Correlation between Hamstring Flexor Power Restoration and Functional Performance Test: 2-Year Follow-Up after ACL Reconstruction Using Hamstring Autograft
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Purpose: To evaluate the restoration of the flexor power and the correlation between the flexor power and functional performance tests (FPTs) after anterior cruciate ligament (ACL) reconstruction with hamstring autograft. Materials and Methods: Twenty-three men, who underwent ACL reconstruction with hamstring autograft, were evaluated using Lysholm, Subjective IKDC, Tegner activity score, isokinetic flexion and hyperflexion power test, and the FPTs at 1 and 2-year follow-up. We analyzed the mean change from 1 to 2 year and the correlation between both the flexion and hyperflexion power deficit with the FPTs at each follow-up. Results: Mean age of the patients was 30.9 years (range, 19 to 44). Tegner activity score was significantly increased from 5.7 to 6.3 (p=.010). Hyperflexion power of the involved knee deficits significantly decreased at 2 year follow-up compared with 1 year (p<.001). There was a correlation between the flexor power deficit and the co-contraction, carioca, and involved one-legged hop test at each follow-up. However, no significant correlations were revealed between the hyperflexion power deficit and the FPTs. Conclusions: Hyperflexion power deficit after ACL reconstruction with the hamstring autograft decreased at 2 year follow-up compared to 1 year and does not affect the results of the FPTs.
Abstract
Purpose: To evaluate the restoration of the flexor power and the correlation between the flexor power and functional performance tests (FPTs) after anterior cruciate ligament (ACL) reconstruction with hamstring autograft. Materials and Methods: Twenty-three men, who underwent ACL reconstruction with hamstring autograft, were evaluated using Lysholm, Subjective IKDC, Tegner activity score, isokinetic flexion and hyperflexion power test, and the FPTs at 1 and 2-year follow-up. We analyzed the mean change from 1 to 2 year and the correlation between both the flexion and hyperflexion power deficit with the FPTs at each follow-up. Results: Mean age of the patients was 30.9 years (range, 19 to 44). Tegner activity score was significantly increased from 5.7 to 6.3 (p=.010). Hyperflexion power of the involved knee deficits significantly decreased at 2 year follow-up compared with 1 year (p<.001). There was a correlation between the flexor power deficit and the co-contraction, carioca, and involved one-legged hop test at each follow-up. However, no significant correlations were revealed between the hyperflexion power deficit and the FPTs. Conclusions: Hyperflexion power deficit after ACL reconstruction with the hamstring autograft decreased at 2 year follow-up compared to 1 year and does not affect the results of the FPTs.
참고문헌 (22)
- Kannus P, "Ratio of hamstring to quadriceps femoris muscles’ strength in the anterior cruciate ligament insufficient knee. Relationship to long-term recovery", Phys Ther, 68, pp.961~965 (1988)
- Moore JR, "Prevention of anterior cruciate ligament injuries", NSCA Journal, 11, pp.35~40 (1989)
- Marder RA, "Prospective evaluation of arthroscopically assisted anterior cruciate ligament reconstruction. Patellar tendon versus semitendinosus and gracilis tendons", Am J Sports Med, 19, pp.478~484 (1991)
- Wojtys EM, "Longitudinal effects of anterior cruciate ligament injury and patellar tendon autograft reconstruction on neuromuscular performance", Am J Sports Med, 28, pp.336~344 (2000)
- Noyes FR, "Biomechanical function of the pes anserinus at the knee and the effect of its transplantation", J Bone Joint Surg Am, 55, pp.1225~1241 (1973)
- Nakamura N, "Evaluation of active knee flexion and hamstring strength after anterior cruciate ligament reconstruction using hamstring tendons", Arthroscopy, 18, pp.598~602 (2002)
- Carofino B, "Medial hamstring tendon regeneration following harvest for anterior cruciate ligament reconstruction: fact, myth, and clinical implication", Arthroscopy, 21, pp.1257~1265 (2005)
- Walts CT, "Do sex or race differences influence strength training effects on muscle or fat?", Med Sci Sports Exerc, 40, pp.669~676 (2008)
- Eriksson K, "Semitendinosus tendon regeneration after harvesting for ACL reconstruction. A prospective MRI study", Knee Surg Sports Traumatol Arthrosc, 7, pp.220~225 (1999)
- Papandrea P, "Regeneration of the semitendinosus tendon harvested for anterior cruciate ligament reconstruction. Evaluation using ultrasonography", Am J Sports Med, 28, pp.556~561 (2000)
- Simonian PT, "Assessment of morbidity of semitendinosus and gracilis tendon harvest for ACL reconstruction", Am J Knee Surg, 10, pp.54~59 (1997)
- Keays SL, "Muscle strength and function before and after anterior cruciate ligament reconstruction using semitendonosus and gracilis", Knee, 8, pp.229~234 (2001)
- Ardern CL, "Hamstring strength recovery after hamstring tendon harvest for anterior cruciate ligament reconstruction: a comparison between graft types", Arthroscopy, 26, pp.462~469 (2010)
- Onishi H, "EMG-angle relationship of the hamstring muscles during maximum knee flexion", J Electromyogr Kinesiol, 12, pp.399~406 (2002)
- Tashiro T, "Influence of medial hamstring tendon harvest on knee flexor strength after anterior cruciate ligament reconstruction. A detailed evaluation with comparison of single- and double-tendon harvest", Am J Sports Med, 31, pp.522~529 (2003)
- Adachi N, "Harvesting hamstring tendons for ACL reconstruction influences postoperative hamstring muscle performance", Arch Orthop Trauma Surg, 123, pp.460~465 (2003)
- Beard DJ, "Hamstrings vs. patella tendon for anterior cruciate ligament reconstruction: a randomised controlled trial", Knee, 8, pp.45~50 (2001)
- Ejerhed L, "Patellar tendon or semitendinosus tendon autografts for anterior cruciate ligament reconstruction? A prospective randomized study with a two-year follow-up", Am J Sports Med, 31, pp.19~25 (2003)
- Keays SL, "A 6-year follow-up of the effect of graft site on strength, stability, range of motion, function, and joint degeneration after anterior cruciate ligament reconstruction: patellar tendon versus semitendinosus and Gracilis tendon graft", Am J Sports Med, 35, pp.729~739 (2007)
- Moon HT, "Functional knee test in sports injury", J Korean Orthop Sports Med, 4, pp.107~115 (2005)
- Viola RW, "Internal and external tibial rotation strength after anterior cruciate ligament reconstruction using ipsilateral semitendinosus and gracilis tendon autografts", Am J Sports Med, 28, pp.552~555 (2000)
- 이수원, "자가 슬괵건을 이용한 전방십자인대 재건술 후 슬관절 굴곡력의 약화: 자기공명영상 검사와의 상관관계", 대한스포츠의학회지, 27(1), pp.1~7 (2009), 대한스포츠의학회