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Titre : | Bilateral changes in knee joint laxity during the first year after non-surgically treated anterior cruciate ligament injury (2022) |
Auteurs : | Sofi Sonesson ; Joanna Kvist |
Type de document : | Article |
Dans : | Physical therapy in sport (Vol. 58, Novembre 2022) |
Article en page(s) : | p. 173-181 |
Note générale : | https://doi.org/10.1016/j.ptsp.2022.10.011 |
Langues: | Français |
Descripteurs : |
HE Vinci Genou ; Instabilité articulaire ; Lésions du ligament croisé antérieur |
Résumé : | Objectives Analyse changes in knee laxity between 3, 6, 12 and 24 months after non-surgically treated ACL injury and to analyse associations between knee laxity and knee function, self-reported knee stability, ACL-Return to Sport after Injury (ACL-RSI), fear and confidence at different timepoints during recovery. Design Prospective cohort study. Participants 125 patients (67 males, mean age 25.0 + 7.0 years) with acute ACL injury. Main outcome Laxity was measured using KT-1000 arthrometer. Self-reported knee function was assessed using the International Knee Documentation Committee Subjective Knee Form (IKDC-SKF). Confidence and fear were assessed with questions from the ACL-RSI scale. Subjectively knee stability was assessed using SANE. Results Knee laxity increased bilaterally from 3 to 12 months, and in the non-involved knee from 3 to 24 months (p?0.05), although mean change was below 1 mm. Side-to-side difference in knee laxity was correlated with IKDC-SKF (r = ?0.283) and knee stability in rehabilitation/sport activities (r = ?0.315) at 6 months, but not with confidence/fear. Conclusion Knee laxity increased bilaterally during the first year after non-surgically treated ACL injury, though, the mean change in knee laxity was below 1 mm and the clinical significance is unknown. Knee laxity was weakly associated with knee function and perceived knee stability. Level of evidence Level II Trial registration NCT02931084 |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S1466853X22001432 |