Function and Disability Journal
Function and Disability Journal
Func Disabil J
Medical Sciences
http://fdj.iums.ac.ir
1
admin
2588-6304
2588-6304
8
10.30699/fdisj
14
13
en
jalali
1396
10
1
gregorian
2018
1
1
1
1
online
1
fulltext
fa
عوارض عضلانی ـ اسکلتی اندام تحتانی شش ماه پس از جراحی بازسازی رباط متقاطع قدامی زانو
Musculoskeletal Complication Following Arthroscopy Anterior Cruciate Ligament Reconstruction 6 Months Post-operatively
فیزیوتراپی
Physiotherapy
پژوهشي
Research
<h2 style="font-style:italic;"><a href="./files/site1/images/Abstract/Volume_1%2C_Issue_1/2.jpg">Abstract Farsi</a></h2>
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<div style="text-align: justify;"><span style="font-family:times new roman;"><strong>Background and Objective:</strong> Muscle strength deficits have usually been found after ACL reconstruction. Some studies have demonstrated a relationship<br>
between lower extremity muscle strength and the single-leg hop test in the ACL reconstructed knees. <br>
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.<br>
<strong>Method:</strong> 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.<br>
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.<br>
<strong>Results: </strong>In the Single-leg hop test there was statistically significant difference in the lower limbs comparing the involved with the uninvolved knee (<em>P</em> < 0.001). In the Tensor Fascia Lata-Ilio Tibial Band (ITB/TFL) length, there was statistically significant difference in the lower limbs (<em>P</em> < 0.001). In the isometric knee flexion strength there was statistically significant difference in the lower limbs at 90° (<em>P</em> < 0.001) and 105° (<em>P</em> < 0.001) knee flexion. In the isometric knee extension strength there was statistically significant difference in the lower limbs at 5° (<em>P</em> < 0.001), 45° (<em>P</em> = 0.025) and 90° (<em>P</em> = 0.003) knee flexion. In the isometric hip abduction, internal rotation and plantar flexion strengths there were statistically significant difference in the lower limbs (<em>P </em>< 0.001). <br>
There was statistically significant correlation between isometric muscle strength ratio (involved vs. uninvolved) and Single-leg hop test in hip abduction (<em>r </em>= 0.345, <em>P</em> < 0.001) , knee extension at 45° (<em>r</em> = 0.245, <em>P</em> = 0.05) and at 90° (<em>r</em> = 0.379, <em>P</em> = 0.002) knee flexion and between isometric muscle strength ratio and anterior knee pain in hip abduction (<em>r</em> = 0.345, <em>P</em> = 0.03) , knee extension at 90° (<em>r</em> = 0.311, <em>P</em> = 0.009) and at 5° (<em>r</em> = 0.272, <em>P</em> = 0.023) knee flexion.<br>
<strong>Conclusion: </strong>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.</span><br>
</div>
Muscle length, Isometric strength, Anterior cruciate, Ligamentreconstruction
11
20
http://fdj.iums.ac.ir/browse.php?a_code=A-10-26-1&slc_lang=fa&sid=1
Ali
Kalhor
علی
کلهور
10031947532846001087
10031947532846001087
No
Masters Student in Physical Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran
کارشناسی ارشد، دانشکدۀ علوم توانبخشی، دانشگاه علوم پزشکی ایران، تهران، ایران
Soheil
Sohani
سهیل
منصور سوهانی
10031947532846001088
10031947532846001088
No
Assistant Professor of Physiotherapy rehabilitation Sciences, Faculty of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran
استادیار، گروه فیزیوتراپی، دانشکدۀ علوم توانبخشی، دانشگاه علوم پزشکی ایران، تهران، ایران
Ali
Amiri
علی
امیری
10031947532846001089
10031947532846001089
Yes
Assistant Professor of Physiotherapy rehabilitation Sciences, Faculty of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran
استادیار، گروه فیزیوتراپی، دانشکدۀ علوم توانبخشی، دانشگاه علوم پزشکی ایران، تهران، ایران
Aliashraf
Jamshidi Khorneh
علیاشرف
جمشیدی خورنه
10031947532846001090
10031947532846001090
No
Associate Professor of Physiotherapy rehabilitation Sciences, Faculty of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran
دانشیار، دانشکدۀ علوم توانبخشی، دانشگاه علوم پزشکی ایران، تهران، ایران