| Titre : | Isokinetic quadriceps symmetry helps in the decision to return to running after anterior cruciate ligament reconstruction : Special issue Sport Rehabilitation (2022) |
| Auteurs : | Marc Dauty ; Pascal Edouard ; Pierre Menu ; Olivier Mesland ; Alban Fouasson-Chailloux |
| Type de document : | Article |
| Dans : | Annals of Physical and Rehabilitation Medicine (Vol. 65, n° 4, June 2022) |
| Article en page(s) : | 101543 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Course à pied ; Muscle quadriceps fémoral ; Reconstruction du ligament croisé antérieur |
| Mots-clés: | Isokinétique |
| Résumé : | Background After anterior cruciate ligament reconstruction (ACLR), the decision to allow a return to running is empirical, and the post-operative delay is the most-used criterion. The Quadriceps isokinetic-strength Limb Symmetry Index (Quadriceps LSI), with a cutoff of 60%, could be a useful criterion. Objective To determine the association between a Quadriceps LSI?60% and return to running after ACLR. Methods Over a 10-year period, we retrospectively included 470 patients who underwent ACLR. Four months after ACLR, participants performed an isokinetic test; quadriceps concentric peak torque was used to calculate the Quadriceps LSI at 60?/s. With a Quadriceps LSI?60%, a return to running was suggested. At 6 months after ACLR, participants were clinically evaluated for a return to sport and post-operative middle-term complications. A multivariable predictive model was built to assess the efficiency diagnosis of this cutoff in order to consider cofounding factors. Quadriceps LSI cutoff?60% was assessed with sensitivity, specificity and the area under the receiver operating characteristic curve (AUC). Results According to our decision-making process with the 60% Quadriceps LSI cutoff at 60?/s, 285 patients were authorized to return to running at 4 months after ACLR and 185 were not, but 21% (n=59) and 24% (n=45), respectively, were not compliant with the recommendation. No iterative autograft rupture or meniscus pathology occurred at 6 months of follow-up. On multivariable logistic regression analysis, a return to running by using the 60% Quadriceps LSI cutoff was associated with undergoing the hamstring strand procedure (odds ratio 2.60, 95% confidence interval [CI] 1.75?3.84; P |
| Disponible en ligne : | Non |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S1877065721000610 |
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