Effect of Quadriceps and Hamstring Strength Relative to Body Weight on Risk of a Second ACL Injury: A Cohort Study of 835 Patients Who Returned to Sport After ACL Reconstruction

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Fältnamn	Indikatorer	Metadata
000		05144naa a2200517 4500
001		oai:gup.ub.gu.se/326668
003		SwePub
008		240528s2023 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
024	7	a https://gup.ub.gu.se/publication/3266682 URI
024	7	a https://doi.org/10.1177/232596712311573862 DOI
040		a (SwePub)gu
041		a eng
042		9 SwePub
072	7	a ref2 swepub-contenttype
072	7	a art2 swepub-publicationtype
100	1	a Simonson, Rebeccau Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för hälsa och rehabilitering,Institute of Neuroscience and Physiology, Department of Health and Rehabilitation4 aut
245	1 0	a Effect of Quadriceps and Hamstring Strength Relative to Body Weight on Risk of a Second ACL Injury: A Cohort Study of 835 Patients Who Returned to Sport After ACL Reconstruction
264	1	c 2023
520		a Background:Anterior cruciate ligament (ACL) injuries are common sports-related injuries with a high risk of reinjury after return to sport (RTS). Rehabilitation aims to regain symmetrical knee strength and function to minimize the risk of a second ACL injury after RTS. Purpose:To determine the effect of absolute quadriceps and hamstring strength, normalized by body weight, on the risk of a second ACL injury during the first 2 years after RTS in patients who have undergone ACL reconstruction (ACLR). Study Design:Cohort study; Level of evidence, 3. Methods:Data from patients after index ACLR at the time of RTS were extracted from a rehabilitation registry-Project ACL. Patients who had performed isokinetic tests for quadriceps and hamstring strength and hop tests before RTS were included. The endpoint was a second ACL injury or a follow-up of 2 years after RTS after ACLR. Results:A total of 835 patients (46% women), with a mean age of 23.9 +/- 7.7 years, were included. During the study period, 69 (8.3%) second ACL injuries (ipsilateral and contralateral) occurred. Greater relative quadriceps strength in the injured leg increased the risk of a second ACL injury (relative risk [RR], 1.69 [95% CI, 1.05-2.74]; P = .032). In patients who had recovered symmetrical quadriceps strength (limb symmetry index >= 90%), there was no effect of quadriceps strength on the risk of second ACL injury (RR, 1.33 [95% CI, 0.69-2.56]; P = .39). Quadriceps strength on the healthy side or hamstring strength, regardless of side, had no effect on the risk of a second ACL injury. Conclusion:Greater relative quadriceps strength in the injured leg at the time of RTS after ACLR was associated with an increased risk of a second ACL injury. There was no effect of relative quadriceps strength on the risk of a second ACL injury in patients who had recovered symmetrical quadriceps strength.
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Idrottsvetenskap0 (SwePub)303082 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Sport and Fitness Sciences0 (SwePub)303082 hsv//eng
653		a anterior cruciate ligament
653		a muscle function
653		a muscle strength
653		a reinjury
653		a return to sport
653		a anterior cruciate ligament
653		a limb symmetry indexes
653		a hop tests
653		a to-play
653		a reinjury
653		a criteria
653		a level
653		a times
653		a Orthopedics
653		a Sport Sciences
700	1	a Piussi, Ramanau Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för hälsa och rehabilitering,Institute of Neuroscience and Physiology, Department of Health and Rehabilitation4 aut
700	1	a Högberg, Johan,d 1994u Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för hälsa och rehabilitering,Institute of Neuroscience and Physiology, Department of Health and Rehabilitation4 aut0 (Swepub:gu)xhjohx
700	1	a Senorski, C.4 aut
700	1	a Thomée, Roland,d 1954u Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för hälsa och rehabilitering,Institute of Neuroscience and Physiology, Department of Health and Rehabilitation4 aut0 (Swepub:gu)xthomr
700	1	a Samuelsson, Kristian,d 1977u Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics4 aut0 (Swepub:gu)xsakri
700	1	a Hamrin Senorski, Eric,d 1989u Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för hälsa och rehabilitering,Institute of Neuroscience and Physiology, Department of Health and Rehabilitation4 aut0 (Swepub:gu)xhamer
710	2	a Göteborgs universitetb Institutionen för neurovetenskap och fysiologi, sektionen för hälsa och rehabilitering4 org
773	0	t Orthopaedic Journal of Sports Medicineg 11:4q 11:4
856	4 8	u https://gup.ub.gu.se/publication/326668
856	4 8	u https://doi.org/10.1177/23259671231157386

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