Loading…
Quadriceps strength and psychological readiness are associated with multiplanar knee kinematics after anterior cruciate ligament reconstruction
Gait asymmetry, negative psychological factors and quadriceps strength deficits are common after anterior cruciate ligament reconstruction (ACLR). Whether quadriceps strength and psychological factors have impacts on multiplanar knee kinematics remains unclear. What are the relationships of multipla...
Saved in:
| Published in: | Gait & posture 2023-03, Vol.101, p.101-105 |
|---|---|
| Main Authors: | , , , , |
| Format: | Article |
| Language: | English |
| Subjects: | |
| Citations: | Items that this one cites |
| Online Access: | Get full text |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| cited_by | |
|---|---|
| cites | cdi_FETCH-LOGICAL-c363t-154f5cbb00319cf87ce2a3661da54a3c7e579b67160b211ddc2e69246272a23b3 |
| container_end_page | 105 |
| container_issue | |
| container_start_page | 101 |
| container_title | Gait & posture |
| container_volume | 101 |
| creator | Zhou, Lan Xu, Yihong Wang, Siya Wang, Shaobai Xu, Weidong |
| description | Gait asymmetry, negative psychological factors and quadriceps strength deficits are common after anterior cruciate ligament reconstruction (ACLR). Whether quadriceps strength and psychological factors have impacts on multiplanar knee kinematics remains unclear.
What are the relationships of multiplanar knee kinematics during the gait cycle and psychological readiness to quadriceps strength after ACLR?
In total, 45 patients were enrolled in this study at 8.3 ± 1.5 months after ACLR. All patients underwent gait analysis and isokinetic testing. Interlimb differences in the range of motion (ROM) and maximum and initial contact (IC) angles in abduction-adduction, flexion-extension, and internal-external rotation were calculated. The limb symmetry index (LSI) for quadriceps strength was calculated. Psychological readiness was measured using the Anterior Cruciate Ligament Return to Sport After Injury (ACL-RSI) scale. The paired t test analyzed the differences between contralateral and affected limbs in quadriceps and hamstrings strength. Pearson or Spearman correlation was used to assess relationships between the variables of interest.
Significant differences between contralateral and affected limbs were observed in isokinetic knee quadriceps strength (P |
| doi_str_mv | 10.1016/j.gaitpost.2023.02.005 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2775620340</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S096663622300036X</els_id><sourcerecordid>2775620340</sourcerecordid><originalsourceid>FETCH-LOGICAL-c363t-154f5cbb00319cf87ce2a3661da54a3c7e579b67160b211ddc2e69246272a23b3</originalsourceid><addsrcrecordid>eNqFkc1u1TAQhS0EoreFV6i8ZJPUP4l9swNV_EmVEBKsLWc8ufVtYgfbAfUpeGVcbsuWzczmO-do5hByyVnLGVdXx_ZgfVljLq1gQrZMtIz1z8iO7_XQCMGH52THBqUaJZU4I-c5HxljndyLl-RMKq1lp4cd-f11sy55wDXTXBKGQ7mlNji65nu4jXM8eLAzTWidD5gztQmpzTmCtwUd_eUrv2xz8etsg030LiDSu8outnio_FQwVcc6fUwU0vZXSWd_sAuGUq0hhhq9QfExvCIvJjtnfP24L8j3D--_XX9qbr58_Hz97qYBqWRpeN9NPYwjY5IPMO01oLBSKe5s31kJGns9jEpzxUbBuXMgUA2iU0ILK-QoL8ibk--a4o8NczGLz4BzPQLjlo3QuleCyY5VVJ1QSDHnhJNZk19sujecmYcyzNE8lWEeyjBMmFpGFV4-Zmzjgu6f7On7FXh7ArBe-tNjMhk8BkDn61eKcdH_L-MPVISjOw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2775620340</pqid></control><display><type>article</type><title>Quadriceps strength and psychological readiness are associated with multiplanar knee kinematics after anterior cruciate ligament reconstruction</title><source>ScienceDirect Freedom Collection</source><creator>Zhou, Lan ; Xu, Yihong ; Wang, Siya ; Wang, Shaobai ; Xu, Weidong</creator><creatorcontrib>Zhou, Lan ; Xu, Yihong ; Wang, Siya ; Wang, Shaobai ; Xu, Weidong</creatorcontrib><description>Gait asymmetry, negative psychological factors and quadriceps strength deficits are common after anterior cruciate ligament reconstruction (ACLR). Whether quadriceps strength and psychological factors have impacts on multiplanar knee kinematics remains unclear.
What are the relationships of multiplanar knee kinematics during the gait cycle and psychological readiness to quadriceps strength after ACLR?
In total, 45 patients were enrolled in this study at 8.3 ± 1.5 months after ACLR. All patients underwent gait analysis and isokinetic testing. Interlimb differences in the range of motion (ROM) and maximum and initial contact (IC) angles in abduction-adduction, flexion-extension, and internal-external rotation were calculated. The limb symmetry index (LSI) for quadriceps strength was calculated. Psychological readiness was measured using the Anterior Cruciate Ligament Return to Sport After Injury (ACL-RSI) scale. The paired t test analyzed the differences between contralateral and affected limbs in quadriceps and hamstrings strength. Pearson or Spearman correlation was used to assess relationships between the variables of interest.
Significant differences between contralateral and affected limbs were observed in isokinetic knee quadriceps strength (P < 0.001) and hamstring strength (P = 0.009). The ACL-RSI score correlated negatively with interlimb differences in the knee flexion angle at IC (r = –0.35, P = 0.02) and ROM in the transverse plane (r = –0.41, P = 0.003). The LSI for quadriceps strength correlated negatively with the peak knee flexion angle (r = –0.37, P = 0.02) and positively with the ACL-RSI score (r = 0.3, P = 0.05).
Greater psychological readiness and quadriceps strength are associated with more symmetrical multiplanar knee kinematics. The improvement of these parameters may aid the recovery of knee kinematics after ACLR, and reduce the rate of reinjury and incidence of posttraumatic osteoarthritis.
•The knee kinematic asymmetry after ACL reconstruction is very common.•Exploring the factors affecting multiplanar knee kinematics is significant.•Psychological readiness was found to be associated with multiplanar knee kinematics.•Muscle strength was found to be associated with multiplanar knee kinematics.</description><identifier>ISSN: 0966-6362</identifier><identifier>EISSN: 1879-2219</identifier><identifier>DOI: 10.1016/j.gaitpost.2023.02.005</identifier><identifier>PMID: 36773479</identifier><language>eng</language><publisher>England: Elsevier B.V</publisher><subject>Anterior Cruciate Ligament Injuries - psychology ; Anterior Cruciate Ligament Injuries - surgery ; Anterior cruciate ligament reconstruction ; Anterior Cruciate Ligament Reconstruction - psychology ; Biomechanical Phenomena ; Humans ; Kinematics ; Knee Joint - surgery ; Muscle Strength ; Psychological readiness ; Quadricep strength ; Quadriceps Muscle - surgery ; Return to Sport</subject><ispartof>Gait & posture, 2023-03, Vol.101, p.101-105</ispartof><rights>2023 The Authors</rights><rights>Copyright © 2023 The Authors. Published by Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c363t-154f5cbb00319cf87ce2a3661da54a3c7e579b67160b211ddc2e69246272a23b3</cites><orcidid>0000-0002-8072-920X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36773479$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhou, Lan</creatorcontrib><creatorcontrib>Xu, Yihong</creatorcontrib><creatorcontrib>Wang, Siya</creatorcontrib><creatorcontrib>Wang, Shaobai</creatorcontrib><creatorcontrib>Xu, Weidong</creatorcontrib><title>Quadriceps strength and psychological readiness are associated with multiplanar knee kinematics after anterior cruciate ligament reconstruction</title><title>Gait & posture</title><addtitle>Gait Posture</addtitle><description>Gait asymmetry, negative psychological factors and quadriceps strength deficits are common after anterior cruciate ligament reconstruction (ACLR). Whether quadriceps strength and psychological factors have impacts on multiplanar knee kinematics remains unclear.
What are the relationships of multiplanar knee kinematics during the gait cycle and psychological readiness to quadriceps strength after ACLR?
In total, 45 patients were enrolled in this study at 8.3 ± 1.5 months after ACLR. All patients underwent gait analysis and isokinetic testing. Interlimb differences in the range of motion (ROM) and maximum and initial contact (IC) angles in abduction-adduction, flexion-extension, and internal-external rotation were calculated. The limb symmetry index (LSI) for quadriceps strength was calculated. Psychological readiness was measured using the Anterior Cruciate Ligament Return to Sport After Injury (ACL-RSI) scale. The paired t test analyzed the differences between contralateral and affected limbs in quadriceps and hamstrings strength. Pearson or Spearman correlation was used to assess relationships between the variables of interest.
Significant differences between contralateral and affected limbs were observed in isokinetic knee quadriceps strength (P < 0.001) and hamstring strength (P = 0.009). The ACL-RSI score correlated negatively with interlimb differences in the knee flexion angle at IC (r = –0.35, P = 0.02) and ROM in the transverse plane (r = –0.41, P = 0.003). The LSI for quadriceps strength correlated negatively with the peak knee flexion angle (r = –0.37, P = 0.02) and positively with the ACL-RSI score (r = 0.3, P = 0.05).
Greater psychological readiness and quadriceps strength are associated with more symmetrical multiplanar knee kinematics. The improvement of these parameters may aid the recovery of knee kinematics after ACLR, and reduce the rate of reinjury and incidence of posttraumatic osteoarthritis.
•The knee kinematic asymmetry after ACL reconstruction is very common.•Exploring the factors affecting multiplanar knee kinematics is significant.•Psychological readiness was found to be associated with multiplanar knee kinematics.•Muscle strength was found to be associated with multiplanar knee kinematics.</description><subject>Anterior Cruciate Ligament Injuries - psychology</subject><subject>Anterior Cruciate Ligament Injuries - surgery</subject><subject>Anterior cruciate ligament reconstruction</subject><subject>Anterior Cruciate Ligament Reconstruction - psychology</subject><subject>Biomechanical Phenomena</subject><subject>Humans</subject><subject>Kinematics</subject><subject>Knee Joint - surgery</subject><subject>Muscle Strength</subject><subject>Psychological readiness</subject><subject>Quadricep strength</subject><subject>Quadriceps Muscle - surgery</subject><subject>Return to Sport</subject><issn>0966-6362</issn><issn>1879-2219</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNqFkc1u1TAQhS0EoreFV6i8ZJPUP4l9swNV_EmVEBKsLWc8ufVtYgfbAfUpeGVcbsuWzczmO-do5hByyVnLGVdXx_ZgfVljLq1gQrZMtIz1z8iO7_XQCMGH52THBqUaJZU4I-c5HxljndyLl-RMKq1lp4cd-f11sy55wDXTXBKGQ7mlNji65nu4jXM8eLAzTWidD5gztQmpzTmCtwUd_eUrv2xz8etsg030LiDSu8outnio_FQwVcc6fUwU0vZXSWd_sAuGUq0hhhq9QfExvCIvJjtnfP24L8j3D--_XX9qbr58_Hz97qYBqWRpeN9NPYwjY5IPMO01oLBSKe5s31kJGns9jEpzxUbBuXMgUA2iU0ILK-QoL8ibk--a4o8NczGLz4BzPQLjlo3QuleCyY5VVJ1QSDHnhJNZk19sujecmYcyzNE8lWEeyjBMmFpGFV4-Zmzjgu6f7On7FXh7ArBe-tNjMhk8BkDn61eKcdH_L-MPVISjOw</recordid><startdate>202303</startdate><enddate>202303</enddate><creator>Zhou, Lan</creator><creator>Xu, Yihong</creator><creator>Wang, Siya</creator><creator>Wang, Shaobai</creator><creator>Xu, Weidong</creator><general>Elsevier B.V</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-8072-920X</orcidid></search><sort><creationdate>202303</creationdate><title>Quadriceps strength and psychological readiness are associated with multiplanar knee kinematics after anterior cruciate ligament reconstruction</title><author>Zhou, Lan ; Xu, Yihong ; Wang, Siya ; Wang, Shaobai ; Xu, Weidong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c363t-154f5cbb00319cf87ce2a3661da54a3c7e579b67160b211ddc2e69246272a23b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Anterior Cruciate Ligament Injuries - psychology</topic><topic>Anterior Cruciate Ligament Injuries - surgery</topic><topic>Anterior cruciate ligament reconstruction</topic><topic>Anterior Cruciate Ligament Reconstruction - psychology</topic><topic>Biomechanical Phenomena</topic><topic>Humans</topic><topic>Kinematics</topic><topic>Knee Joint - surgery</topic><topic>Muscle Strength</topic><topic>Psychological readiness</topic><topic>Quadricep strength</topic><topic>Quadriceps Muscle - surgery</topic><topic>Return to Sport</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhou, Lan</creatorcontrib><creatorcontrib>Xu, Yihong</creatorcontrib><creatorcontrib>Wang, Siya</creatorcontrib><creatorcontrib>Wang, Shaobai</creatorcontrib><creatorcontrib>Xu, Weidong</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Gait & posture</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhou, Lan</au><au>Xu, Yihong</au><au>Wang, Siya</au><au>Wang, Shaobai</au><au>Xu, Weidong</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Quadriceps strength and psychological readiness are associated with multiplanar knee kinematics after anterior cruciate ligament reconstruction</atitle><jtitle>Gait & posture</jtitle><addtitle>Gait Posture</addtitle><date>2023-03</date><risdate>2023</risdate><volume>101</volume><spage>101</spage><epage>105</epage><pages>101-105</pages><issn>0966-6362</issn><eissn>1879-2219</eissn><abstract>Gait asymmetry, negative psychological factors and quadriceps strength deficits are common after anterior cruciate ligament reconstruction (ACLR). Whether quadriceps strength and psychological factors have impacts on multiplanar knee kinematics remains unclear.
What are the relationships of multiplanar knee kinematics during the gait cycle and psychological readiness to quadriceps strength after ACLR?
In total, 45 patients were enrolled in this study at 8.3 ± 1.5 months after ACLR. All patients underwent gait analysis and isokinetic testing. Interlimb differences in the range of motion (ROM) and maximum and initial contact (IC) angles in abduction-adduction, flexion-extension, and internal-external rotation were calculated. The limb symmetry index (LSI) for quadriceps strength was calculated. Psychological readiness was measured using the Anterior Cruciate Ligament Return to Sport After Injury (ACL-RSI) scale. The paired t test analyzed the differences between contralateral and affected limbs in quadriceps and hamstrings strength. Pearson or Spearman correlation was used to assess relationships between the variables of interest.
Significant differences between contralateral and affected limbs were observed in isokinetic knee quadriceps strength (P < 0.001) and hamstring strength (P = 0.009). The ACL-RSI score correlated negatively with interlimb differences in the knee flexion angle at IC (r = –0.35, P = 0.02) and ROM in the transverse plane (r = –0.41, P = 0.003). The LSI for quadriceps strength correlated negatively with the peak knee flexion angle (r = –0.37, P = 0.02) and positively with the ACL-RSI score (r = 0.3, P = 0.05).
Greater psychological readiness and quadriceps strength are associated with more symmetrical multiplanar knee kinematics. The improvement of these parameters may aid the recovery of knee kinematics after ACLR, and reduce the rate of reinjury and incidence of posttraumatic osteoarthritis.
•The knee kinematic asymmetry after ACL reconstruction is very common.•Exploring the factors affecting multiplanar knee kinematics is significant.•Psychological readiness was found to be associated with multiplanar knee kinematics.•Muscle strength was found to be associated with multiplanar knee kinematics.</abstract><cop>England</cop><pub>Elsevier B.V</pub><pmid>36773479</pmid><doi>10.1016/j.gaitpost.2023.02.005</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0002-8072-920X</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0966-6362 |
| ispartof | Gait & posture, 2023-03, Vol.101, p.101-105 |
| issn | 0966-6362 1879-2219 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2775620340 |
| source | ScienceDirect Freedom Collection |
| subjects | Anterior Cruciate Ligament Injuries - psychology Anterior Cruciate Ligament Injuries - surgery Anterior cruciate ligament reconstruction Anterior Cruciate Ligament Reconstruction - psychology Biomechanical Phenomena Humans Kinematics Knee Joint - surgery Muscle Strength Psychological readiness Quadricep strength Quadriceps Muscle - surgery Return to Sport |
| title | Quadriceps strength and psychological readiness are associated with multiplanar knee kinematics after anterior cruciate ligament reconstruction |
| url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-26T06%3A41%3A46IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Quadriceps%20strength%20and%20psychological%20readiness%20are%20associated%20with%20multiplanar%20knee%20kinematics%20after%20anterior%20cruciate%20ligament%20reconstruction&rft.jtitle=Gait%20&%20posture&rft.au=Zhou,%20Lan&rft.date=2023-03&rft.volume=101&rft.spage=101&rft.epage=105&rft.pages=101-105&rft.issn=0966-6362&rft.eissn=1879-2219&rft_id=info:doi/10.1016/j.gaitpost.2023.02.005&rft_dat=%3Cproquest_cross%3E2775620340%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c363t-154f5cbb00319cf87ce2a3661da54a3c7e579b67160b211ddc2e69246272a23b3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2775620340&rft_id=info:pmid/36773479&rfr_iscdi=true |