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Patient function in serial assessments throughout the post-ACL reconstruction progression.

S G Bodkin¹, J Hertel¹, A S Bruce¹

¹Department of Kinesiology. University of Virginia, Memorial Gymnasium Rm 206 210 Emmet St So, Charlottesville, VA, 22903, USA.

Physical Therapy in Sport : Official Journal of the Association of Chartered Physiotherapists in Sports Medicine

|November 22, 2020

Summary

This summary is machine-generated.

Between 4- and 6-months after anterior cruciate ligament reconstruction (ACLR), patients showed improved strength and function. However, higher age, lower pre-injury activity, and high limb symmetry at 4 months predicted poor quadriceps strength gains.

Keywords:

ACL-RSI Quadriceps Return to play

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Area of Science:

Orthopedics
Sports Medicine
Rehabilitation Science

Background:

Anterior cruciate ligament reconstruction (ACLR) is a common surgical procedure.
Assessing patient recovery and identifying factors influencing strength gains post-ACLR is crucial for optimizing rehabilitation outcomes.

Purpose of the Study:

To evaluate changes in patient strength and function between 4 and 6 months post-ACLR.
To explore the relationship between strength changes and subjective functional improvements.
To identify predictors of inadequate strength recovery following ACLR.

Main Methods:

A prospective cohort study involving 47 patients undergoing primary ACLR.
Isokinetic knee strength and subjective function were assessed at 4 and 6 months post-surgery.
Binary logistic regression identified factors associated with failure to achieve strength improvements.

Main Results:

Patients demonstrated significant improvements in subjective outcomes and strength measures from 4 to 6 months post-ACLR (P < 0.05).
Higher age, lower pre-injury activity levels, and greater limb symmetry index at 4 months predicted a lack of quadriceps strength improvement by 6 months.

Conclusions:

Post-ACLR, patients experience functional and strength gains between 4 and 6 months.
High quadriceps symmetry alone at interim assessments may not accurately reflect true functional recovery, potentially overestimating progress.