Journal List > Korean J Sports Med > v.31(1) > 1054510

Kim and Park: Effects of Preoperative Quadriceps Strength on the Knee Functional Scores One Year after Anterior Cruciate Ligament Reconstruction

Abstract

To identify how influence preoperative predictable factors for knee function after one year of anterior cruciate ligament reconstruction (ACLR). The purpose of this study is to investigate the relationship of preoperative quadriceps strength and post-operative knee function scores (Lysholm score and International Knee Documentation Committee [IKDC] score) after surgery. We extracted seventy-one subjects who underwent hamstring autograft reconstruction to evaluate randomly. Muscle strength deficits were measured with CSMI isokinetic dynamometer. One year after ACLR, we collected these scores from subjects completed. After identification of baseline independent variables between quadriceps muscle strength deficits and both Lysholm score and IKDC score, we examined that how relevant influence in these relationship with these factors by classifying quartile groups. We demonstrated that quadriceps muscles strength and knee function scores were identified as significant correlation. It was compared with quartile outcome in order to analyze that how different result comes out as a degree of deficit. As a result, the only Q1 group who indicated less quadriceps muscle strength deficit (within 23% deficits) effected to knee function scores after one year surgery. The less of quadriceps muscle strength deficit indicated before surgery, the better functional knee score level turns up. Therefore, the result verified that there are significantly positive influences between these relationships after one year of ACLR.

References

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Fig. 1.
Association between knee extension strength deficit and Lyshlom score.
kjsm-31-7f1.tif
Fig. 2.
Association between knee extension strength deficit and IKDC score. IKDC: International Knee Documentation Committee.
kjsm-31-7f2.tif
Table 1.
Characteristics of study subjects
Characteristic Mean±standard deviation
Age (y) 36.04±11.76
Height (cm) 172.88±6.65
Weight (kg) 72.25±8.90
Body fat (%) 24.48±7.70
Table 2.
Preoperative and one year after ACLR outcomes knee strength deficit and functional score
Functional strength scores Preoperative 1 Year after ACLR
Knee extension strength deficit (%) 31.17±20.32 17.52±11.42
Lysholm score 74.72±15.39 90.41±7.87
IKDC score 59.95±16.96 78.08±11.99

Date represent the mean±standard deviation.

ACLR: anterior cruciate ligament reconstruction, IKDC: International Knee Documentation Committee.

Table 3.
Regression analysis with knee extension strength deficit and knee scores
Functional strength scores Score Pr> ltl Adjusted p-value
Lysholm score 90.41±7.87 0.005 0.047
IKDC score 78.08±11.99 0.002 0.017

p>0.05.

IKDC: International Knee Documentation Committee.

Table 4.
Correlation analysis with knee extension strength deficit according to quartiles and knee scores
Functional strength scores Q1 (n=17)<23% Q2 (n=18)23%−38% Q3 (n=17)38%−51% Q4 (n=19)>51%
Lysholm score 94.5±4.2 91.1±5.8 87.5±7.1 83.5±8.9
   Correlation coefficient 0.309 0.243 0.255 0.215
   Adjusted p-value 0.042 0.094 0.382 0.111
IKDC score 86.1±6.2 81.7±10.5 70.7±12.3 72.0±12.1
   Correlation coefficient 0.499 0.265 0.333 0.131
   Adjusted p-value 0.033 0.164 0.785 0.511

Date represent the mean±standard deviation, p>0.05.

IKDC: International Knee Documentation Committee.

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