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Knee Strength Assessment and Clinical Evaluation Could Predict Return to Running after Anterior Cruciate Ligament Reconstruction Using Patellar Tendon Procedure

Author

Listed:
  • Marc Dauty

    (Service de Médecine Physique et Réadapatation Locomotrice et Respiratoire, CHU Nantes, Nantes Université, 44093 Nantes, France
    Service de Médecine du Sport, CHU Nantes, Nantes Université, 44093 Nantes, France
    IRMS, Institut Régional de Médecine du Sport, 44093 Nantes, France
    Inserm UMR 1229, Regenerative Medicine and Skeleton, RMeS, Nantes Université, 44042 Nantes, France)

  • Pierre Menu

    (Service de Médecine Physique et Réadapatation Locomotrice et Respiratoire, CHU Nantes, Nantes Université, 44093 Nantes, France
    Service de Médecine du Sport, CHU Nantes, Nantes Université, 44093 Nantes, France
    IRMS, Institut Régional de Médecine du Sport, 44093 Nantes, France
    Inserm UMR 1229, Regenerative Medicine and Skeleton, RMeS, Nantes Université, 44042 Nantes, France)

  • Pauline Daley

    (Service de Médecine Physique et Réadapatation Locomotrice et Respiratoire, CHU Nantes, Nantes Université, 44093 Nantes, France
    Service de Médecine du Sport, CHU Nantes, Nantes Université, 44093 Nantes, France)

  • Jérôme Grondin

    (Service de Médecine Physique et Réadapatation Locomotrice et Respiratoire, CHU Nantes, Nantes Université, 44093 Nantes, France
    Service de Médecine du Sport, CHU Nantes, Nantes Université, 44093 Nantes, France)

  • Yonis Quinette

    (Clinique Chirurgicale Orthopédique et Traumatologique, CHU Nantes, Nantes Université, 44000 Nantes, France)

  • Vincent Crenn

    (Clinique Chirurgicale Orthopédique et Traumatologique, CHU Nantes, Nantes Université, 44000 Nantes, France)

  • Alban Fouasson-Chailloux

    (Service de Médecine Physique et Réadapatation Locomotrice et Respiratoire, CHU Nantes, Nantes Université, 44093 Nantes, France
    Service de Médecine du Sport, CHU Nantes, Nantes Université, 44093 Nantes, France
    IRMS, Institut Régional de Médecine du Sport, 44093 Nantes, France
    Inserm UMR 1229, Regenerative Medicine and Skeleton, RMeS, Nantes Université, 44042 Nantes, France)

Abstract

Background and objectives: Muscle knee strength is a major parameter that allows return to running. Isokinetic strength parameters may predict return to running 4 months after ACLR using the bone–patellar–tendon–bone procedure. Materials and methods: The isokinetic knee strength of 216 patients (24.5 ± 5 years) was measured 4 months after surgery, and progressive return to running was allowed. The effectiveness of return to running was reported at 6 months. Return to running prediction was established using multivariate logistic regression. Predictive parameters were presented with a ROC curve area to define the best cut-off, with sensibility (Se) and specificity (Sp). Results: A model was established, including the limb symmetry index (LSI), and 103 patients (47.6%) were able to run between the fourth and the sixth month after surgery. These patients presented significantly fewer knee complications, a better Lysholm score, a better Quadriceps and Hamstring LSI and better quadriceps strength reported for body weight on the operated limb. The best model was established including the Quadriceps and Hamstring LSI at 60°/s and the Lysholm score. The cut-off for Quadriceps LSI was 60% (ROC curve area: 0.847; Se: 77.5%; Sp: 77%), for Hamstring LSI 90% (ROC curve area: 0.716; Se: 65.7%; Sp: 60.2%) and for Lyshom score 97 points (ROC curve area: 0.691; Se: 65%; Sp: 66%). Conclusion: Four months after ACLR using a bone–patellar–tendon–bone procedure, the Quadriceps and Hamstring LSI associated to the Lysholm score could help make the decision to allow return to running.

Suggested Citation

  • Marc Dauty & Pierre Menu & Pauline Daley & Jérôme Grondin & Yonis Quinette & Vincent Crenn & Alban Fouasson-Chailloux, 2022. "Knee Strength Assessment and Clinical Evaluation Could Predict Return to Running after Anterior Cruciate Ligament Reconstruction Using Patellar Tendon Procedure," IJERPH, MDPI, vol. 19(20), pages 1-14, October.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:20:p:13396-:d:944559
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    References listed on IDEAS

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    1. Hossein Tajdini & Amir Letafatkar & Britton W. Brewer & Mahdi Hosseinzadeh, 2021. "Association between Kinesiophobia and Gait Asymmetry after ACL Reconstruction: Implications for Prevention of Reinjury," IJERPH, MDPI, vol. 18(6), pages 1-11, March.
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