Återgår barn och ungdomar till idrott efter främre korsbandsrekonstruktion? : En systematisk litteraturstudie om aktivitetsnivå och återgång till idrott

Sammanfattning: Aim The purpose of this study is to describe and review the studies that have examined the activity level and return to the sport in children and adolescents with anterior cruciate ligament reconstruction. Method This present study is a descriptive systematic literature study with quantitative perspective. Literature searches was conducted between January and April 2015 in the four databases PubMed, CINAHL, SweMed + and reSEARCH for the period 1995-01-01 tom 2015-04-17. Total included 18 scientific articles.  When reviewing the methodological quality of each included article the author used the template for quality review of observational studies part A annex 3 from the SBU. To assess level of evidence the results of all 18 included studies and the summary assessment of the risk of systematic were compared. They were then graded for level of evidence according to SBU. Finally, it was established an overall assessment of evidence level of all 18 included scientific articles. Results One article showed a low estimated average graded with Tegner activity scale both before reconstruction which was four and after surgery which was 3.9. A total of 14 articles showed a high estimated average Tegner activity scale between 5 and 9 at follow-up. Two of the articles reviewed demonstrate that all included children returned to their sport and to the previous level of activity. All articles had a medium quality and the level of evidence were limited. Conclusion Research in children and adolescent with ACL injuries, activity level and return to sport is inadequate and few in number. The result included article present that the activity level is overall high aswell as return to sport but the quality of all included study was low so the evidence level is limited. Further research is needed with good quality.