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Quadriceps Function and Hamstrings Co-Activation After Anterior Cruciate Ligament Reconstruction.

作者信息

Pamukoff Derek N, Pietrosimone Brian G, Ryan Eric D, Lee Dustin R, Blackburn J Troy

机构信息

California State University, Fullerton.

University of North Carolina at Chapel Hill.

出版信息

J Athl Train. 2017 May;52(5):422-428. doi: 10.4085/1062-6050-52.3.05. Epub 2017 Apr 18.


DOI:10.4085/1062-6050-52.3.05
PMID:28388231
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5455245/
Abstract

CONTEXT: Individuals with anterior cruciate ligament reconstruction (ACLR) have quadriceps dysfunction that contributes to physical disability and posttraumatic knee osteoarthritis. Quadriceps function in the ACLR limb is commonly evaluated relative to the contralateral uninjured limb. Bilateral quadriceps dysfunction is common in individuals with ACLR, potentially biasing these evaluations. OBJECTIVE: To compare quadriceps function between individuals with ACLR and uninjured control participants. DESIGN: Cross-sectional study. SETTING: Research laboratory. PATIENTS OR OTHER PARTICIPANTS: Twenty individuals with unilateral ACLR (age = 21.1 ± 1.7 years, mass = 68.3 ± 14.9 kg, time since ACLR = 50.7 ± 21.3 months; females = 14; Tegner Score = 7.1 ± 0.3; 16 patellar tendon autografts, 3 hamstrings autografts, 1 allograft) matched to 20 control participants (age = 21.2 ± 1.2 years, mass = 67.9 ± 11.3 kg; females = 14; Tegner Score = 7.1 ± 0.4) on age, sex, body mass index, and Tegner Activity Scale. MAIN OUTCOME MEASURE(S): Maximal voluntary isometric knee extension was performed on an isokinetic dynamometer. Peak torque (PT), rate of torque development (RTD), electromyographic (EMG) amplitude, central activation ratio (CAR), and hamstrings EMG amplitude were assessed during maximal voluntary isometric knee extension and compared between groups using independent-samples t tests. Relationships between hamstrings co-activation and quadriceps function were assessed using Pearson correlations. RESULTS: Participants with anterior cruciate ligament reconstruction displayed lesser quadriceps PT (1.86 ± 0.74 versus 2.56 ± 0.37 Nm/kg, P = .001), RTD (39.4 ± 18.7 versus 52.9 ± 16.4 Nm/s/kg, P = .03), EMG amplitude (0.25 ± 0.12 versus 0.37 ± 0.26 mV, P = .04), and CAR (83.3% ± 11.1% versus 93.7% ± 3.2%, P = .002) and greater hamstrings co-activation (27.2% ± 12.8% versus 14.3% ± 3.7%, P < .001) compared with control participants. Correlations were found between hamstrings co-activation and PT (r = -0.39, P = .007), RTD (r = -0.30, P = .03), and EMG amplitude (r = -0.30, P = .03). CONCLUSIONS: Individuals with ACLR possessed deficits in PT, RTD, and CAR compared with control participants. Peak torque is the net result of all agonist and antagonist activity, and lesser PT in individuals with ACLR is partially attributable to greater hamstrings co-activation.

摘要

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本文引用的文献

[1]
Quadriceps Function and Gait Kinetics after Anterior Cruciate Ligament Reconstruction.

Med Sci Sports Exerc. 2016-9

[2]
Measuring voluntary quadriceps activation: Effect of visual feedback and stimulus delivery.

J Electromyogr Kinesiol. 2016-2

[3]
Impaired Quadriceps Rate of Torque Development and Knee Mechanics After Anterior Cruciate Ligament Reconstruction With Patellar Tendon Autograft.

Am J Sports Med. 2015-10

[4]
Effect of knee angle on quadriceps strength and activation after anterior cruciate ligament reconstruction.

J Appl Physiol (1985). 2015-8-1

[5]
Tibiofemoral Osteoarthritis After Surgical or Nonsurgical Treatment of Anterior Cruciate Ligament Rupture: A Systematic Review.

J Athl Train. 2017-6-2

[6]
Osteoarthritis prevalence following anterior cruciate ligament reconstruction: a systematic review and numbers-needed-to-treat analysis.

J Athl Train. 2014

[7]
Clinical thresholds for quadriceps assessment after anterior cruciate ligament reconstruction.

J Sport Rehabil. 2015-2

[8]
Asymmetries in explosive strength following anterior cruciate ligament reconstruction.

Knee. 2014-12

[9]
Speed, not magnitude, of knee extensor torque production is associated with self-reported knee function early after anterior cruciate ligament reconstruction.

Knee Surg Sports Traumatol Arthrosc. 2015-11

[10]
Rapid hamstrings/quadriceps strength in ACL-reconstructed elite Alpine ski racers.

Med Sci Sports Exerc. 2015-1

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