Lower extremity muscle strength after anterior cruciate ligament injury and reconstruction

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Deutscher übersetzter Titel:Muskelkraft der unteren Extremität nach Verletzung und Rekonstruktion des vorderen Kreuzbandes
Autor:Thomas, Abbey C.; Villwock, Mark; Wojtys, Edward M.; Palmieri-Smith, Riann M.
Erschienen in:Journal of athletic training
Veröffentlicht:48 (2013), 5, S. 610-620, Lit.
Format: Literatur (SPOLIT)
Publikationstyp: Zeitschriftenartikel
Medienart: Gedruckte Ressource
Sprache:Englisch
ISSN:1062-6050, 0160-8320, 1938-162X
DOI:10.4085/1062-6050-48.3.23
Schlagworte:
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Erfassungsnummer:PU201311007772
Quelle:BISp
id PU201311007772
bisp-collection db
format Literatur
last_indexed 2013-11-19T14:41:45Z
first_indexed 2013-11-19T13:31:44Z
publication_source BISp
subformat Zeitschriftenartikel
hierarchy_top_id JO00000000720
hierarchy_parent_id JOI201300050000720
hierarchy_top_title Journal of athletic training
hierarchy_parent_title Journal of athletic training, 2013, 5
is_hierarchy_id PU201311007772
is_hierarchy_title Lower extremity muscle strength after anterior cruciate ligament injury and reconstruction
hierarchy_sequence 0610
recordtype bisparticle
publishDate 2013
publishDate_facet 2013
language eng
title Lower extremity muscle strength after anterior cruciate ligament injury and reconstruction
spellingShingle Lower extremity muscle strength after anterior cruciate ligament injury and reconstruction
Aufbautraining
Beinmuskulatur
Biomechanik
Extremität, untere
Kniegelenkverletzung
Kraftdefizit
Kraftmessung, isokinetische
Kreuzband, vorderes
Kreuzbandplastik
Kreuzbandverletzung
M. quadriceps femoris
Muskelkraft
Muskulatur, ischiocrurale
Orthopädie
Rehabilitation, posttraumatische
Sportmedizin
Sportverletzung
Therapie, operative
Training, rehabilitatives
Untersuchung, empirische
title_sort lower extremity muscle strength after anterior cruciate ligament injury and reconstruction
title_short Lower extremity muscle strength after anterior cruciate ligament injury and reconstruction
title_alt Muskelkraft der unteren Extremität nach Verletzung und Rekonstruktion des vorderen Kreuzbandes
title_alt_lang deu
media_type Gedruckte Ressource
city Dallas (Tex)
abstract Context: Quadriceps and hamstrings weakness occurs frequently after anterior cruciate ligament (ACL) injury and reconstruction. Evidence suggests that knee injury may precipitate hip and ankle muscle weakness, but few data support this contention after ACL injury and reconstruction. Objective: To determine if hip, knee, and ankle muscle weakness present after ACL injury and after rehabilitation for ACL reconstruction. Design: Case-control study. Setting: University research laboratory. Patients or Other Participants: Fifteen individuals with ACL injury (8 males, 7 females; age = 20.27 ± 5.38 years, height = 1.75 ± 0.10 m, mass = 74.39 ± 13.26 kg) and 15 control individuals (7 men, 8 women; age = 24.73 ± 3.37 years, height = 1.75 ± 0.09 m, mass = 73.25 ± 13.48 kg). Intervention(s): Bilateral concentric strength was assessed at 60°/s on an isokinetic dynamometer. The participants with ACL injury were tested preoperatively and 6 months postoperatively. Control participants were tested on 1 occasion. Main Outcome Measures: Hip-flexor, -extensor, -abductor, and -adductor; knee-extensor and -flexor; and ankle–plantar-flexor and -dorsiflexor strength (Nm/kg). Results: The ACL-injured participants demonstrated greater hip-extensor (percentage difference = 19.7, F1,14 = 7.28, P = .02) and -adductor (percentage difference = 16.3, F1,14 = 6.15, P = .03) weakness preoperatively than postoperatively, regardless of limb, and greater postoperative hip-adductor strength (percentage difference = 29.0, F1,28 = 10.66, P = .003) than control participants. Knee-extensor and -flexor strength were lower in the injured than in the uninjured limb preoperatively and postoperatively (extensor percentage difference = 34.6 preoperatively and 32.6 postoperatively, t14 range = −4.59 to −4.23, P ≤ .001; flexor percentage difference = 30.6 preoperatively and 10.6 postoperatively, t14 range = −6.05 to −3.24, P < .05) with greater knee-flexor (percentage difference = 25.3, t14 = −4.65, P < .001) weakness preoperatively in the injured limb of ACL-injured participants. The ACL-injured participants had less injured limb knee-extensor (percentage difference = 32.0, t28 = −2.84, P = .008) and -flexor (percentage difference = 24.0, t28 = −2.44, P = .02) strength preoperatively but not postoperatively (extensor: t28 = −1.79, P = .08; flexor: t28 = 0.57, P = .58) than control participants. Ankle–plantar-flexor weakness was greater preoperatively than postoperatively in the ACL-injured limb (percentage difference = 31.9, t14 = −3.20, P = .006). Conclusions: The ACL-injured participants presented with hip-extensor, -adductor, and ankle–plantar-flexor weakness that appeared to be countered during postoperative rehabilitation. Our results confirmed previous findings suggesting greater knee-extensor and -flexor weakness postoperatively in the injured limb than the uninjured limb. The knee extensors and flexors are important dynamic stabilizers; weakness in these muscles could impair knee joint stability. Improving rehabilitation strategies to better target this lingering weakness seems imperative. Verf.-Referat
abstract_lang eng
abstract_type abstract
author2 Thomas, Abbey C.
Villwock, Mark
Wojtys, Edward M.
Palmieri-Smith, Riann M.
author_facet Thomas, Abbey C.
Villwock, Mark
Wojtys, Edward M.
Palmieri-Smith, Riann M.
author2-role Autor
Autor
Autor
Autor
author2-authorityid


P157741
author_author_facet Thomas, Abbey C.
Villwock, Mark
Wojtys, Edward M.
Palmieri-Smith, Riann M.
author2-synonym



author2_hierarchy_facet 0/Autor/
1/Autor/Thomas, Abbey C./
0/Autor/
1/Autor/Villwock, Mark/
0/Autor/
1/Autor/Wojtys, Edward M./
0/Autor/
1/Autor/Palmieri-Smith, Riann M./
doi 10.4085/1062-6050-48.3.23
spelling 10.4085/1062-6050-48.3.23
1062-6050
0160-8320
1938-162X
1202960-9
Aufbautraining
Beinmuskulatur
Biomechanik
Extremität, untere
Kniegelenkverletzung
Kraftdefizit
Kraftmessung, isokinetische
Kreuzband, vorderes
Kreuzbandplastik
Kreuzbandverletzung
M. quadriceps femoris
Muskelkraft
Muskulatur, ischiocrurale
Orthopädie
Rehabilitation, posttraumatische
Sportmedizin
Sportverletzung
Therapie, operative
Training, rehabilitatives
Untersuchung, empirische
anterior cruciate ligament
biomechanics
buildup training
cruciate ligament injury
cruciate ligament plastic
empirical investigation
hamstrings
isokinetic force measurement
knee-joint injury
leg muscles
lower extremity
m. quadriceps femoris
muscle strength
operative therapy
orthopedics
post-traumatic rehabilitation
rehabilitative training
sport injury
sports medicine
strength deficit
Kraft
Bein
Beinversehrter
Beinigkeit
Beinamputierter
Empirie
Empirismus
Untersuchung, experimentelle
Untersuchung
Bewegung, physikalische
Merkmal, biomechanisches
Biokinematik
Prinzip, biomechanisches
Medizin
Geschichte der Medizin
Untersuchung, sportmedizinische
Wasserdampf
Kniebandverletzung
Verletzung
Verletzung, sportartspezifische
Operation
Kniebinnenschaden
Kniebinnenverletzung
Knieverletzung
Aufbauphase
Rehabilitationstraining
muscle force
lower limb
empirical study
injury of the cruciate ligament
surgical therapy
injury of the knee-joint
isokinetic strength measurement
muscles of the leg
quadriceps muscle of thigh
Lower extremity muscle strength after anterior cruciate ligament injury and reconstruction
PU201311007772
201311007772
url https://dx.doi.org/10.4085/1062-6050-48.3.23
url-type fulltext
url-free 0
issn 1062-6050
0160-8320
1938-162X
zdb 1202960-9
location_hierarchy_facet 0/USA/
1/USA/Texas/
topic Aufbautraining
Beinmuskulatur
Biomechanik
Extremität, untere
Kniegelenkverletzung
Kraftdefizit
Kraftmessung, isokinetische
Kreuzband, vorderes
Kreuzbandplastik
Kreuzbandverletzung
M. quadriceps femoris
Muskelkraft
Muskulatur, ischiocrurale
Orthopädie
Rehabilitation, posttraumatische
Sportmedizin
Sportverletzung
Therapie, operative
Training, rehabilitatives
Untersuchung, empirische
topic_facet Aufbautraining
Beinmuskulatur
Biomechanik
Extremität, untere
Kniegelenkverletzung
Kraftdefizit
Kraftmessung, isokinetische
Kreuzband, vorderes
Kreuzbandplastik
Kreuzbandverletzung
M. quadriceps femoris
Muskelkraft
Muskulatur, ischiocrurale
Orthopädie
Rehabilitation, posttraumatische
Sportmedizin
Sportverletzung
Therapie, operative
Training, rehabilitatives
Untersuchung, empirische
topic_en anterior cruciate ligament
biomechanics
buildup training
cruciate ligament injury
cruciate ligament plastic
empirical investigation
hamstrings
isokinetic force measurement
knee-joint injury
leg muscles
lower extremity
m. quadriceps femoris
muscle strength
operative therapy
orthopedics
post-traumatic rehabilitation
rehabilitative training
sport injury
sports medicine
strength deficit
topic_en_facet anterior cruciate ligament
biomechanics
buildup training
cruciate ligament injury
cruciate ligament plastic
empirical investigation
hamstrings
isokinetic force measurement
knee-joint injury
leg muscles
lower extremity
m. quadriceps femoris
muscle strength
operative therapy
orthopedics
post-traumatic rehabilitation
rehabilitative training
sport injury
sports medicine
strength deficit
synonym Kraft
Bein
Beinversehrter
Beinigkeit
Beinamputierter
Empirie
Empirismus
Untersuchung, experimentelle
Untersuchung
Bewegung, physikalische
Merkmal, biomechanisches
Biokinematik
Prinzip, biomechanisches
Medizin
Geschichte der Medizin
Untersuchung, sportmedizinische
Wasserdampf
Kniebandverletzung
Verletzung
Verletzung, sportartspezifische
Operation
Kniebinnenschaden
Kniebinnenverletzung
Knieverletzung
Aufbauphase
Rehabilitationstraining
synonym_en muscle force
lower limb
empirical study
injury of the cruciate ligament
surgical therapy
injury of the knee-joint
isokinetic strength measurement
muscles of the leg
quadriceps muscle of thigh
journal_facet Journal of athletic training
container_title Journal of athletic training
container_volume 48
container_issue 5
container_start_page S. 610-620
has_references 1
institution BISp
journal_fac JO00000000720
journal_year 2013
journal_issue 5
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score 13,53811