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Comparison Of Muscle Strength And Neuromuscular Control Up To 1 Year After Anterior Cruciate Ligament Reconstruction Between Patients With Dominant Leg And Non-Dominant Leg Injuries

Ki-Mo Jang, MD, PhD, Prof.
KOREA, REPUBLIC OF

Comparison Of Muscle Strength And Neuromuscular Control Up To 1 Year After Anterior Cruciate Ligament Reconstruction Between Patients With Dominant Leg And Non-Dominant Leg Injuries

Ki-Mo Jang, MD, PhD, Prof., KOREA, REPUBLIC OF Dae Keun Suh, MD, PhD, KOREA, REPUBLIC OF Hye Chang Rhim, MD, KOREA, REPUBLIC OF Jin Hyuck Lee, PT, PhD, KOREA, REPUBLIC OF

Anam Hospital, Korea University College of Medicine, Seoul, KOREA, REPUBLIC OF

2021 Congress ePoster Presentation Not yet rated

Sports Medicine

Orthopaedic Sports Medicine Rehabilition / Physical Therapy Sport Specific Injuries

Diagnosis / Condition

Instability

Treatment / Technique

Single Bundle Arthroscopy

Patient Populations

Sport Specific Population

Diagnosis Method

Physical Examination MRI

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Summary: Quadriceps strength of the operated non-dominant leg was lower than that of the operated dominant leg 6 months postoperatively; however, the strength of the quadriceps and hamstring muscles was not different after 12 months between the operated dominant and non-dominant legs

Background

There has not been an investigation to determine whether leg dominance affects the recovery of quadriceps and hamstring strength, muscle reaction time (acceleration time, AT), and postural stability after anterior cruciate ligament (ACL) reconstruction in recreational-level athletic patients.

Methods

A total of 100 patients with isolated ACL injuries (58 patients had dominant leg injuries; 42 patients had non-dominant leg injuries) participated. All patients received an anatomical single-bundle ACL reconstruction using an auto-hamstring tendon graft without preoperative rehabilitation. Leg dominance was defined as the kicking leg. The quadriceps and hamstring strength, AT, and postural stability (overall stability index (OSI)) of both legs were assessed at three different time points (preoperative, 6 months, 12 months), using an isokinetic dynamometer and postural stabilometry system.

Results

All patients in both groups showed gradual improvement in quadriceps and hamstring muscle strength in the operated legs up to 1 year postoperatively. However, the mean value of quadriceps strength was lower in the operated non-dominant leg than the operated dominant leg 6 months postoperatively (P = 0.048). The AT and OSI of the operated legs in both groups recovered significantly 6 months postoperatively compared with their preoperative values; however, the AT and OSI values after 6 and 12 months were similar.

Conclusion

Quadriceps strength of the operated non-dominant leg was lower than that of the operated dominant leg 6 months postoperatively; however, the strength of the quadriceps and hamstring muscles was not different after 12 months between the operated dominant and non-dominant legs. Clinicians and physical therapists should consider these results during early rehabilitation and identify effective protocols to enhance quadriceps strength, especially in patients with non-dominant leg injuries.

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Comparison Of Muscle Strength And Neuromuscular Control Up To 1 Year After Anterior Cruciate Ligament Reconstruction Between Patients With Dominant Leg And Non-Dominant Leg Injuries

Comparison Of Muscle Strength And Neuromuscular Control Up To 1 Year After Anterior Cruciate Ligament Reconstruction Between Patients With Dominant Leg And Non-Dominant Leg Injuries

Background

Methods

Results

Conclusion

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Comparison Of Muscle Strength And Neuromuscular Control Up To 1 Year After Anterior Cruciate Ligament Reconstruction Between Patients With Dominant Leg And Non-Dominant Leg Injuries

Comparison Of Muscle Strength And Neuromuscular Control Up To 1 Year After Anterior Cruciate Ligament Reconstruction Between Patients With Dominant Leg And Non-Dominant Leg Injuries

Background

Methods

Results

Conclusion