Importance of Discharge planning

How is injury risk affected when only ROM, pain, and strength are the criteria for discharge

3x greater

What is the greatest predictor of future injury in football

previous injury

For ACL tears, what percentage returned to pre-injury level of participation

63-65%

For ACL tears, what percentage returned to competative sport

44-55%

For ACL tears, what percentage had a re-tear

15-30%

how do patient present 1 year s/p TKA

• normal isokinetic strength

• normal ROM

• abnormal STS

What is the leading cause of fatal injuries in older adults

falls

1-year mortality rate for older adults who are hospitalized due to a fx from a fall

25%

When do deaths occur in older adults who are hospitalized due to a fx from a fall

2/3 within the first 3 months

What is the cut off for limb symmetry index to indicate little affect on the patient for future injury

13%

Keys for determining need for discharge testing

1. need to look at the research for who returned to play without getting reinjured

2. return symmetry

3. achieve or exceed pop norms

4. identify and normalize risk factors for future injury

how much more likely is a noncontact injury for someone with moderate to substantial deficits

3.4

risk factors for military personel

• SANE </= 92.5%

• pain present with movement

• >4.5 degrees DF difference

• >7.75 cm diff for Y-B UQ

• <72% composite for Y-B LQ

• >15.3 mins for 2 mile run

how often should DC criteria be tested

weekly

test selection for ADL activity level

• ROM/strength

• SFMA

• Y-B LQ

test selection for fitness activity level

• FMS

• Y-B UQ

test selection for running activity level

• jump skill

• hop testing

test selection for sport activity level

• sport specific agility

• sport specific risk factors