RESUMEN
Background: Changes in knee loading have been reported after meniscectomy. Knee loading has previously been assessed during jogging and treadmill running rather than overground running, which could give altered results. Purpose/Hypothesis: The purpose of this study was to evaluate knee function during overground running and walking after meniscectomy. It was hypothesized that the affected limb would demonstrate higher external knee adduction moment, lower knee flexion moment (KFM), and lower knee rotation moment (KRM) compared with the contralateral limb and with healthy individuals. Study Design: Controlled laboratory study. Methods: Kinematic and kinetic data were collected during running and walking in individuals after a meniscectomy and healthy individuals. Total knee joint moments (TKJM) were calculated from the sagittal, frontal, and transverse knee moments. Isometric quadriceps strength, perceived knee function, and kinesiophobia were also assessed. A mixed linear model compared differences between the affected leg, the contralateral leg, and the healthy leg. Results: Data were collected on 20 healthy individuals and 30 individuals after a meniscectomy (mean ± SD, 5.7 ± 2.9 months postsurgery), with 12, 16, and 2 individuals who had medial, lateral, and both medial and lateral meniscectomy, respectively. The affected limb demonstrated lower TKJM (P < .001), KFM (P = .004), and KRM (P < .001) during late stance of walking compared with the healthy group. Lower TKJM and KFM were observed during running in the affected limb compared with the contralateral limb and healthy group. No significant differences were observed between contralateral and healthy limbs except for KRM during late stance of walking. Lower quadriceps strength was observed in the affected (P < .001) and contralateral limbs (P = .001) compared with the healthy group. Individuals after a meniscectomy also reported greater kinesiophobia (P = .006) and lower perceived knee function (31.1%; P < .001) compared with the healthy group. Conclusion: After meniscectomy, individuals who sustained a traumatic meniscal injury showed lower TKJM in the affected limb compared with the contralateral limb and healthy individuals. This decrease in TKJM can be attributed to altered knee-loading strategies in the sagittal and transverse planes. Clinical Relevance: Improving movement strategies, quadriceps strength, and kinesiophobia through rehabilitation approaches will allow individuals to load their knee appropriately when returning to sport. Registration: NCT03379415 (ClinicalTrials.gov identifier).
RESUMEN
El manuscrito actual es la traducción del Posicionamiento sobre el Entrenamiento de Fuerza para Jóvenes: el Consenso Internacional de 2014. El consenso original es a su vez una adaptación del posicionamiento de la United Kingdom Strength and Conditioning Association. Ha sido revisado y respaldado por organizaciones profesionales relevantes en los campos de la medicina del deporte, la ciencia de la actividad física y la pediatría. Los autores de este articulo fueron seleccionados entre los campos de la ciencia del ejercicio pediátrico, la medicina pediátrica, la educación física, la preparación física y la medicina del deporte. El manuscrito fue publicado originalmente en el British Journal of Sports Medicine y representa el documento final ratificado oficialmente a nivel ejecutivo por cada organización que lo respalda. Para enlazar con la versión original del manuscrito en ingles diríjanse a: http://bjsm.bmj.com/content/early/2013/09/20/bjsports-2013-092952.full
The current manuscript is a translation of the Position statement on youth resistance training: the 2014 International Consensus. The original manuscript was adapted from the oficial position statement of the UK Strength and Conditioning Association on youth resistance training. It was subsequently reviewed and endorsed by leading professional organisations within the fields of sports medicine, exercise science and paediatrics. The authorship team for this article was selected from the fields of paediatric exercise science, paediatric medicine, physical education, strength and conditioning and sports medicine