Participants at three months post-operative anterior cruciate ligament reconstruction (ACL-R) demonstrate differences in lower extremity energy absorption contribution and quadriceps strength compared to healthy controls

J. Craig Garrison*, Joseph Hannon, Shiho Goto, Laura Giesler, Curtis Bush, James M. Bothwell

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

Background: The purpose of this study was to compare hip and knee energy absorption contribution (EAC) during a double limb squat (DLS) and quadriceps strength in patients three months post-operative ACL-R versus matched healthy controls. Methods: Twenty-four ACL-R participants (Age = 15.5 ± 1.3 yrs; Ht = 1.66 ±.07 m; Mass = 66.3 ± 15.5 kg) were compared to 24 age, sex, limb, and activity-matched healthy controls (Age = 15.5 ± 1.2 yrs; Ht = 1.65 ±.08 m; Mass = 59.0 ± 9.8 kg). Lower extremity biomechanical data was collected at three months post-operative ACL-R during five consecutive DLS. EAC was calculated during DLS descent. Isokinetic quadriceps strength was collected at 60°/s. Normalized quadriceps peak torque (QUADS) was averaged across five trials. Independent t-tests examined differences in group hip and knee EAC during each task. Separate Pearson product–moment correlations examined the relationship between QUADS and hip and knee EAC during the DLS. Results: ACL-R demonstrated greater injured limb hip EAC (46.4 ± 16.0) than Healthy (31.7 ± 11.0) during a DLS (p = 0.001). ACL-R demonstrated less injured limb knee EAC (42.7 ± 14.6) than Healthy (60.6 ± 8.9) during DLS (p < 0.001). No differences were seen between uninjured limb hip (ACL-R = 0.0 ± 14.2; Healthy = 33.4 ± 9.1, p = 0.629) or knee (ACL-R = 56.9 ± 15.6; Healthy = 59.1 ± 9.8, p = 0.561) EAC and matched limbs. ACL-R injured limb QUADS was decreased compared to Healthy (ACL-R = 1.1 ± 0.5; Healthy = 2.0 ± 0.5, p < 0.001). No differences were seen in QUADS on the uninjured and matched limbs (ACL-R = 2.0 ± 0.6; Healthy = 1.9 ± 0.5, p = 0.894). There was a weak, negative correlation between injured limb QUADS and hip EAC (r = − 0.471, p = 0.001) and moderate, positive correlation between injured limb QUADS and knee EAC (r = 0.615, p < 0.001). Conclusions: ACL-R participants demonstrate different eccentric loading strategies during a DLS at three months postoperative compared to matched healthy controls.

Original languageEnglish (US)
Pages (from-to)782-789
Number of pages8
JournalKnee
Volume25
Issue number5
DOIs
StatePublished - Oct 2018
Externally publishedYes

Keywords

  • ACL
  • Double limb squat
  • Early rehabilitation
  • Energy absorption contribution
  • Quadriceps strength
  • Sports biomechanics

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

Fingerprint

Dive into the research topics of 'Participants at three months post-operative anterior cruciate ligament reconstruction (ACL-R) demonstrate differences in lower extremity energy absorption contribution and quadriceps strength compared to healthy controls'. Together they form a unique fingerprint.

Cite this