Knee performance and self-efficacy trajectory curves after ACL reconstruction: A longitudinal study.
Phys Ther Sport
; 49: 157-163, 2021 May.
Article
en En
| MEDLINE
| ID: mdl-33721625
ABSTRACT
OBJECTIVES:
To examine knee flexion range-of-motion, quadriceps strength, and knee self-efficacy trajectory curves over 6 months after anterior cruciate ligament reconstruction (ACLR), stratified by patients' Month-6 sports activity level.DESIGN:
Prospective longitudinal study.SETTING:
Hospital outpatient physiotherapy department.PARTICIPANTS:
595 individuals after unilateral ACLR (mean age, 27 years). MAIN OUTCOMEMEASURES:
At 2-, 3-, and 6-months post-surgery, knee flexion range-of-motion, quadriceps strength, and self-efficacy were quantified. Flexion range-of-motion was additionally measured at 2- and 4-weeks post-surgery. Sports activity levels were assessed using the Tegner Activity Score at 6-months post ACLR.RESULTS:
The various measures improved nonlinearly over time, with substantial improvements observed in the first 2-4 months post-surgery. In multivariable generalized least squares models, greater knee flexion range-of-motion, quadriceps strength, and self-efficacy over time were significantly associated with higher Month-6 Tegner levels (all P values < 0.01). Additionally, receiving a bone-patellar-tendon-bone graft or meniscal repair was associated with lower quadriceps strength trajectories (P-values<0.001) while female sex was associated with lower knee self-efficacy trajectories (P = 0.02).CONCLUSIONS:
Greater knee flexion range-of-motion, quadriceps strength, and self-efficacy were associated with higher Month-6 Tegner levels. The derived trajectory curves may be useful for effective management decision making and adequate results interpretation during the rehabilitation process.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Autoeficacia
/
Músculo Cuádriceps
/
Fuerza Muscular
/
Reconstrucción del Ligamento Cruzado Anterior
/
Rodilla
Tipo de estudio:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Adult
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Phys Ther Sport
Asunto de la revista:
MEDICINA ESPORTIVA
/
MEDICINA FISICA
Año:
2021
Tipo del documento:
Article