Isokinetic and neuromuscular testing of the knee, return-to-sport following reconstruction of the anterior cruciate ligament. Prospective study in a cohort of 234 athletes
| Autor: | Yoann Bohu, T. Raoul, B. Guerrier, B. El Hariri, Shahnaz Klouche |
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| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
biology business.industry Athletes Anterior cruciate ligament Rehabilitation Significant difference musculoskeletal system biology.organism_classification Return to sport medicine.anatomical_structure Contralateral knee Cohort Physical therapy Medicine Orthopedics and Sports Medicine Risk factor Prospective cohort study business human activities |
| Zdroj: | Annals of Physical and Rehabilitation Medicine. 61:e163 |
| ISSN: | 1877-0657 |
| Popis: | Introduction/Background After an anterior cruciate ligament (ACL) reconstruction, a complete functional recovery of the knee is required before returning to sport. According to the latest recommendations, a deficit Material and method A prospective study has included a series of athletes operated in 2013–2016 for a primary total isolated ACL tear, with healthy contralateral knee and having complete postoperative evaluation. Isokinetic tests measured the strength of the quadriceps and hamstrings. Functional tests consisted of hop tests. The primary judgement criterion was postoperative functional recovery (yes/no) defined by a differential Results One hundred and seventy-three men and 61 women were included, mean age 28.4 ± 8.6 years. At 6.5 ± 1.7 (4–12) months mean follow-up, 44 (18.5%) had satisfactory functional recovery of the knee whose 52 (21.8%) at Q60°/s and 125 (54.3%) at SS. There was no significant difference in the return-to-sport depending on the level of functional recovery. During follow-up, 2 patients showed transplant rupture and 2 controlateral ACL rupture, all classified with insufficient functional recovery. Conclusion At 6-months mean follow-up after ACL reconstruction, the objective functional recovery of the knee is mostly unsatisfactory and appears to be a risk factor for further rupture. |
| Databáze: | OpenAIRE |
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