Journal List > Korean J Sports Med > v.32(2) > 1054521

Kim and Park: The Correlation of the Evaluation of Quality of Life Depends on Knee Strength after 1-Year an Anterior Cruciate Ligament Reconstruction

Abstract

The life situation has been changed in patients who underwent anterior cruciate ligament (ACL) rupture and subsequent reconstruction. The main purpose of this study was to assess the quality of life (QOL) of patients with ACL reconstruction through Short-Form 36 (SF-36) survey. And secondary aim was to investigate a relationship between health-related QOL survey and the correlation of results with other clinical test. 70 patients (age, 32.0±11.7 years) with an after 1 year ACL reconstruction participated in this study. As clinical evaluations, the SF-36 Questionnaire was used for the QOL and isokinetic strength test was performed for the knee extensors and flexors. And the anterio tibial translation was measured by KT-2000. Spearman's correlation coefficient showed significant correlations between knee strength (extensor and flexor) deficit and SF-36 score including physical functioning, bodily pain, vitality, social function score (p<0.05). However, there was no correlation between SF-36 scores and mean ratio of anterior tibial translation (p>0.05). In conclusion, the Knee strength is significantly associated with QOL. Therefore after ACL reconstruction, a speedy recovery of muscular strength will help to improve the QOL.

REFERENCES

1. Csintalan RP, Inacio MC, Funahashi TT. Incidence rate of anterior cruciate ligament reconstructions. Perm J. 2008; 12:17–21.
crossref
2. Janssen KW, Orchard JW, Driscoll TR, van Mechelen W. High incidence and costs for anterior cruciate ligament reconstructions performed in Australia from 2003-2004 to 2007-2008: time for an anterior cruciate ligament register by Scandinavian model? Scand J Med Sci Sports. 2012; 22:495–501.
crossref
3. Kvist J, Ek A, Sporrstedt K, Good L. Fear of re-injury: a hindrance for returning to sports after anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc. 2005; 13:393–7.
crossref
4. Lohmander LS, Ostenberg A, Englund M, Roos H. High prevalence of knee osteoarthritis, pain, and functional limitations in female soccer players twelve years after anterior cruciate ligament injury. Arthritis Rheum. 2004; 50:3145–52.
crossref
5. Beaton DE, Schemitsch E. Measures of health-related quality of life and physical function. Clin Orthop Relat Res. 2003; 413:90–105.
crossref
6. Filbay SR, Ackerman IN, Russell TG, Macri EM, Crossley KM. Health-related quality of life after anterior cruciate ligament reconstruction: a systematic review. Am J Sports Med. 2014; 42:1247–55.
7. Ardern CL, Webster KE, Taylor NF, Feller JA. Return to sport following anterior cruciate ligament reconstruction surgery: a systematic review and metaanalysis of the state of play. Br J Sports Med. 2011; 45:596–606.
crossref
8. Oiestad BE, Holm I, Engebretsen L, Risberg MA. The association between radiographic knee osteoarthritis and knee symptoms, function and quality of life 10-15 years after anterior cruciate ligament reconstruction. Br J Sports Med. 2011; 45:583–8.
crossref
9. Mohtadi N. Development and validation of the quality of life outcome measure (questionnaire) for chronic anterior cruciate ligament deficiency. Am J Sports Med. 1998; 26:350–9.
10. Shapiro ET, Richmond JC, Rockett SE, McGrath MM, Dona-ldson WR. The use of a generic, patient-based health assessment (SF-36) for evaluation of patients with anterior cruciate ligament injuries. Am J Sports Med. 1996; 24:196–200.
crossref
11. Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992; 30:473–83.
12. Ochiai S, Hagino T, Tonotsuka H, Haro H. Prospective analysis of health-related quality of life and clinical evaluations in patients with anterior cruciate ligament injury undergoing reconstruction. Arch Orthop Trauma Surg. 2011; 131:1091–4.
crossref
13. Palmieri-Smith RM, Thomas AC, Wojtys EM. Maximizing quadriceps strength after ACL reconstruction. Clin Sports Med. 2008; 27:405–24.
crossref
14. Kobayashi A, Higuchi H, Terauchi M, Kobayashi F, Kimura M, Takagishi K. Muscle performance after anterior cruciate ligament reconstruction. Int Orthop. 2004; 28:48–51.
crossref
15. Keays SL, Bullock-Saxton JE, Newcombe P, Bullock MI. The effectiveness of a pre-operative home-based physiotherapy pro-gramme for chronic anterior cruciate ligament deficiency. Phy-siother Res Int. 2006; 11:204–18.
crossref
16. Ardern CL, Webster KE, Taylor NF, Feller JA. Return to the preinjury level of competitive sport after anterior cruciate ligament reconstruction surgery: two-thirds of patients have not re-turned by 12 months after surgery. Am J Sports Med. 2011; 39:538–43.
17. Risberg MA, Holm I, Myklebust G, Engebretsen L. Neuro-muscular training versus strength training during first 6 months after anterior cruciate ligament reconstruction: a randomized clinical trial. Phys Ther. 2007; 87:737–50.
crossref
18. Lautamies R, Harilainen A, Kettunen J, Sandelin J, Kujala UM. 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. 2008; 16:1009–16.
19. Moisala AS, Jarvela T, Kannus P, Jarvinen M. Muscle strength evaluations after ACL reconstruction. Int J Sports Med. 2007; 28:868–72.
crossref
20. Ochiai S, Hagino T, Tonotsuka H, Haro H. Health-related quality of life in patients with an anterior cruciate ligament injury. Arch Orthop Trauma Surg. 2010; 130:397–9.
crossref
21. Aaronson NK, Acquadro C, Alonso J, et al. International Quality of Life Assessment (IQOLA) Project. Qual Life Res. 1992; 1:349–51.
crossref

Table 1.
Health-related quality of life, knee strength and anterior tibial translation of the subjects (n=70)
Variable Mean±standard deviation
Health-related quality of life
  Physical function) 57.1±8.4
  Role physical 54.4±8.8
  Bodily pain 54.1±8.2
  General health 55.6±7.7
  Vitality 58.0±9.9
  Social function 53.3±9.7
  Role emotion 52.5±9.8
  Mental health 55.2±10.2
Knee strength (%)
  Extensor deficits 17.2±12.2
  Flexor deficits 9.3±8.4
Anterior tibial translation (mm) 2.0±1.9
Table 2.
Correlation of Short Form-36 score with knee strength deficits and anterior tibial translation
Variable Extensor deficits Flexor deficits Anterior tibial translation
Physical function r=−0.39 p=0.015 r=−0.31 p=0.019 r=0.28 p=0.520
Role physical r=−0.24 p=0.045 r=−0.20 p=0.302 r=0.14 p=0.701
Bodily pain r=−0.29 p=0.013 r=−0.22 p=0.021 r=−0.24 p=0.190
General health r=−0.27 p=0.102 r=−0.18 p=0.061 r=−0.17 p=0.700
Vitality r=−0.32 p=0.010 r=−0.30 p=0.030 r=−0.15 p=0.602
Social function r=−0.28 p=0.033 r=−0.25 p=0.025 r=−0.08 p=0.071
Role emotion r=−0.30 p=0.018 r=−0.22 p=0.027 r=0.11 p=0.153
Mental health r=−0.25 p=0.152 r=−0.18 p=0.221 r=−0.31 p=0.112

r: correlation coefficients.

p<0.05.

TOOLS
Similar articles