Prediction of 12-Month Clinical Outcomes Postsurgery Based on 3-Month Knee Examination After Primary Anterior Cruciate Ligament Reconstruction.

IF 1.3 4区 医学 Q3 REHABILITATION
Jin Seong Kim, Ui Jae Hwang, Kyu Sung Chung, Oh Yun Kwon
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引用次数: 0

Abstract

Context: Active management of modifiable factors during the early rehabilitation stage can help patients who have undergone anterior cruciate ligament (ACL) reconstruction successfully return to sports. This study aimed to determine predictors for performance on the single-leg hop test and Tegner activity score 12-month post-ACL reconstruction, based on knee function assessed 3-month postsurgery.

Design: Prospective cohort study.

Methods: Ninety-one patients who underwent ACL reconstruction were recruited. Multivariate logistic regression analysis was performed to identify predictors of the one hop test and Tegner activity score 12-month postsurgery, based on a knee examination performed 3 months after ACL reconstruction. Factors evaluated at 3 months included the Biodex balance system anteroposterior and mediolateral indexes; Y balance test anterior, posteromedial, and posterolateral reaches; knee extensors and flexors peak torque per body weight; and knee extensors and flexors average power per body weight.

Results: The knee extensor peak torque per body weight (PT/BW) and Biodex balance system-mediolateral index with cutoff values of 132 N·m/kg and 0.45, respectively were identified as predictors for achieving a limb symmetric index within 10% on the hop test. Furthermore, achieving a Tegner activity score over 6 was predicted by Y balance test-posteromedial reach and knee flexors average power per body weight, with cutoff values of 92.5 cm and 122 W/kg, respectively.

Conclusion: Three months following ACL reconstruction, knee extensor peak torque, and mediolateral balance predicted performance on the hop test, while dynamic posteromedial balance and knee flexors average power predicted rotational ability, at the 12-month assessment.

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来源期刊
Journal of Sport Rehabilitation
Journal of Sport Rehabilitation 医学-康复医学
CiteScore
3.20
自引率
5.90%
发文量
143
审稿时长
>12 weeks
期刊介绍: The Journal of Sport Rehabilitation (JSR) is your source for the latest peer-reviewed research in the field of sport rehabilitation. All members of the sports-medicine team will benefit from the wealth of important information in each issue. JSR is completely devoted to the rehabilitation of sport and exercise injuries, regardless of the age, gender, sport ability, level of fitness, or health status of the participant. JSR publishes peer-reviewed original research, systematic reviews/meta-analyses, critically appraised topics (CATs), case studies/series, and technical reports that directly affect the management and rehabilitation of injuries incurred during sport-related activities, irrespective of the individual’s age, gender, sport ability, level of fitness, or health status. The journal is intended to provide an international, multidisciplinary forum to serve the needs of all members of the sports medicine team, including athletic trainers/therapists, sport physical therapists/physiotherapists, sports medicine physicians, and other health care and medical professionals.
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