Review Article

Functional Performance Testing and Patient Reported Outcomes following ACL Reconstruction: A Systematic Scoping Review

Table 2

Summary of the studies reviewed.

Eligible studies Focus of study Study designParticipant details:
gender (F/M),
subject (age)
Knee laxityFunctional performance tests Patient reported tools Results (LSI)
Quantitative assessmentQualitative assessment

(1) Ageberg et al. [23]Investigation of functional performance for ACLR patients at 2–5 years after injury.Cohort study 54 patients
(ages 18–35 years)
N/AOne-leg hop for distance,
vertical jump,
side hop
N/AKOOS,
Tegner
One-leg hop for distance
LSI 99.5%,
vertical jump LSI 96.4%,
side hop LSI 97.9

(2) Baltaci et al. [24]Determination of acceptability of a Nintendo Wii Fit compared to conventional rehabilitation as a therapy tool for ACLR patients.RCT30 men
Wii Fit (; mean age, 29 ± 7 years) or conventional rehabilitation (; mean age, 29 ± 6 years)
N/AFunctional squat tests,
SEBT
N/AN/AN/A

(3) Zouita Ben Moussa et al. [25]‘‘To analyse postural stability and single-leg hop’’ measurements in post-ACLR subjects and compare them with an age- and activity-matched control group.RCT26 patientsN/AHop for distance,
one-leg stance postural stability
N/AN/AN/A

(4) Beynnon et al. [26]Investigation of any difference in the patient satisfaction and functional performance when providing rehabilitation with either an accelerated or nonaccelerated program.RCT22 patients
11 M/11 F
Kt-1000One-leg hop for distanceN/AKOOS,
IKDC
N/A

(5) Beynnon et al. [27]Investigation of any difference in patient satisfaction, functional performance, and activity level, between patients treated with accelerated versus nonaccelerated rehabilitation programs.RCT36 patients
22 M/14 F
Kt-1000One-leg hop for distance N/AKOOS,
IKDC,
Tegner
N/A

(6) Delahunt et al. [28]Investigation of dynamic postural stability as quantified by the SEBT and simultaneous hip and knee joint kinematics in participants with previous ACL reconstructions. Cohort study31 patients
all female
N/ASEBTN/AKOOS,
IKDC
N/A

(7) Halinen et al. [29]Determination of whether nonoperative or early operative treatments of grade III medial collateral ligament rupture lead to similar results.RCT47 patients
27 F/20 M
Kt-1000One-leg hop for distanceN/AIKDC,
Lysholm score
N/A

(8) Halinen et al. [30]Evaluation of the effect of early repair of the concomitant medial collateral ligament injury on the range of motion of the knee in ACLR patients.RCT47 patients LachamOne-leg hop for distanceN/AN/AOne-leg hop for distance:
at 52 weeks:
Group I LSI 83.1%,
Group II LSI 86.1%;
at 104 weeks:
Group I LSI 90.2%,
Group II LSI 93.4%

(9) Hartigan et al. [31]Determination of an effective intervention for improving readiness to return to presurgery activity. RCT40 patients
29 M/11 F
(average age of 28.4 years)
Kt-1000Single hop crossover hop, and triple hop tests for distance and the 6-meter timed hop test for speedN/AN/A6-meter timed hop test: Group I LSI 89.2%,
Group II LSI 89.8%;
One-leg hop test: Group I LSI 83.7%,
Group II LSI 83.1%;
Crossover hop test:
Group I LSI 81.7%,
Group II LSI 85.6%;
Triple hop test:
Group I LSI 82.4%,
Group II LSI 86.4%

(10) Lindström et al. [32]Using computed tomography (CT) to analyze muscle cross-sectional area and attenuation ratios (operated/nonoperated knee).Cohort study37 patients
23 M/14 F
(mean age 26.5
Years, range = 16–54)
RolimeterOne-leg hop,
triple hop,
square hop,
6 m timed hop
N/AKOOS,
Lysholm, knee score
Tegner, activity level rating scale
One-leg hop,
preoperative LSI 0.82%,
postoperative LSI 0.93%

(11) McDevitt et al. [33]Determination of postoperative functional knee and its influences outcomes. RCT100 patients Kt-1000Single-legged hop testN/AIKDC,
Lysholm scores
N/A

(12) Moksnes and Risberg [34]Comparison of the functional outcome between ACLR and nonoperative treatment.Cohort study125 patients
(ages between 14 and 60 years)
Kt-1000One-leg hop test, the triple hop, the triple
crossover hop, and the 6 m timed hop test
N/A (KOS-ADLS), 
IKDC,
global rating of knee function (VAS 0–100)
Single hop, LSI 91.8%,
triple hop 91.4%,
triple crossover hop LSI 93.5%,
6 m timed hop test LSI 94.2%

(13) Risberg et al. [35]Determination of the effect of a 6-month neuromuscular
training (NT) program versus a traditional strength training (ST) program following
ACL surgery.
RCT75 patients
27 F/47 M
(mean age 28.4
years, range = 16.7–40.3)
Kt-1000One-leg hop
test,
triple-jump test, and stair hop
test;
balance was recorded using static
and dynamic balance tests
N/AThe Cincinnati knee score,
two VASs were included: one for
pain intensity and one for global
knee function
SF-36
One-leg hop test: preoperative:
Group I LSI 93.7%,
Group II 90.1%;
at 6 months following surgery:
Group I LSI 81.0%,
Group II LSI 84.9%
Triple-jump test:
preoperative:
Group I LSI 94.6%,
Group II LSI 91.8%;
at 6 months following surgery:
Group I LSI 83.1%
Group II LSI 88.5%
Stair hop test:
preoperative:
Group I LSI 84.8%,
Group II LSI7 8.4%;
at 6 months following surgery:
Group I LSI 79.8%,
Group II LSI 79.8%

(14) Salmon et al. [36]Determining if there is any difference in outcome between men and women after anterior cruciate ligament reconstruction. Cohort study200 patients
100 M/100 F
Kt-1000Single-legged hop test,
kneeling pain
N/AIKDC,
Lysholm knee score
N/A

(15) Shaw et al. [37]The investigation of the effectiveness of quadriceps exercises following anterior cruciate
ligament reconstruction.
RCT103 patients
28 F/75 M
Kt-1000Single-leg hop test,
triple hop
N/ACincinnati knee rating system Single-leg hop test,
no quadriceps exercise LSI 81.7%,
quadriceps exercise LSI 83.8%
Triple hop,
no quadriceps exercise LSI 81.8%,
quadriceps exercise LSI 83.7%

(16) Trulsson et al. [38]The correlation between a novel test set and commonly used tests of knee function.Cohort study53 patients (mean age 30 years, range 20–39)N/Avertical jump, the one-leg hop, and the side hopTest for substitution patterns (TSP)KOOSN/A