National Library of Medicine %PDF-1.7
%
2016 May;51(5):425-7. doi: 10.4085/1062-6050.51.5.11. %
endstream
endobj
startxref
and transmitted securely. Participants performance on the Vail Sport Test was graded by an experienced rater in real-time, and simultaneously recorded by a three-dimensional (3D) motion capture system. HHS Vulnerability Disclosure, Help This criteria-based protocol incorporates a dynamic assessment of baseline limb strength, patient-reported outcomes, functional knee stability, bilateral limb symmetry with functional tasks, postural control, power, endurance, agility, and technique with sport-specific tasks and serves as a foundation to expand future evidence-based evaluation. stream
In the acute management phase, there are some considerations to protect the surgical repair and allow healing without compromising ROM. for the degree of doctor of philosophy .
PDF Original Researchthe Reliability of The Vail Sport Test Tm As A Available from: Single Leg Drop Jump | OSU Sports Medicine.
Post-operative criterion based rehabilitaiton of ACL repairs: A clinical commentary. You may begin with 4 minutes of walking to a minute of running repeated 4 times over 20 minutes, 2-3 times per week. Training for high load activities requires 85-100% of 1 RM, 1-3 sets with 3 minutes rest. Bookshelf 1b, Fig. Copyright 2019 Elsevier Ltd. All rights reserved. Functional outcomes suggest that a subgroup of noncopers require additional supervised rehabilitation to pass stringent criteria to return to sports.
The reliability of the vail sport test as a measure of physical Eighty-three per cent of elite athletes return to preinjury sport after anterior cruciate ligament reconstruction: a systematic review with meta-analysis of return to sport rates, graft rupture rates and performance outcomes. <>
The International Journal of Sports Physical Therapy | Volume 7, Number 1 | February 2012 | Page 22 triple hop indices.16 In addition, the quadriceps strength of these patients was correlated with . Conclusion: The Vail Sport Test demonstrated good convergent construct validity on the operated limb, good external validity on both the operated and uninvolved limb, and good between-day reliability on the operated limb. the validity and reliability of the vail sport test as a measure of . 15 reps single leg squat from a 10 inch step/box, Anterior reach on the Y-Balance test within 8 cm difference from the opposite leg, Back squat/Leg press at 80% of the predicted 10 RM, Anterior reach distance within 4 cm difference from the opposite leg on the Y-Balance test, Quad girth within 1 cm compared to the contralateral side, Hamstrings/Quad ratio 60%, using a handheld dynamometer. Compared with matched healthy controls, the participants who underwent ACLR demonstrated an inferior objective profile at RTS, consisting of deficits in surgical limb loading, self-reported outcomes, and strength. <>
199 Vail Sport Test - Backward Jog -- Texas Health Ben Hogan Sports Medicine Exercises TexasHealthBenHogan 281 subscribers Subscribe Like Share 4.6K views 10 years ago Show more Show more.
Functional Assessment - Vail Sports Test - YouTube Alter-G treadmill or pool running is helpful when you want to start with partial weight-bearing, progressing 5% each session till full weigh-bearing. Moving from endurance to strength training can start when the athlete shows[14]: Strength is the ability to exert force/torque at a specific speed. 1a, Fig. 2017 Oct;475(10):2472-2480. doi: 10.1007/s11999-017-5418-2. The decision to return an athlete to sports following anterior cruciate ligament reconstruction can be controversial. Knee Surgery, Sports Traumatology, Arthroscopy. 2 0 obj
2012 Feb;7(1):20-30. Annals of the Academy of Medicine, Singapore. Objectives: To determine the validity and inter-session reliability of the Vail Sport TestTM. <>
1d, Fig. METHODS A comprehensive RTS decision-based model for sports medicine practitioners is discussed that assesses risk of reinjury from multiple factors and determines the clinicians threshold for acceptable risk. A criterion-based postoperative protocol was derived based on current evidence regarding rehabilitation following cruciate ligament reconstruction and evidence regarding lower extremity rehabilitation principles and injury prevention and allowed the patient to return to competitive athletics. Following the first 6 weeks of acute management after ACL reconstruction, creating a long-term rehabilitation plan can be challenging for physiotherapists. The reliability of the vail sport test as a measure of physical performance following anterior cruciate ligament reconstruction. <>/Metadata 430 0 R/ViewerPreferences 431 0 R>>
For example, building a 30-40 minutes lower body workout would look like. Journal of orthopaedic research : official publication of the Orthopaedic Research Society. government site. *'*,zvchs08S7E?#7`C=>xW1hRU$6RXY"]uVhD&J\VrW.V3Aa&HkSAxNsA+a.pUzN6^1IAga`m","6u(P?w#ZvW The purposes of this study are 1) to describe a functional test (Vail Sport Test) that includes the evaluation of muscle strength, endurance, power, and movement quality in those patients attempting to return to sports following ACL reconstruction and 2) to assess the reliability of the Vail Sport Test. A total of 30 (12 F, 18 M . Alter-G treadmill or pool running is helpful when you want to start with partial weight-bearing, progressing 5% each session till full weigh-bearing.
PDF Original Researchthe Reliability of The Vail Sport Test Tm As A J Athl Train.
PDF Functional Testing Protocol - HIP - University of Kansas Health System The results show that the described series of hop tests provide a reliable and valid performance-based outcome measure for patients undergoing rehabilitation following ACL reconstruction, and these findings support the use and facilitate the interpretation ofHop tests for research and clinical practice. Unable to load your collection due to an error, Unable to load your delegates due to an error. In young patients with high functional demands, return to sports is allowed no earlier than 912 months after they have undergone a thorough rehabilitation programme, but it is known to be associated with secondary stiffness. There were no significant difference between the scores collected in real-time and from the kinematic data on the involved limb (p = 0.222). A criterion-based postoperative protocol was derived based on current evidence regarding rehabilitation following cruciate ligament reconstruction and evidence regarding lower extremity rehabilitation principles and injury prevention and allowed the patient to return to competitive athletics. C. Wilke et al. Early Operative Versus Delayed or Nonoperative Treatment of Anterior Cruciate Ligament Injuries in Pediatric Patients. Age, gender, quadriceps strength and hop test performance are the most important factors affecting the achievement of a patient-acceptable symptom state after ACL reconstruction. Clin Orthop Relat Res. Please enable it to take advantage of the complete set of features! This criteria-based protocol incorporates a dynamic assessment of baseline limb strength, patient-reported outcomes, functional knee stability, bilateral limb symmetry with functional tasks, postural control, power, endurance, agility, and technique with sport-specific tasks and serves as a foundation to expand future evidence-based evaluation. Before hb```c``*``a`f`@ fV8GC-{Ym6{d|
Suggestions From the Field for Return-to-Sport Rehabilitation Following The relatively low rate of return to competitive sport despite the high rates of successful outcome in terms of knee impairment-based function suggests that other factors such as psychological factors may be contributing to return-to-sport outcomes. stream
Three major. Speed and Agility are important for re-conditioning and return to sport. ,I)rK7KlM///mKzQd(MN6dh,t&gqh17_aiGWE+y&D]/-un..1]*9n>}}YSkt[|I L|Y>O/)Vwd4UaPq4fE]mtgEDL_W7&r0xpufoO
z(^aCsl
[_B8RE=;/ #u BI1h4IW'A6td~_--bw*_v8 6k-w3HOC.msl5B.[qo].d|DP# x R!R"s3cHNuq,n|;5m:#hrWs#q;v6%SV%eumNGpG
Hu.Z&ERkG.#1AY+@V&>iQDC@- \S~P_K2iV_V("Zy=eEVs(Jw(. <>
endobj
Vail Sport Test single-knee bend exercise. The athlete performs a measure the time it takes to patient to complete the test. >rXCSEPT>TWYC{*Tg+s A2
_
/_%
QE#&\&"\#p=@14'5h"hQ{o6qfsWa8h
Forty-eight participants who underwent ACL-R. Main outcome measure:
$.'
[PDF] The reliability of the vail sport test as a measure of physical 4 0 obj
When refering to evidence in academic writing, you should always try to reference the primary (original) source. The findings indicate that patients are not fully rehabilitated 11months after ACL reconstruction, and it is suggested that functional testing should be performed both under non-fatigued and fatigued test conditions. The Vail sports test will give you an idea how your patient loads his/her injured knee which will reflect on running. Microsoft Word 2016
1 Since the inception of this test, it has remained unchanged in design but has undergone scoring changes to increase reliability. :6P~n$U=P .5z wpTW4>ws:y66#wE+7
3X9>}Qpez73.^:b/bc
[Z0FYe~iweZ9+mUE_v-=kS],lbV[4u)Z'9ermUy7>M,Lh5ShDUJ2UPNmmVy':SaQT %zi@PlJ[4; KM\ This study aims at reviewing the available literature on reliability and validity of existing subjective test protocols, and first recommendations for the use of different subjective screening test methods are given. 1 0 obj
Garrison JC, Shanley E, Thigpen C, Geary R, Osler M, Delgiorno J. Int J Sports Phys Ther. Search life-sciences literature (Over 39 million articles, preprints and more) (Over 39 million articles, preprints and more) Methods: A prospective cohort study design. Hop testing was the most commonly reported functional test following ACL reconstruction and differences between graft types were examined, providing information that may assist providers in determining timing of return to unrestricted sporting activity. 20 There are a total of four components of the test that include a single-leg squat for 3 minutes (Video 1), lateral bounding for 90 seconds (Video 2), and forward/backward jogging for 2 minutes each (Videos 3 and 4). Europe PMC is an archive of life sciences journal literature. Methods:
PDF The Validity and Reliability of The Vail Sport Test As a Measure of A Good inter-session reliability (ICC = 0.787) was found for the involved limb. x]ms6*~l( Hb+8KvkUm&Hv(sW MTR!\}~:>|9z}|W?>oW>tKu/_? The Journal of orthopaedic and sports physical therapy.
2 0 obj
%
The test batteries in the current literature show high variability and a lack of essential components necessary for RTS, suggesting a disconnect between recommended guidelines and clinical practice. FOIA X7+FR "m~^
w8&@f`
XK10.22 l}t
(Males 4.5-5.5 seconds; Females 5.5-6.5 seconds) See diagram. Semantic Scholar is a free, AI-powered research tool for scientific literature, based at the Allen Institute for AI. The Reliability of the Vail Sport Test As a Measure of Physical Performance Following Anterior Cruciate Ligament Reconstruction. %%EOF
The findings indicate that patients are not fully rehabilitated 11months after ACL reconstruction, and it is suggested that functional testing should be performed both under non-fatigued and fatigued test conditions. PMC Progress each week by increasing a minute of running and decrease a minute of walking, till the athlete is able to run for a progressive 20 minutes. Increasing running tolerance should be gradual and slow for up to 4 weeks. 2020 Oct 15;7(1):83. doi: 10.1186/s40634-020-00298-8. Cristiani R, Mikkelsen C, Edman G, Forssblad M, Engstrm B, Stlman A. Biggs A, Jenkins WL, Urch SE, Shelbourne KD. Predicting outcomes and time-frames, using your clinical experience and clinical reasoning skills, for each goal is also part of your role.
PDF Vail Sport Test - parkerorthopedics.com 3 0 obj
If any signs of overload was present, return to the previous stage of running progression.
PDF Original Researchthe Reliability of The Vail Sport Test Tm As A The reliability of the vail sport test as a measure of physical S.C]} Cohort study-exploratory methodological research design. MeSH The previous are suggestions to build a road map for you and your patient. For the donor site, rehabilitation should be directed towards strengthening the muscles, while ROM is the main concern in the initial phases of rehabilitation for the ACL-reconstructed knee[9]. A total of, Physical therapy in sport : official journal of the Association of Chartered Physiotherapists in Sports Medicine. 1 2 3 4 5 6 1 2 3 4 5 6 1 2 3 4 5 6 No Difficulty Slight Difficulty Moderate Extreme Unable to do Twisting/pivoting on invloved leg Deep squatting Heavy work (push .
PDF Functional Testing Protocol - KNEE When setting a weekly plan, consider the priorities for your athlete and the required levels of different physiological characteristics. Loss of as little as 2 of extension and 5 flexion, compared to the other knee, were associated with lower subjective scores[6]. Available from: Demonstration of Anti-Gravity Treadmill at Michigan Medicine. stream
Vail Sport Test Scoring One point is given for each criterion completed with proper technique during the time intervals (yes = 1, no = 0) . Participants: Forty-eight participants who underwent ACL-R. Main outcome measure: Participants performance on the Vail Sport TestTM was graded by an experienced rater in real-time, and . x[o8 ,`#+( %PDF-1.5
%
3 0 obj
A prospective cohort study design. Objectives: <>
endobj
sharing sensitive information, make sure youre on a federal The reliability of the vail sport test as a measure of physical performance following anterior cruciate ligament reconstruction. endobj
performance following anterior cruciate ligament . There is no specific program that is superior to the others, however, there are similar goals within in all rehabilitation programs. International journal of sports physical therapy, PURPOSE/BACKGROUND patient-acceptable symptom state) on the. The effect of insufficient quadriceps strength on gait after anterior cruciate ligament reconstruction. The purposes of this study are 1) to describe a functional test (Vail Sport Test) that includes the evaluation of muscle strength, endurance, power, and movement quality in those patients attempting to return to sports following ACL reconstruction and 2) to assess the reliability of the Vail Sport Test. The Journal of orthopaedic and sports physical therapy. The validity and reliability of the Vail Sport Test as a measure of performance following anterior cruciate ligament reconstruction The results of this study showed good reliability and partially support the validity of the Vail Sport Test as a measure of readiness to return to play. Archives of orthopaedic and trauma surgery. 3 0 obj
2015 Oct;10(5):602-11. hbbd```b```^"^IQ*&@$=L L`l2( xN "co\`Aj| RKl&nD#aPf We
From a clinical perspective, the results of this Preliminary Functional Test Week 12 (Prior to 12-week follow-up appointment) Test Dynamic Valgus * (Y/N) R L % . endobj
Rev. Available from: Monday Academic Session - Luke O'Brien - Rehabilitation. endstream
endobj
startxref
%PDF-1.7
DOI: 10.4236/health.2017.910104 1420 Health recommendations concerning the use of the tests and to verify the quality crite-ria. Available from: Lewek M, Rudolph K, Axe M, Snyder-Mackler L. Logan Hutsko - Vail Sport Test.
Increasing running tolerance should be gradual and slow for up to 4 weeks. Return to Sport after ACL Reconstruction and Other Knee Operations, This chapter summarizes return to sport (RTS) and reinjury data after anterior cruciate ligament (ACL) reconstruction in 42,275 patients from 95 studies published from 2004 to 2018. For each of the test components, a clinician assesses the athlete's . 2 0 obj
<>
",#(7),01444'9=82. 0
endobj
The following is a suggested weekly plan for an athlete requires strong lower body as the top priority, cardiovascular fitness, core stability and upper body strength: Accordingly, the plan includes 4 lower body strengthening sessions, 2 cardio sessions, 2 pool sessions, 2 core sessions, 2 upper body strengthening sessions. The purposes of this study are 1) to describe a functional test (Vail Sport Test) that includes the evaluation of muscle strength, endurance, power, and movement quality in those patients attempting to return to sports following ACL reconstruction and 2) to assess the reliability of the Vail Sport Test. The Vail Sport Test, originally described by Hagerman and Atkins, 34 is a functional assessment to return to alpine skiing and has been used as a criterion to return to sport, as previously described in the literature.
198 Vail Sport Test - Forward Jog -- Texas Health Ben Hogan Sports Vail J, Rugg CM, Hame S. Lower Quarter Y-Balance Test Scores and Lower Extremity Injury in NCAA Division I Athletes. Table 1. Endurance is the ability to exert work for prolonged time and resist fatigue. Thomas AC, Villwock M, Wojtys EM, Palmieri-Smith RM. Sixty-two per cent of patients who had ACL surgery returned to their previous level of sport at 5 years after ACL reconstruction, and the subgroups that did not return to sport because of fear of re-injury and because of an unstable knee found that the difference in knee outcome scores between these 3 groups were statistically significant. Bousquet BA, O'Brien L, Singleton S, Beggs M. Y Balance Test Explained.
The Vail Sport Test has great potential to be an optimal test for safely returning athletes to sports. I2^L*./Oe'Yrx` 8^,
These goals should be prioritized depending on athletic needs. Author: Candace Walker . Anatomic-based popliteus tendon reconstructions resulted in improved outcomes and a high patient satisfaction in patients with a complete tear of the popliteu tendon and symptomatic knee instability. Further examples and more on the progression of exercises are found in table 6 in this article.
(PDF) The reliability of the vail sport test as a measure of physical <>
Younger Patients and Men Achieve Higher Outcome Scores Than Older Patients and Women After Anterior Cruciate Ligament Reconstruction. texas woman's university. Symmetries in Muscle Torque and Landing Kinematics Are Associated With Maintenance of Sports Participation at 5 to 10 Years After ACL Reconstruction in Young Men. Y BALANCE TEST ANTERIOR REACH SYMMETRY AT THREE MONTHS IS RELATED TO SINGLE LEG FUNCTIONAL PERFORMANCE AT TIME OF RETURN TO SPORTS FOLLOWING ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION. hbbd``b` Read more, Physiopedia 2023 | Physiopedia is a registered charity in the UK, no. Findings indicate that, while unilateral deficits are present in individuals following ACL reconstruction, they may not be evident during bipedal performance or during modified versions of double-limb performance activities. &!7\,=(*B0(`e8X8V.rI90C6v^AH\q ^>)7.9I(l@sRaBuv?A0 8d+1${T By the end of this phase your patient must be able to[14]: Anterior cruciate ligament (BTB) rehabilitation guideline [12], Get Top Tips Tuesday and The Latest Physiopedia updates, The content on or accessible through Physiopedia is for informational purposes only.
The reliability of the vail sport test as a measure of physical You can implement a running program when the athlete archives 90% quadriceps index to make sure the running mechanics will be as close to normal[17]. in the graduate school of the . Ability to walk on treadmill or cycle with resistance for 20 minutes. The purposes of this study are 1) to describe a functional, Physical therapy in sport : official journal of the Association of Chartered Physiotherapists in Sports Medicine. Clipboard, Search History, and several other advanced features are temporarily unavailable. Comparing the injured knee to the other side and trying to reach as much as possible symmetry is essential for recovery and return to function. official website and that any information you provide is encrypted Quadriceps strength can be easily quantified using a handheld dynamometer to identify strength deficits and differences between the two sides[5]. The Vail sports test will give you an idea how your patient loads his/her injured knee which will reflect on running[14]. The purpose of this clinical commentary is to provide the rehabilitation specialist such a program directed toward safely returning the athlete to alpine skiing. Regardless of the donor site, both knees should be incorporated throughout the rehabilitation process.
b+-~G6I4l#/o*>zw,wq(iY}{o=.(I_Pq/|^WmU=T.>Wy*#nK}u1{M)^$P?J
?H[]?|BlCgaAgM7W;Hcp3TOwkvi1xQ8*BN8kvt5 lwGl9-!BVCu 1"g3(-`E2HjCHTh^_B^Mv#)v
n5-ZbRq [C:2z9;~d7sGU[{[H*m4A1R'sC'R~Bp1y>-X5j56wQ. Test; VHST: Vail Hip Sport Test; *predictive validity regarding injuries of lower extremity. 1 0 obj
Semantic Scholar is a free, AI-powered research tool for scientific literature, based at the Allen Institute for AI. attempting to return to sports following ACL reconstruction and 2) to assess the reliability of the Vail Sport Test. @]aYb%0R1YjbE:>{\qwWM8e)RT|B [WdOn1P4{hq|Rdf? Int J Sports Phys Ther. endstream
endobj
309 0 obj
<>
endobj
310 0 obj
<>/ExtGState<>/Font<>/XObject<>>>/Rotate 0/Tabs/S/Type/Page>>
endobj
311 0 obj
<>stream
The validity and reliability of the Vail Sport Test as a measure of Design: Cohort study-exploratory methodological research design. Candace Walker The decision to return an athlete to sports following anterior cruciate ligament reconstruction can be controversial. A problem may arise when the surgical graft is obtained from the contralateral leg. endstream
endobj
2 0 obj
<>
endobj
46 0 obj
<>
endobj
376 0 obj
<>
endobj
48 0 obj
<>
endobj
47 0 obj
<>
endobj
52 0 obj
[51 0 R 54 0 R 55 0 R 56 0 R 57 0 R 58 0 R 63 0 R 63 0 R 65 0 R 65 0 R 67 0 R 67 0 R 69 0 R 69 0 R 71 0 R 71 0 R 75 0 R 77 0 R 79 0 R 81 0 R 83 0 R 86 0 R 87 0 R 88 0 R 89 0 R 91 0 R 93 0 R 95 0 R 97 0 R 98 0 R 99 0 R 104 0 R 104 0 R 106 0 R 106 0 R 108 0 R 108 0 R 110 0 R 110 0 R 112 0 R 112 0 R 116 0 R 117 0 R 118 0 R 120 0 R 122 0 R 124 0 R 126 0 R 128 0 R 132 0 R 134 0 R 136 0 R 138 0 R 140 0 R 144 0 R 146 0 R 148 0 R 150 0 R 152 0 R 156 0 R 158 0 R 160 0 R 162 0 R 164 0 R 167 0 R 169 0 R 171 0 R 173 0 R 175 0 R 177 0 R 180 0 R 182 0 R 184 0 R 186 0 R 188 0 R 190 0 R 193 0 R 195 0 R 197 0 R 199 0 R 201 0 R 203 0 R 206 0 R 208 0 R 210 0 R 212 0 R 214 0 R 216 0 R 219 0 R 221 0 R 223 0 R 225 0 R 227 0 R 229 0 R 232 0 R 234 0 R 236 0 R 238 0 R 240 0 R 242 0 R 245 0 R 246 0 R 247 0 R 248 0 R 250 0 R 251 0 R 252 0 R 254 0 R 256 0 R 258 0 R 260 0 R 263 0 R 265 0 R 267 0 R 269 0 R 271 0 R 273 0 R 274 0 R 275 0 R]
endobj
277 0 obj
[276 0 R 278 0 R 279 0 R 280 0 R 281 0 R 282 0 R 283 0 R 284 0 R 285 0 R 286 0 R 287 0 R 288 0 R 289 0 R 293 0 R 295 0 R 296 0 R 297 0 R 298 0 R 299 0 R]
endobj
301 0 obj
[300 0 R 302 0 R 304 0 R 311 0 R 312 0 R 313 0 R 314 0 R 315 0 R 316 0 R 317 0 R 319 0 R 303 0 R 318 0 R 310 0 R 309 0 R 307 0 R 306 0 R]
endobj
321 0 obj
[320 0 R 322 0 R 323 0 R 324 0 R 328 0 R 330 0 R 332 0 R 334 0 R 336 0 R 338 0 R 340 0 R 342 0 R 344 0 R 346 0 R 348 0 R 350 0 R 352 0 R 353 0 R 354 0 R 355 0 R]
endobj
320 0 obj
<>
endobj
322 0 obj
<>
endobj
323 0 obj
<>
endobj
324 0 obj
<>
endobj
328 0 obj
<>
endobj
330 0 obj
<>
endobj
332 0 obj
<>
endobj
334 0 obj
<>
endobj
336 0 obj
<>
endobj
338 0 obj
<>
endobj
340 0 obj
<>
endobj
342 0 obj
<>
endobj
344 0 obj
<>
endobj
346 0 obj
<>
endobj
348 0 obj
<>
endobj
350 0 obj
<>
endobj
352 0 obj
<>
endobj
353 0 obj
<>
endobj
354 0 obj
<>
endobj
355 0 obj
<>
endobj
50 0 obj
<>
endobj
41 0 obj
<>/MediaBox[0 0 612 792]/Parent 2 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]/XObject<>>>/StructParents 3/Tabs/S/Type/Page>>
endobj
42 0 obj
<>stream
9 0 obj
endobj
Setting: Clinical Research Laboratory. Depending on the previous level of strength, 1-12 reps for 1-3 sets with 2 minutes rest between sets.
The validity and reliability of the Vail Sport Test as a measure of cOOPvqzjCp. MpTp954A6eT! 340 0 obj
<>/Filter/FlateDecode/ID[<123C55CFD985F54AB0CFEB110C29D7C1>]/Index[308 71]/Info 307 0 R/Length 140/Prev 313627/Root 309 0 R/Size 379/Type/XRef/W[1 3 1]>>stream
Purpose: To test single leg endurance strength and evaluate patellar tracking. endstream
1 0 obj
endobj
w.99@nFb[x(A[ SjU-4~*=2m]ri&C|@-E/PueJdk$/brwsOo99" S6r*R1i@&WjK9y@{8p5$4rRCm@uM,2RBrmlLf>=+X4!["R)ju(y[J@u"ZI,Kx{;ZjF* W$[me endobj
%
PDF The Vail Hip Score - Dr JN Cakic