Association between knee muscle strength, kinesiophobia and functional outcomes after ACL reconstruction in young non-athlete adults
Bacso, Cristofer (2022-12-09)
Association between knee muscle strength, kinesiophobia and functional outcomes after ACL reconstruction in young non-athlete adults
(09.12.2022)
Julkaisu on tekijänoikeussäännösten alainen. Teosta voi lukea ja tulostaa henkilökohtaista käyttöä varten. Käyttö kaupallisiin tarkoituksiin on kielletty.
avoin
Julkaisun pysyvä osoite on:
https://urn.fi/URN:NBN:fi-fe202301162996
https://urn.fi/URN:NBN:fi-fe202301162996
Tiivistelmä
ABSTRACT
Background. Anterior cruciate ligament (ACL) is the most commonly injured ligament requiring surgical reconstruction. The relationship between functional outcomes and kinesiophobia after ACL injury rehabilitation remain unclear.
Objective. To assess whether results from self-administered questionnaires such as Tampa Scale of Kinesiophobia (TSK) and Knee Injury and Osteoarthritis score (KOOS) at different time points after reconstruction are associated with functional strength testing.
Materials and methods. 56 patients (36 male, 20 female) who underwent an ACL reconstruction and subsequent rehabilitation according to our exercise laboratory protocol. This included multiple plyometric tests, isometric knee strength testing (angular momentum of 60°/s) and a 10-m walking speed measurement. In addition, all patients were asked to fill out TSK during their testing visit and KOOS at three, six and twelve months from reconstruction.
Results. The mean TSK-FIN score was 34 (range 21-51) (male 35 (SD 6), female 32 (SD 7)). TSK-FIN scores did not correlate with any physical function tests. The mean KOOS scores at 1 year were 98 points for female and 95 points for male. When age, sex, single leg hop for distance, and potential meniscal repair were included into the linear model, female sex was associated with higher 1 year KOOS scores (p<0.001).
Conclusion. No clinically significant correlation was found between TSK and KOOS scores and functional outcomes. Further research is needed on optimizing the patient-reported outcome measure (PROM) best suitable for ACL rehabilitation.
Keywords: anterior cruciate ligament reconstructions, exercise laboratory, rehabilitations, patient reported outcome measure, functional test
Background. Anterior cruciate ligament (ACL) is the most commonly injured ligament requiring surgical reconstruction. The relationship between functional outcomes and kinesiophobia after ACL injury rehabilitation remain unclear.
Objective. To assess whether results from self-administered questionnaires such as Tampa Scale of Kinesiophobia (TSK) and Knee Injury and Osteoarthritis score (KOOS) at different time points after reconstruction are associated with functional strength testing.
Materials and methods. 56 patients (36 male, 20 female) who underwent an ACL reconstruction and subsequent rehabilitation according to our exercise laboratory protocol. This included multiple plyometric tests, isometric knee strength testing (angular momentum of 60°/s) and a 10-m walking speed measurement. In addition, all patients were asked to fill out TSK during their testing visit and KOOS at three, six and twelve months from reconstruction.
Results. The mean TSK-FIN score was 34 (range 21-51) (male 35 (SD 6), female 32 (SD 7)). TSK-FIN scores did not correlate with any physical function tests. The mean KOOS scores at 1 year were 98 points for female and 95 points for male. When age, sex, single leg hop for distance, and potential meniscal repair were included into the linear model, female sex was associated with higher 1 year KOOS scores (p<0.001).
Conclusion. No clinically significant correlation was found between TSK and KOOS scores and functional outcomes. Further research is needed on optimizing the patient-reported outcome measure (PROM) best suitable for ACL rehabilitation.
Keywords: anterior cruciate ligament reconstructions, exercise laboratory, rehabilitations, patient reported outcome measure, functional test