본문 바로가기
KERD
논문KCI 등재

전방십자인대 재건술 후 무릎관절 신전각 30°에서 근결손율이 무릎관절 기능점수에 미치는 영향

Effects of Muscle Deficit of Knee Extension Angle 30° on Knee Functional Scores following Anterior Cruciate Ligament Reconstruction

2

조회

0

다운로드

1

인용

0

참고문헌

키워드

초록

[PURPOSE] The purpose of this study was to investigate the effects of muscle deficit of knee extension angle 30° on knee functional scores following anterior cruciate ligament reconstruction. [METHODS] The patients who had less than 20% of peak torque value following reconstructive ACL operation were participated in this study. In addition, they were divided into a group with knee extension angle 30° muscle deficit less than 20% (Control group; CON, n = 15) and into a group with knee extension angle 30° muscle deficit more than 20% (Muscle deficit group; MDG, n = 15). Knee extension angle 30° muscle deficit, IKDC and Lysholm scores were measured in knee extension angle 30°. [RESULTS] Knee extension angle 30° muscle deficit was significantly higher in the MDG compared with CON (p<.001). IKDC and Lysholm scores were significantly lower in the MDG compared with CON (p<.001). [CONCLUSIONS] This study demonstrated that a larger knee extension angle 30° muscle deficit following reconstructive ACL operation reduces IKDC and Lysholm scores. Therefore, it is recommended that knee extension angle 30° muscle deficit should be considered for rehabilitation and return to sports after ACL reconstruction.

Abstract

[PURPOSE] The purpose of this study was to investigate the effects of muscle deficit of knee extension angle 30° on knee functional scores following anterior cruciate ligament reconstruction. [METHODS] The patients who had less than 20% of peak torque value following reconstructive ACL operation were participated in this study. In addition, they were divided into a group with knee extension angle 30° muscle deficit less than 20% (Control group; CON, n = 15) and into a group with knee extension angle 30° muscle deficit more than 20% (Muscle deficit group; MDG, n = 15). Knee extension angle 30° muscle deficit, IKDC and Lysholm scores were measured in knee extension angle 30°. [RESULTS] Knee extension angle 30° muscle deficit was significantly higher in the MDG compared with CON (p<.001). IKDC and Lysholm scores were significantly lower in the MDG compared with CON (p<.001). [CONCLUSIONS] This study demonstrated that a larger knee extension angle 30° muscle deficit following reconstructive ACL operation reduces IKDC and Lysholm scores. Therefore, it is recommended that knee extension angle 30° muscle deficit should be considered for rehabilitation and return to sports after ACL reconstruction.

참고문헌 (53)

  1. Adams, D., "Current Concepts for Anterior Cruciate Ligament Reconstruction: A Criterion-Based Rehabilitation Progression", Journal of Orthopaedic & Sports Physical Therapy, 42(7), pp.601~614 (2012)
  2. Ahn, J. H., "Arthroscopic Surgery for the Acute Anterior Cruciate Ligament Injury", The Knee Orthopaedic Association, 30(2), pp.291~297 (1995)
  3. Anderson, A. F., "The International Knee Documentation Committee Subjective Knee Evaluation Form", American Journal of Sports Medicine, 34(1), pp.128~135 (2006)
  4. Arms, S. W., "The biomechanics of anterior cruciate ligament rehabilitation and reconstruction", American Journal of Sports Medicine, 12(1), pp.8~18 (1984)
  5. Benjuya, N., "Isokinetic profile of patient with anterior cruciate ligament tear", Isokinetic and Exercise Science, 8(4), pp.229~232 (2000)
  6. Beynnon, B. D., "Anterior Cruciate Ligament Strain Behavior During Rehabilitation Exercises In Vivo", American Journal of Sports Medicine, 23(1), pp.24~34 (1995)
  7. Boden, B. P., "Mechanisms of Anterior Cruciate Ligament Injury", Orthopedics, 23(6), pp.573~578 (2000)
  8. Briggs, K. K., "Lysholm Score and Tegner Activity Level in Individuals With Normal Knees", American Journal of Sports Medicine, 37(5), pp.898~901 (2009)
  9. 조우신, "무릎의 스포츠 손상", 대한스포츠의학회지, 23(1), pp.24~29 (2005), 대한스포츠의학회
  10. Choi, N. Y., "Surgical Treatment of the Acute Anterior Cruciate Ligament Injuries", The Korean Orthopaedic Association, 29(1), pp.125~129 (1994)
  11. Daniel, D. M., "Use of the quadriceps active test to diagnose posterior cruciate ligament disruption and measure posterior laxity of the knee", Journal of Bone & Joint Surgery, American Volume, 70(3), pp.386~391 (1988)
  12. De Arce, A. S., "Isokinetic evaluation of the healthy knee:Position of the joint at the peak torque", Isokinetics and Exercise Science, 9(4), pp.151~154 (2001)
  13. De Jong, S., "Functional Assessment and Muscle strength Before and After Reconstruction of Chronic Anterior Cruciate Ligament Lesion", The Jounral of Arthroscopic and Related Surgery, 23(1), pp.21~28 (2007)
  14. Delitto, A., "Strength of the Quadriceps Femoris Muscle and Functional Recovery after Reconstruction of the Anterior Cruciate Ligament", Journal of Bone & Joint Surgery, American, 77(8), pp.1166~1173 (1995)
  15. Durselen, L., "The Influence of Muscle Forces and External Loads on Cruciate Ligament Strain", American Journal of Sports Medicine, 23(1), pp.129~136 (1995)
  16. Eitzen, I., "ACL deficient potential copers and non-copers reveal different isokinetic quadriceps strength profiles in the early stage after injury", American Journal of Sports Medicine, 38(3), pp.586~593 (2010)
  17. Gottlob, C. A., "Cost Effectiveness of Anterior Cruciate Ligament Reconstruction in Young Adults", Clinical Orthopaedics and Related Research, 367, pp.272~282 (1999)
  18. Grice, A., "Nonelite exercise-related injuries:Participant reported frequency, management and preceptions of their consequences", Scandinavian Journal of Medicine & Science in Sports, 24(2), pp.86~92 (2014)
  19. Grood, E. S., "Biomechanics of the Knee-Extension Exercise", Journal of Bone & Joint Surgery, American, 66(5), pp.725~734 (1984)
  20. Ha, C. W., "Correlation Analysis of KT2000 arthrometer, Cybex Isokinetic Test and Lysholm Knee Score in ACL deficient knees", The Journal of Korean Knee Society, 14(2), pp.173~179 (2002)
  21. Irrgang, J. J., "Use of the International Knee Documentation Committee guidelines to assess outcome following anterior cruciate ligament reconstruction", Knee Surgery, Sports Traumatology, Arthroscopy, 6(2), pp.107~144 (1998)
  22. 전태원, "등속성 근력 측정 시스템의 신뢰도 연구", 코칭능력개발지, 13(2), pp.103~112 (2011), 한국코칭능력개발원
  23. Kannus, P., "Functional of the Quadriceps and Hamstrings Muscles in knees with chronic partial deficiency of the anterior cruciate ligament isometric and isokinetic evaluation", American Journal of Sports Medicine, 20(2), pp.162~168 (1992)
  24. Keays, S. L., "The relationship between knee strength and functional stability before and after anterior cruciate ligament reconstruction", Journal of Orthopaedic Research, 21(2), pp.231~237 (2003)
  25. 김도경, "전방십자인대 재건술 전 대퇴신전근력이 일년 후 슬관절 기능 점수에 미치는 영향", 대한스포츠의학회지, 31(1), pp.7~12 (2013), 대한스포츠의학회[DOI]
  26. Kim, D. W., "The Correlation between Outcome Evaluation System after Anterior Cruciate Ligament Reconstruction", The Journal of Korean Knee Society, 17(2), pp.172~177 (2005)
  27. Kim, J. G, "Effect of functional performance test after anterior cruciate ligament reconstruction", Health & sports medicine; Official Journal of KACEP, 9(2), pp.63~68 (2007)
  28. Konishi, Y., "Relationship between quadriceps femoris muscle volume and muscle torque after anterior cruciate ligament rupture", Knee Surgery, Sports Traumatology, Arthroscopy, 19(4), pp.641~645 (2011)
  29. Krauspe, R., "Sensory innervation of the anterior cruciate ligament An electrophysiological study of the response properties of single identified mechanoreceptors in the cat", Journal of Bone &Joint Surgery, American, 74(3), pp.390~397 (1992)
  30. 이한준, "전방십자인대 재건술 후 재활", Knee Surgery and Related Research, 23(2), pp.69~78 (2011), 대한슬관절학회
  31. Lewek, M., "The effect of insufficient quadriceps strength on gait after anterior cruciate ligament reconstruction", Clinical Biomechanics, 17(1), pp.56~63 (2002)
  32. Liu, W., "The effect of hamstring muscle compensation for anterior laxity in the ACL-deficient knee during gait", Journal of Biomechanics, 33, pp.871~879 (2000)
  33. Lorentzon, R., "Thigh musculature in relation to chronic anterior cruciate ligament: Muscle size, morphology, and mechanical output before reconstruction", American Journal of Sports Medicine, 17(3), pp.423~429 (1989)
  34. Mattacola, V. G., "Strength, Functional Outcome, and Postural Stability After Anterior Cruciate Ligament Reconstruction", Journal of Athletic Training, 37(3), pp.262~268 (2002)
  35. Markolf, K., "Combined Knee Loading States that Generate High Anterior Cruciate Ligament Forces", Journal of Orthopaedic Research, 13(6), pp.930~935 (1995)
  36. Neumann, D. A., "Kinesiology fo the Musculoskeletal System", pp.429~ (2010)
  37. Perrin, D. H., "Isokinetic exercise and assessment" (1993), Human Kinetics Publishers
  38. Petersen, W., "Anatomy of the Anterior Cruciate Ligament with Regard to Its Two Bundles", Clinical Orthopaedics and Related Research, 454(1), pp.35~47 (2006)
  39. Pua, Y. H., "Isokinetic Dynamometry in Anterior Cruciate Injury and Reconstruction", Annals Academy of Medicine, 37(4), pp.330~340 (2008)
  40. Raymond, A. S., "Patellofemoral problem after anterior cruciate ligament reconstruction", American Journal of Sports Medicine, 17(6), pp.760~765 (1989)
  41. Sach, R. A., "Patellofemoral problems after anterior cruciate ligament reconstruction", American Journal of Sports Medicine, 17(6), pp.760~765 (1989)
  42. Schmitt, L. C., "The Impact of Quadriceps Femoris Strength Asymmetry on Functional Performance at Return to Sport Following Anterior Cruciate Ligament Reconstruction", Journal of Orthopaedic & Sports Physical Therapy, 42(9), pp.750~759 (2012)
  43. Seto, J. L., "Assessment of quadriceps", hamstring strength, knee ligament stability, functional and sports activity levels five years after anterior cruciate ligament reconstruction, 1988, pp.16(2), 170~180
  44. Shenoy, S., "Peak Torque and IEMG Activity of Quadriceps Femoris Muscle at Three Different Knee Angles in a Collegiate Population", Journal of Exercise Science & Fitness, 9(1), pp.40~45 (1999)
  45. Shirakura, K., "Characteristics of the isokinetic performance of patients with injured cruciate ligaments", American Journal of Sports Medicine, 20(6), pp.754~760 (1992)
  46. Tegner, Y., "Rating System in the Evaluation of Knee Ligament Injuries", Clinical Orthopaedics and Related Research, 198, pp.43~49 (1985)
  47. Thomas, A. C., "Lower Extremity Muscle Strength After Anterior Cruciate Ligament Injury and Reconstruction", Journal of Athletic Training, 48(5), pp.610~620 (2013)
  48. Toutoungi, D. E., "Cruciate ligament forces in the human knee during rehabilitation exercise", Clinical Biomechanics, 15(3), pp.176~187 (2000)
  49. Wexler, G., "Functional gait adaptations in patients with anterior cruciate ligament deficiency over time", Clinical Orthopaedics and Related Research, 348, pp.166~175 (1998)
  50. Wilk, K. E., "The Relationship Between Subjective Knee Scores, Isokinetic Testing, and Fuctional Testing in the ACL-reconstructed Knee", Journal of Orthopaedic & Sports Physical Therapy, 20(2), pp.60~73 (1994)
  51. Xergia, S. A., "Asymmetris in Functional Hop Tests, Lower Extremity Kinematics, and Isokinetic Strength Persist 6to 9 Months Following Anterior Cruciate Ligament Reconstruction", Journal of Orthopaedic & Sports Physical Therapy, 43(3), pp.154~162 (2013)
  52. Yasuda, K., "An In Vivo Biomechanical Study on the Tension-Versus-Knee Flexion Angle Curves of 2 Grafts in Anatomic Double-Bundle Anterior Crucaite Ligament Reconstruction: Effects of Initial Tension and Internal Tibial Rotation", The Journal of Arthroscopic and Related Surgery, 24(3), pp.276~284 (2008)
  53. Yu, B., "Mechanisms of non-contact ACL injuries", British Journal of Sports Medicine, 41(1), pp.47~51 (2007)

관련 논문AI추천

이 간행물의 다른 논문 (5건)