Volume 1, Issue 1 (Winter 2018)                   Func Disabil J 2018, 1(1): 11-20 | Back to browse issues page


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Kalhor A, Sohani S, Amiri A, Jamshidi Khorneh A. Musculoskeletal Complication Following Arthroscopy Anterior Cruciate Ligament Reconstruction 6 Months Post-operatively. Func Disabil J. 2018; 1 (1) :11-20
URL: http://fdj.iums.ac.ir/article-1-26-en.html
1- Masters Student in Physical Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran
2- Assistant Professor of Physiotherapy rehabilitation Sciences, Faculty of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran
Assistant Professor of Physiotherapy rehabilitation Sciences, Faculty of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran, Assistant Professor of Physiotherapy rehabilitation Sciences, Faculty of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran
4- Associate Professor of Physiotherapy rehabilitation Sciences, Faculty of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran
Abstract:   (802 Views)

Abstract Farsi




 
Background and Objective: Muscle strength deficits have usually been found after ACL reconstruction. Some studies have demonstrated a relationship
between lower extremity muscle strength and the single-leg hop test in the ACL reconstructed knees. 
The aim of this study is to evaluate possible differences in lower limbs including function, muscle strength length and anterior knee pain, 6 months after anterior cruciate ligament (ACL) reconstruction between involved and uninvolved side.
Method: Sixty patients who underwent anatomic double bundle ACL reconstruction were examined 6 - 36 months post-operatively. All subjects had undergone the same rehabilitation protocol after ACL reconstruction.
Lower extremity isometric strength, muscle length and Triple Single-leg hop test were assessed. Measurements were performed 3 times within a 2-minute interval. The normal limb was tested before the operated limb. The peak strength value was normalized by the body weight.
Results: In the Single-leg hop test there was statistically significant difference in the lower limbs comparing the involved with the uninvolved knee (P < 0.001). In the Tensor Fascia Lata-Ilio Tibial Band (ITB/TFL) length, there was statistically significant difference in the lower limbs (P < 0.001). In the isometric knee flexion strength there was statistically significant difference in the lower limbs at 90° (P < 0.001) and 105° (P < 0.001) knee flexion. In the isometric knee extension strength there was statistically significant difference in the lower limbs at 5° (P < 0.001), 45° (P = 0.025) and 90° (P = 0.003) knee flexion. In the isometric hip abduction, internal rotation and plantar flexion strengths there were statistically significant difference in the lower limbs (P < 0.001). 
There was statistically significant correlation between isometric muscle strength ratio (involved vs. uninvolved) and  Single-leg hop test in hip abduction (r = 0.345, P < 0.001) , knee extension at 45° (r = 0.245, P = 0.05) and at 90° (r = 0.379, P = 0.002) knee flexion and between  isometric muscle strength ratio and anterior knee pain in hip abduction (r = 0.345, P = 0.03)  , knee extension at 90° (r = 0.311, P = 0.009) and at 5° (r = 0.272, P = 0.023) knee flexion.
Conclusion: Our study shows that after ACL reconstruction, lower limb function and strength deficit remained despite the completion of rehabilitation. These deficits were found at knee, hip and ankle joints. The present results can be used for re-planning rehabilitation protocol.

 
Full-Text [PDF 356 kb]   (254 Downloads)    
Type of Study: Research | Subject: Physiotherapy
Received: 2017/03/28 | Accepted: 2017/06/5 | Published: 2017/10/29

References
1. Aglietti, P., Buzzi, R., D'andria, S., & Zaccherotti, G. (1993). Patellofemoral problems after intraarticular anterior cruciate ligament reconstruction. Clinical orthopaedics and related research(288), 195-204. [DOI]
2. Anderson, A. F., R. B. Snyder and A. B. Lipscomb, Jr. (2001). Anterior cruciate ligament reconstruction. A prospective randomized study of three surgical methods. Am J Sports Med 29(3): 272-279. [DOI] [PubMed]
3. Brukner, P. and K. Khan (2012). Clinical Sports Medicine. Australia by McGraw-Hill, Fiona Richardson. [PubMed]
4. Ejerhed, L., J. Kartus, N. Sernert, K. Kohler and J. Karlsson (2003). Patellar tendon or semitendinosus tendon autografts for anterior cruciate ligament reconstruction? A prospective randomized study with a two-year follow-up. Am J Sports Med 31(1): 19-25. [DOI] [PubMed]
5. Eriksson, K., P. Anderberg, P. Hamberg, A. C. Lofgren, M. Bredenberg, I. Westman and T. Wredmark (2001). A comparison of quadruple semitendinosus and patellar tendon grafts in reconstruction of the anterior cruciate ligament. J Bone Joint Surg Br 83(3): 348-354. [DOI] [PubMed]
6. Feller, J. A., K. E. Webster and B. Gavin (2001). Early post-operative morbidity following anterior cruciate ligament reconstruction: patellar tendon versus hamstring graft. Knee Surg Sports Traumatol Arthrosc 9(5): 260-266. [DOI] [PubMed]
7. Hertling, D. and R. Kessler (2006). Management of Common Musculoskeletal Disorders. Philadelphia: Lippincott Williams & Wilkins.
8. Herzog, W. and L. J. Read (1993). Lines of action and moment arms of the major force-carrying structures crossing the human knee joint. J Anat 182 ( Pt 2): 213-230. [PubMed]
9. Ibrahim, S. A., I. M. Al-Kussary, A. R. Al-Misfer, H. Q. Al-Mutairi, S. A. Ghafar and T. A. El Noor (2005). Clinical evaluation of arthroscopically assisted anterior cruciate ligament reconstruction: patellar tendon versus gracilis and semitendinosus autograft. Arthroscopy 21(4): 412-417. [DOI] [PubMed]
10. Kartus, J., L. Magnusson, S. Stener, S. Brandsson, B. I. Eriksson and J. Karlsson (1999). Complications following arthroscopic anterior cruciate ligament reconstruction. A 2-5-year follow-up of 604 patients with special emphasis on anterior knee pain. Knee Surg Sports Traumatol Arthrosc 7(1): 2-8. [DOI] [PubMed]
11. Kartus, J., T. Movin and J. Karlsson (2001). Donor-site morbidity and anterior knee problems after anterior cruciate ligament reconstruction using autografts. Arthroscopy 17(9): 971-980. [DOI] [PubMed]
12. Kendall, F., E. McCreary, P. Provance, M. Rodgers and W. Romani (2005). Muscles: Testing and Function, with Posture and Pain. Baltimore: Lippincott Williams&Wilkins.
13. Knezevic, O. M., D. M. Mirkov, M. Kadija, D. Milovanovic and S. Jaric (2014). Evaluation of isokinetic and isometric strength measures for monitoring muscle function recovery after anterior cruciate ligament reconstruction. J Strength Cond Res 28(6): 1722-1731. [DOI] [PubMed]
14. Kujala, U. M., L. H. Jaakkola, S. K. Koskinen, S. Taimela, M. Hurme and O. Nelimarkka (1993). Scoring of patellofemoral disorders. Arthroscopy 9(2): 159-163. [DOI]
15. Lautamies, R., A. Harilainen, J. Kettunen, J. Sandelin and U. M. Kujala (2008). Isokinetic quadriceps and hamstring muscle strength and knee function 5 years after anterior cruciate ligament reconstruction: comparison between bone-patellar tendon-bone and hamstring tendon autografts. Knee Surg Sports Traumatol Arthrosc 16(11): 1009-1016. [DOI] [PubMed]
16. Lewis, P. B., A. D. Parameswaran, J. P. Rue and B. R. Bach, Jr. (2008). Systematic review of single-bundle anterior cruciate ligament reconstruction outcomes: a baseline assessment for consideration of double-bundle techniques. Am J Sports Med 36(10): 2028-2036. [DOI] [PubMed]
17. Meftahi N, S. Z. J., Marofi N,Sanjary M,Jafari H (2011). Comparison of the test-retest reliability of hip strength measurements using dynamometer fixed by hand versus fixed to a stable frame in female athletes. JCR 1(5): 19-25.
18. Mentiplay, B. F., L. G. Perraton, K. J. Bower, B. Adair, Y. H. Pua, G. P. Williams, R. McGaw and R. A. Clark (2015). Assessment of Lower Limb Muscle Strength and Power Using Hand-Held and Fixed Dynamometry: A Reliability and Validity Study. PLoS One 10(10): e0140822. [DOI] [PubMed]
19. Mikkelsen, C., S. Werner and E. Eriksson (2000). Closed kinetic chain alone compared to combined open and closed kinetic chain exercises for quadriceps strengthening after anterior cruciate ligament reconstruction with respect to return to sports: a prospective matched follow-up study. Knee Surg Sports Traumatol Arthrosc 8(6): 337-342. [DOI] [PubMed]
20. Mohtadi, N. G., D. S. Chan, K. N. Dainty and D. B. Whelan (2011). Patellar tendon versus hamstring tendon autograft for anterior cruciate ligament rupture in adults. Cochrane Database Syst Rev, (9): Cd005960. [DOI]
21. Niki, Y., A. Hakozaki, W. Iwamoto, H. Kanagawa, H. Matsumoto, Y. Toyama and Y. Suda (2012). Factors affecting anterior knee pain following anatomic double-bundle anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 20(8): 1543-1549. [DOI] [PubMed]
22. Niki, Y., H. Matsumoto, A. Hakozaki, H. Kanagawa, Y. Toyama and Y. Suda (2011). Anatomic double-bundle anterior cruciate ligament reconstruction using bone-patellar tendon-bone and gracilis tendon graft: a comparative study with 2-year follow-up results of semitendinosus tendon grafts alone or semitendinosus-gracilis tendon grafts. Arthroscopy 27(9): 1242-1251. [DOI] [PubMed]
23. Nomura, Y., R. Kuramochi and T. Fukubayashi (2015). Evaluation of hamstring muscle strength and morphology after anterior cruciate ligament reconstruction. Scand J Med Sci Sports 25(3): 301-307. [DOI] [PubMed]
24. Ohkoshi, Y., C. Inoue, S. Yamane, T. Hashimoto and R. Ishida (1998). Changes in muscle strength properties caused by harvesting of autogenous semitendinosus tendon for reconstruction of contralateral anterior cruciate ligament. Arthroscopy 14(6): 580-584. [DOI]
25. Osteras, H., L. B. Augestad and S. Tondel (1998). Isokinetic muscle strength after anterior cruciate ligament reconstruction. Scand J Med Sci Sports 8(5 Pt 1): 279-282. [DOI] [PubMed]
26. Rahimi A, N. A., Sohani S.M (2013). The Validity and Reliability of the Persian Version of the International Knee Documentation Committee (IKDC) Questionnaire in Iranian Patients After ACL and Meniscal Surgeries. Archives of Rehabilitation 14(2): 116.
27. Rosenberg, T. D. and K. T. Deffner (1997). ACL reconstruction: semitendinosus tendon is the graft of choice. Orthopedics 20(5): 396, 398.
28. Sachs, R. A., D. M. Daniel, M. L. Stone and R. F. Garfein (1989). Patellofemoral problems after anterior cruciate ligament reconstruction. Am J Sports Med 17(6): 760-765. [DOI] [PubMed]
29. Sekiya, I., T. Muneta, T. Ogiuchi, K. Yagishita and H. Yamamoto (1998). Significance of the single-legged hop test to the anterior cruciate ligament-reconstructed knee in relation to muscle strength and anterior laxity. Am J Sports Med 26(3): 384-388. [DOI] [PubMed]
30. Snyder-Mackler, L., P. F. De Luca, P. R. Williams, M. E. Eastlack and A. R. Bartolozzi, 3rd (1994). Reflex inhibition of the quadriceps femoris muscle after injury or reconstruction of the anterior cruciate ligament. J Bone Joint Surg Am 76(4): 555-560. [DOI] [PubMed]
31. Tashiro, T., H. Kurosawa, A. Kawakami, A. Hikita and N. Fukui (2003). Influence of medial hamstring tendon harvest on knee flexor strength after anterior cruciate ligament reconstruction. A detailed evaluation with comparison of single- and double-tendon harvest. Am J Sports Med 31(4): 522-529. [DOI] [PubMed]
32. Tsuda, E., Y. Okamura, Y. Ishibashi, H. Otsuka and S. Toh (2001). Techniques for reducing anterior knee symptoms after anterior cruciate ligament reconstruction using a bone-patellar tendon-bone autograft. Am J Sports Med 29(4): 450-456. [DOI] [PubMed]
33. Wilk, K. E., W. T. Romaniello, S. M. Soscia, C. A. Arrigo and J. R. Andrews (1994). The relationship between subjective knee scores, isokinetic testing, and functional testing in the ACL-reconstructed knee. J Orthop Sports Phys Ther 20(2): 60-73. [DOI] [PubMed]

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