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Title: Correlation among knee muscle strength and self-reported outcomes score, anterior tibial displacement, and time post-injury in non-coper anterior cruciate ligament deficient patients: A cross-sectional study
Authors: Manchado, Ignacio
Alvarez, David
Motta, Luci M.
Blanco, Gustavo
Saavedra Santana, Pedro 
Garcés Martín, Gerardo 
UNESCO Clasification: 32 Ciencias médicas
241110 Fisiología del músculo
Keywords: Anterior Cruciate Ligament
Hamstring/Quadriceps Ratio
International Knee Documentation Committee Score
Issue Date: 2021
Journal: International Journal of Environmental Research and Public Health 
Abstract: Little attention has been paid to knee muscle strength after ACL rupture and its effect on prognostic outcomes and treatment decisions. We studied hamstrings (H) and quadriceps (Q) strength correlation with a patient-reported outcome measures score (International Knee Documentation Committee, IKDC), anterior tibial translation (ATT), and time post-injury in 194 anterior cruciate ligament deficient patients (ACLD) who required surgery after a failed rehabilitation program (non-copers). The correlation between knee muscle strength and ATT was also studied in 53 non-injured controls. ACLD patients showed decreased knee muscle strength of both the injured and non-injured limbs. The median (interquartile range) values of the H/Q ratio were 0.61 (0.52–0.81) for patients’ injured side and 0.65 (0.57–0.8) for the non-injured side (p = 0.010). The median H/Q ratio for the controls was 0.52 (0.45–0.66) on both knees (p < 0.001, compared with the non-injured side of patients). The H/Q, ATT, and time post-injury were not significantly correlated with the IKDC score. ATT was significantly correlated with the H/Q of the injured and non-injured knees of patients, but not in the knees of the controls. Quadriceps strength and H/Q ratio were significantly correlated with ATT for both limbs of the patients. IKDC score correlated significantly with the quadriceps and hamstrings strengths of the injured limb but not with the H/Q ratio, ATT or time passed after injury.
ISSN: 1661-7827
DOI: 10.3390/ijerph182413303
Source: International Journal of Environmental Research and Public Health[ISSN 1661-7827],v. 18 (24), (Diciembre 2021)
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