Outcome Measures After ACL Injury in Pediatric Patients: A Scoping Review

Mette Kreutzfeldt Zebis, Susan Warming, Maria B. Pedersen, Peter Magnusson, Marie Kraft, Martin Rathce, Michael Kroghsgaard, Simon Døssing, Tine Alkjaer

    Publikation: Bidrag til tidsskriftTidsskriftsartikelForskningpeer review


    Background: The incidence of anterior cruciate ligament (ACL) injuries in children is increasing. However, no standardized core set
    of outcome measures exists for evaluating pediatric ACL injuries.
    Purpose: To perform a scoping review of the literature to identify patient-reported outcome measures (PROMs) and objective
    outcome measures used to evaluate pediatric patients after ACL injury and to classify these in accordance with the International
    Classification of Functioning, Disability, and Health (ICF) domains.
    Study Design: Systematic review; Level of evidence, 4.
    Methods: The literature was systematically searched with the PubMed, EMBASE, CINAHL, and PEDro databases. The inclusion
    criteria were Danish, Norwegian, Swedish, German, or English language; publication between 2010 and 2018; pediatric ACL injury
    (patients 15 years old); and outcome measures. The selected papers were screened for title, abstract, and full text in accordance
    with predefined inclusion and exclusion criteria.
    Results: A total of 68 papers (4286 patients; mean ± SD age, 12.2 ± 2.3 years) were included. Nineteen PROMs and 11 objective
    outcome measures were identified. The most frequently reported PROMs were the International Knee Documentation Committee
    (IKDC) Subjective Knee Form (51% of studies), Lysholm scoring scale (46% of studies) and Tegner activity rating scale (37% of
    studies). Additionally, return to sport was reported in 41% of studies. The most frequent objective measures were knee laxity (76%
    of studies), growth disturbances (69% of studies), range of motion (41% of studies), and muscle strength (21% of studies). With
    respect to the ICF domains, the IKDC covered all 3 ICF health domains, the Lysholm score covered the Body Structure and
    Function and the Activity Limitation domains, while the Tegner score covered the Participation Restriction domain. Objectively
    measured knee joint laxity, range of motion, and muscle strength covered 1 domain (Body Structure and Function).
    Conclusion: Pediatric patients with ACL injury were mainly evaluated subjectively with the IKDC and objectively by knee joint
    laxity. No consensus exists in the evaluation of children after ACL injury. The majority of applied outcome measures are developed
    for adults. To cover the ICF health d
    TidsskriftOrthopaedic Journal of Sports Medicine
    Udgave nummer7
    Sider (fra-til)1-10
    Antal sider10
    StatusUdgivet - 2019


    • rehabilitering
    • Børn og unge
    • fysioterapi