Myofascial and balance tests after anterior cruciate ligament reconstruction in adolescent patients

Abstract

Abstract Study aim: The functional assessment of patients after anterior cruciate ligament reconstruction (ACLR) is one of the key points in deciding whether one can safely return to physical activity. The aim of this study is to investigate the usefulness of the NEURAC® tests and single leg balance test (SLBT) in the functional evaluation of adolescent patients after ACLR to detect differences between the operated and non-operated extremity. Material and methods: A total of 31 physically active, adolescent patients (mean age: 15.7 ± 1.4 years) who underwent primary single-bundle ACLR using the autogenous semitendinosus-gracilis tendon graft were evaluated using the NEURAC® and SLBT tests (mean time from surgery to examination was 6.6 ± 1.0 months). All patients were operated on by the same surgeon, and postoperative physiotherapy was carried out using a standardized protocol. Results: Only one of the NEURAC® tests showed significant differences between the operated and non-operated extremities: prone bridging (3.58º vs. 3.97º, P = 0.01). Several weak and moderate, significant correlations between NEURAC® and SLBT tests were observed in the operated (r from –0.42 to 0.37) and non-operated (r from –0.37 to –0.43) extremities Conclusions: The NEURAC® tests in comparison to SLBT seems to be more effective for detecting functional differences between the operated and non-operated extremity in adolescent patients about 6 months post-ACLR. Correlations between the outcomes of the NEURAC® tests and SLBT are not clear.