Reply To: April Journal Club

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#6236
Tyler France
Participant

Hey Justin,

What did her L hamstring strength and bilateral quad strength look like? The article showed better rates of returning to previous level of sports participation in those with higher leg symmetry index values, so I think it is important to compare the two sides before making a decision. I would want to see how she responds to single leg dynamic balance tasks with some speed component like she may encounter when running on uneven terrain (maybe small hops onto airex, etc). It would be hard to make a guess about her SL hop test performance without quad or hip extensor strength numbers. Based on the results of her functional screen, I’d imagine that she may experience some dynamic valgus and trendelenberg upon landing. I’d say a single leg exercise that emphasizes the hamstrings, but also requires hip abductor strengthening, such as an RDL, could be beneficial for the patient. However, that would be dissimilar and out of context with her primary functional goal, so you would have to decide whether she lacks the strength for the activity and may require something out of task before progressing into something more functional.