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West Ashley Library
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Wando Mount Pleasant Library
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Enlightenment on Knee Flexors Strength Loss in Cases of Posterior Knee Pain After Anterior Cruciate Ligament Reconstruction.
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- Author(s): Dauty, Marc; Louguet, Bastien; Menu, Pierre; Grondin, Jérôme; Crenn, Vincent; Daley, Pauline; Fouasson-Chailloux, Alban
- Source:
Journal of Sport Rehabilitation; Jul2024, Vol. 33 Issue 5, p317-324, 8p- Subject Terms:
KNEE physiology; KNEE pain; CROSS-sectional method; PEARSON correlation (Statistics); ANTERIOR cruciate ligament surgery; AUTOGRAFTS; HAMSTRING muscle; MULTIPLE regression analysis; FUNCTIONAL status; DESCRIPTIVE statistics; MUSCLE strength; EXPERIMENTAL design; COMPARATIVE studies; BODY movement; DATA analysis software; CONFIDENCE intervals; ISOKINETIC exercise; REHABILITATION - Source:
- Additional Information
- Abstract: Context: The persistence and the recurrence of posterior medial knee pain (PKP) after anterior cruciate ligament reconstruction (ACLR) using hamstring tendon graft are often overlooked during rehabilitation. Design: Cross-sectional observational study. Methods: The study aimed (1) to evaluate the prevalence of these types of PKP before 4 months post-ACLR, (2) to measure their consequences on the knee flexors strength, and (3) to evaluate the role of the type of ACLR. From a cohort of patients operated on with hamstring tendon procedures, the persistent and the recurrent PKP were sought at 4 months post-ACLR. The evolution of isokinetic muscle strength recovery in PKP subjects was compared with those of nonpainful subjects. The functional deficit was measured at 6/7 months post-ACLR by a hop test. Results: Three hundred seventeen subjects (25.8 [6.0] y) were included. At 4 months post-ACLR, 2 populations were identified based on the recurrent onset of PKP (PKP+, n = 40) or the absence of knee pain (PKP−, n = 277). The prevalence of PKP was 8.3%. At the fourth month post-ACLR, the PKP+ group had a higher flexor strength deficit compared with the PKP− group (limb symmetry index at 60°/s: 67.2% [12.4%] vs 84.3% [12.6%]; P <.05). At 6/7 months, the loss of strength persisted (limb symmetry index at 60°/s: 82.3% [13.4%] vs 87.7% [12.8%]; P <.05). The hop test deficit was comparable, and no difference was shown according to the type of graft. Conclusions: Persistent and recurrent PKP during the rehabilitation period were not uncommon and were associated with a worsening of flexors strength loss on the ACLR side. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Journal of Sport Rehabilitation is the property of Human Kinetics Publishers, Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Abstract:
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