Lower extremity muscle strength after anterior cruciate ligament injury and reconstruction
Gespeichert in:
Deutscher übersetzter Titel: | Muskelkraft der unteren Extremität nach Verletzung und Rekonstruktion des vorderen Kreuzbandes |
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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: | |
Online Zugang: | |
Erfassungsnummer: | PU201311007772 |
Quelle: | BISp |
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PU201311007772 |
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JO00000000720 |
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Journal of athletic training |
hierarchy_parent_title |
Journal of athletic training, 2013, 5 |
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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 |
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1 |
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BISp |
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JO00000000720 |
journal_year |
2013 |
journal_issue |
5 |
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1791512124215787520 |
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13,53811 |