Effect of Quadriceps and Hamstring Strength Relative to Body Weight on Risk of a Second ACL Injury: A Cohort Study of 835 Patients Who Returned to Sport After ACL Reconstruction

被引：10
|
作者：
Simonson, Rebecca [2 ,3 ,4 ]
Piussi, Ramana [1 ,3 ,4 ]
Hogberg, Johan [1 ,2 ,3 ,4 ]
Senorski, Carl [1 ,2 ]
Thomee, Roland [1 ,2 ,4 ]
Samuelsson, Kristian [1 ,3 ,5 ,6 ]
Senorski, Eric Hamrin [1 ,2 ,3 ,4 ]
机构：
[1] Univ Gothenburg, Sahlgrenska Acad, Gothenburg, Sweden
[2] Sportrehab Sports Med Clin, Gothenburg, Sweden
[3] Sahlgrenska Sports Med Ctr, Gothenburg, Sweden
[4] Univ Gothenburg, Unit Physiotherapy, Dept Hlth & Rehabil, Inst Neurosci & Physiol,Sahlgrenska Acad, Gothenburg, Sweden
[5] Univ Gothenburg, Inst Clin Sci, Sahlgrenska Acad, Dept Orthopaed, Gothenburg, Sweden
[6] Sahlgrens Univ Hosp, Dept Orthopaed, Gothenburg, Sweden
来源：
ORTHOPAEDIC JOURNAL OF SPORTS MEDICINE | 2023年 / 11卷 / 04期
关键词：
anterior cruciate ligament; muscle function; muscle strength; reinjury; return to sport; ANTERIOR CRUCIATE LIGAMENT; LIMB SYMMETRY INDEXES; HOP TESTS; TO-PLAY; REINJURY; CRITERIA; LEVEL; TIMES;
D O I：
10.1177/23259671231157386
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
Background:Anterior cruciate ligament (ACL) injuries are common sports-related injuries with a high risk of reinjury after return to sport (RTS). Rehabilitation aims to regain symmetrical knee strength and function to minimize the risk of a second ACL injury after RTS. Purpose:To determine the effect of absolute quadriceps and hamstring strength, normalized by body weight, on the risk of a second ACL injury during the first 2 years after RTS in patients who have undergone ACL reconstruction (ACLR). Study Design:Cohort study; Level of evidence, 3. Methods:Data from patients after index ACLR at the time of RTS were extracted from a rehabilitation registry-Project ACL. Patients who had performed isokinetic tests for quadriceps and hamstring strength and hop tests before RTS were included. The endpoint was a second ACL injury or a follow-up of 2 years after RTS after ACLR. Results:A total of 835 patients (46% women), with a mean age of 23.9 +/- 7.7 years, were included. During the study period, 69 (8.3%) second ACL injuries (ipsilateral and contralateral) occurred. Greater relative quadriceps strength in the injured leg increased the risk of a second ACL injury (relative risk [RR], 1.69 [95% CI, 1.05-2.74]; P = .032). In patients who had recovered symmetrical quadriceps strength (limb symmetry index >= 90%), there was no effect of quadriceps strength on the risk of second ACL injury (RR, 1.33 [95% CI, 0.69-2.56]; P = .39). Quadriceps strength on the healthy side or hamstring strength, regardless of side, had no effect on the risk of a second ACL injury. Conclusion:Greater relative quadriceps strength in the injured leg at the time of RTS after ACLR was associated with an increased risk of a second ACL injury. There was no effect of relative quadriceps strength on the risk of a second ACL injury in patients who had recovered symmetrical quadriceps strength.
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页数：8
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