Norwegian Research Center for Active Rehabilitation (NAR), Orthopaedic Centre, Oslo University Hospital, Ullevaal, Norway.
Am J Sports Med. 2010 Mar;38(3):586-93. doi: 10.1177/0363546509349492. Epub 2010 Jan 28.
BACKGROUND: Isokinetic muscle strength testing using the peak torque value is the most frequently included quadriceps muscle strength measurement for anterior cruciate ligament (ACL)-injured subjects. PURPOSE AND HYPOTHESES: The purpose of this study was to investigate quadriceps muscle performance during the whole isokinetic curve in subjects with ACL deficiency classified as potential copers or noncopers and to investigate whether these curve profiles were associated with single-legged hop performance. We hypothesized that quadriceps muscle torque at other knee flexion angles than peak torque would give more information about quadriceps muscle strength deficits. Furthermore, we hypothesized that there would be significant torque differences between potential copers and noncopers and a significant relationship between angle-specific torque values and single-legged hop performance. STUDY DESIGN: Cross-sectional study; Level of evidence, 3. METHODS: Seventy-six individuals with a complete unilateral ACL rupture within the last 3 months were included. The subjects were classified as potential copers and noncopers. Isokinetic quadriceps muscle tests were performed at 60 deg/s. Mean torque values were calculated for peak torque as well as for specific knee flexion angles. The 1-legged hop and the 6-m timed hop tests were included, and symmetry indices were used. RESULTS: The peak torque value did not identify the largest quadriceps muscle strength deficit. Rather, these were established at knee flexion angles of less than 40 degrees . There were significant differences in angle-specific torque values between potential copers and noncopers (P < .05). Moderate to strong associations were disclosed between angle-specific torque values and single-legged hop performance, but only for noncopers (r > or = .32-.58). CONCLUSION: Angle-specific quadriceps muscle torque values of less than 40 degrees of knee flexion provide more information on the quadriceps strength deficits after ACL injury than the commonly used peak torque values. Interpretation of the isokinetic curve profiles seems to be of clinical importance for the evaluation of quadriceps muscle performance after ACL injury.
背景:使用峰值扭矩值进行等速肌肉力量测试是最常用于前交叉韧带(ACL)损伤受试者的股四头肌力量测量方法。目的和假设:本研究的目的是调查 ACL 缺陷受试者在整个等速曲线中股四头肌的表现,分为潜在的适应者和非适应者,并调查这些曲线特征是否与单腿跳跃表现相关。我们假设,除了峰值扭矩之外,在其他膝关节屈曲角度下的股四头肌扭矩会提供更多关于股四头肌力量缺陷的信息。此外,我们假设在潜在适应者和非适应者之间会存在显著的扭矩差异,并且特定角度的扭矩值与单腿跳跃表现之间存在显著的关系。
研究设计:横断面研究;证据水平,3 级。
方法:纳入了 76 名最近 3 个月内单侧 ACL 完全断裂的个体。受试者被分为潜在适应者和非适应者。以 60 度/秒的速度进行等速股四头肌测试。计算了峰值扭矩以及特定膝关节屈曲角度的平均扭矩值。包括单腿跳跃和 6 米计时跳跃测试,并使用对称性指数。
结果:峰值扭矩值并不能确定最大的股四头肌力量缺陷。相反,这些缺陷出现在膝关节屈曲角度小于 40 度时。潜在适应者和非适应者之间的特定角度扭矩值存在显著差异(P <.05)。特定角度的扭矩值与单腿跳跃表现之间存在中度至高度的关联,但仅适用于非适应者(r >.32-.58)。
结论:膝关节屈曲小于 40 度的特定角度股四头肌扭矩值比常用的峰值扭矩值提供了更多关于 ACL 损伤后股四头肌力量缺陷的信息。等速曲线特征的解释对于评估 ACL 损伤后股四头肌的表现似乎具有临床意义。
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