included - 8.5Fr x 2.8, EPT Polaris DX Steerable Diagnostic EP Catheter (REPROCESSED) - 6Fr x 100cm, EZ Steer Bi Directional THERMISOR D - F Curve - 7Fr x 115cm, EZ Steer Bi Directional THERMISOR J - J Curve - 7Fr x 4mm, EZ Steer Bi-Directional Electrophysiology Catheter Non-Nav- 7Fr x 4mm, EZ Steer DS Bi Directional EP Catheter - 7Fr x 115cm, EZ Steer Nav Bi-Directional F-J 8MM TIP - 7Fr x 8mm, EZ Steer Nav Bi-Directional F-J Non-Expired - 7Fr x 4mm- Non-Expired, EZ Steer Nav Bi-Directional J-J - 7Fr x 4mm, EZ Steer Nav DS Bi Directional EP Catheter - 7Fr x 115cm, EZ STEER® Bi-Directional THERMOCOOL® Nav D-D Curve-7.5Fr x 2.5mm, Agilis NxT- 8.5Fr x 61cm (Lumen) x 40cm (Usable) x 62cm (Straight Dilator) x 180cm (Super Stiff Guidewire w/Finger Straightenable 3mm J Tip). Always verify catheter tip location using fluoroscopy or IC signals and consult the CARTO® System User Guide regarding recommendations for fluoroscopy use. This site uses cookies. A higher proportion of ACL-SPORTS participants passed the KOOS Sports/Rec PASS score versus the proportion of MOON participants who passed (P = .004). Another consideration is that the comparative analysis included only high-level, female athletes age 13 to 24 years; thus, the findings may not be generalizable to other individuals. has received consulting fees from Cytori, the National Football League, and Mitek; research support from Smith & Nephew Endoscopy and DonJoy Orthopaedics; and hospitality payments from DePuy and Biosense Webster. (1) Test the effect of strength, agility, plyometric, and secondary prevention (SAPP) exercises with and without perturbation training (SAPP + PERT) on strength, hops, function, activity levels, and return-to-sport rates in young female athletes 1 and 2 years after ACLR and (2) compare 2-year functional outcomes and activity levels among young female athletes in the Anterior Cruciate Ligament Specialized Post-Operative Return-to-Sports (ACL-SPORTS) trial to homogeneous cohorts who completed criterion-based postoperative rehabilitation alone (Multicenter Orthopaedic Outcomes Network [MOON]) and in combination with extended preoperative rehabilitation (Delaware-Oslo). Athletes were enrolled only if they were 3 to 9 months after primary ACLR (mean ± SD, 6 ± 2 months) and had achieved 80% or greater quadriceps strength index, minimal to no knee effusion,47 full knee range of motion, and initiation of a running progression.1 Although preenrollment (preoperative or postoperative) rehabilitation was not controlled, all participants underwent physical therapy and were required to meet objective clinical criteria, consistent with criterion-based rehabilitation,1 prior to enrollment. Participants from the MOON cohort participated in standardized, criterion-based postoperative rehabilitation50 alone (ie, without extended preoperative rehabilitation or postoperative RTS training) and represented standard of care. Limitations should be considered when interpreting the results of the study. Access to society journal content varies across our titles. Apply to Clinical Specialist, Account Representative, Hardware Engineer and more! Surgeons and physical therapists also varied across and within studies. In stark contrast, 100% (39/39) of female athletes in the ACL-SPORTS trial returned to sport by 2 years after ACLR, including 87% (34/39) who returned to their preinjury level. Additionally, age was constrained to include only those aged 13 to 24 years at enrollment (ACL-SPORTS) or time of surgery (Delaware Oslo and MOON) to focus on the young female athletes at particularly high risk for poor outcomes after ACLR.4,10,16,21,25,38–40,46 Inclusion criteria were female sex; age 13 to 24 years at enrollment; available functional outcomes data from approximately 2 years after primary, unilateral ACLR; and participant in level 1 or 2 sport15,24 prior to index ACLR. †Biomechanics and Movement Science Program, University of Delaware, Newark, Delaware, USA. ††Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, Ohio, USA. Although perturbation training provided no added benefit, 10 sessions of return-to-sport training, compared with criterion-based postoperative rehabilitation alone, yielded statistically significant and clinically meaningfully higher 2-year functional outcomes among young, high-level female athletes after ACLR. The comparative effectiveness of postoperative RTS training versus criterion-based postoperative rehabilitation alone or with the addition of extended preoperative rehabilitation is also unknown. NCT01773317 (ClinicalTrials.gov identifier). Hefti, F, Muller, W, Jakob, RP, Staubli, HU. A total of 40 level 1 and level 2 female athletes were enrolled after postoperative impairment resolution 3 to 9 months after primary ACLR. In addition, case data may be shared between institutions for clinical and research purposes. We found that 10 sessions of postoperative RTS training (ACL-SPORTS), compared with criterion-based postoperative rehabilitation alone (MOON), provided clinically meaningful, higher 2-year functional outcomes among young level 1 and level 2 female athletes after primary ACLR. Kyritsis, P, Bahr, R, Landreau, P, Miladi, R, Witvrouw, E. Logerstedt, DS, Snyder-Mackler, L, Ritter, RC, Axe, MJ, Godges, JJ. ¶Department of Sport Medicine, Norwegian School of Sports Sciences, Oslo, Norway. Figure 2. alcon 30rts: box of 6. in-stock orders received before 4pm est shipped same day. Participants completed testing before and after 10 RTS training sessions and at 1 and 2 years after ACLR, as presented in the study flow diagram (Figure 1). Strengths of the present study include that it was the first to compare (1) RTS training with and without perturbation training on medium-term outcomes in female athletes after ACLR and (2) the addition of a supplementary, postoperative RTS training program versus criterion-based postoperative rehabilitation alone, the current standard of care for patients after ACLR. The ACL-SPORTS protocol also yielded exceptionally high RTS rates, far superior to those previously reported in the literature. ∥Department of Physical Therapy, Arcadia University, Glenside, Pennsylvania, USA. 51 Biosense Webster jobs available on Indeed.com. Participants were randomized to 10 SAPP or SAPP + PERT sessions and were tested 1 and 2 years after ACLR on quadriceps strength, hop tests, functional outcomes, and return-to-sport rates. © 2020 HMP. New login is not successful because the max limit of logins for this user account has been reached. White, K, Di Stasi, SL, Smith, AH, Snyder-Mackler, L. Zbrojkiewicz, D, Vertullo, C, Grayson, JE. Two recent articles provide high-quality evidence supporting the use of such criterion-based approaches to achieve objective criteria, including ≥90% strength and hop test limb symmetry indexes, prior to RTS.23,30 Formal rehabilitation, however, typically ends well before athletes achieve these criteria, and athletes often receive RTS clearance without first meeting these, or any, objective criteria.9,44 Therefore, training programs to bridge the gap between postoperative rehabilitation, the current standard of care, and achievement of objective criteria may be a critical component to improve outcomes after ACLR. Núñez, M, Sastre, S, Núñez, E, Lozano, L, Nicodemo, C, Segur, JM. A cohort design was used to evaluate RTS training compared with postoperative rehabilitation alone and in combination with extended preoperative rehabilitation, such that cause and effect cannot be determined, and the numbers of participants in each cohort differed greatly. Trial Design and Oversight. Athletes were excluded if they had a previous ACL injury or lower extremity surgery to either knee, had a concomitant grade 3 knee ligament injury or large (>1 cm2) osteochondral defect, were not between ages 13 to 55 years at enrollment, or did not participate regularly (50 hours per year) in jumping, cutting, or pivoting sports prior to ACL injury.
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