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Enlightenment on Knee Flexors Strength Loss in Cases of Posterior Knee Pain After Anterior Cruciate Ligament Reconstruction.
- Source :
- Journal of Sport Rehabilitation; Jul2024, Vol. 33 Issue 5, p317-324, 8p
- Publication Year :
- 2024
-
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<superscript>+</superscript>, n = 40) or the absence of knee pain (PKP<superscript>−</superscript>, n = 277). The prevalence of PKP was 8.3%. At the fourth month post-ACLR, the PKP<superscript>+</superscript> group had a higher flexor strength deficit compared with the PKP<superscript>−</superscript> 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]
- Subjects :
- 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
Subjects
Details
- Language :
- English
- ISSN :
- 10566716
- Volume :
- 33
- Issue :
- 5
- Database :
- Complementary Index
- Journal :
- Journal of Sport Rehabilitation
- Publication Type :
- Academic Journal
- Accession number :
- 178162418
- Full Text :
- https://doi.org/10.1123/jsr.2023-0346