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Physical Fitness after Anterior Cruciate Ligament Reconstruction: Influence of Graft, Age, and Sex

Functional tests are used to facilitate return-to-sports decisions after anterior cruciate ligament reconstruction (ACLR). This study presents comprehensive physical fitness test data acquired in highly active patients within the first year after ACLR, for comparison between different grafts, age gr...

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Autores principales: Csapo, Robert, Pointner, Helmut, Hoser, Christian, Gföller, Peter, Raschner, Christian, Fink, Christian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7183074/
https://www.ncbi.nlm.nih.gov/pubmed/32155933
http://dx.doi.org/10.3390/sports8030030
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author Csapo, Robert
Pointner, Helmut
Hoser, Christian
Gföller, Peter
Raschner, Christian
Fink, Christian
author_facet Csapo, Robert
Pointner, Helmut
Hoser, Christian
Gföller, Peter
Raschner, Christian
Fink, Christian
author_sort Csapo, Robert
collection PubMed
description Functional tests are used to facilitate return-to-sports decisions after anterior cruciate ligament reconstruction (ACLR). This study presents comprehensive physical fitness test data acquired in highly active patients within the first year after ACLR, for comparison between different grafts, age groups, and sexes. The outcomes from a specific seven-item test battery and isokinetic strength test data were extracted from a patient database. Results were compared to normative data from age- and sex-matched controls and between subgroups of patients. A total of 245 patients (94 women, 23.8 ± 8.4 years, pre-injury Tegner 7.4 ± 1.6) were tested 185 ± 44 days after surgery. In 116 patients (47.3%), one or more test results were classified as “poor” or “very poor” after comparison with normative data, with failures being most frequent during single-leg squat jump and plyometric strength tests. Test failures were more prevalent in adults than in adolescents <19 years (61.4%–62.2% vs. 24.5%, p < 0.001) and in men (61.6% vs. 24.5%, p < 0.001), but no differences were found between grafts. Isokinetic knee extensor strength was lower by 24.1% on the injured side. Six months after ACLR, nearly 50% of highly active patients presented with strength and functional fitness deficits. These deficits are particularly prevalent in older patients and men.
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spelling pubmed-71830742020-05-01 Physical Fitness after Anterior Cruciate Ligament Reconstruction: Influence of Graft, Age, and Sex Csapo, Robert Pointner, Helmut Hoser, Christian Gföller, Peter Raschner, Christian Fink, Christian Sports (Basel) Article Functional tests are used to facilitate return-to-sports decisions after anterior cruciate ligament reconstruction (ACLR). This study presents comprehensive physical fitness test data acquired in highly active patients within the first year after ACLR, for comparison between different grafts, age groups, and sexes. The outcomes from a specific seven-item test battery and isokinetic strength test data were extracted from a patient database. Results were compared to normative data from age- and sex-matched controls and between subgroups of patients. A total of 245 patients (94 women, 23.8 ± 8.4 years, pre-injury Tegner 7.4 ± 1.6) were tested 185 ± 44 days after surgery. In 116 patients (47.3%), one or more test results were classified as “poor” or “very poor” after comparison with normative data, with failures being most frequent during single-leg squat jump and plyometric strength tests. Test failures were more prevalent in adults than in adolescents <19 years (61.4%–62.2% vs. 24.5%, p < 0.001) and in men (61.6% vs. 24.5%, p < 0.001), but no differences were found between grafts. Isokinetic knee extensor strength was lower by 24.1% on the injured side. Six months after ACLR, nearly 50% of highly active patients presented with strength and functional fitness deficits. These deficits are particularly prevalent in older patients and men. MDPI 2020-03-06 /pmc/articles/PMC7183074/ /pubmed/32155933 http://dx.doi.org/10.3390/sports8030030 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Csapo, Robert
Pointner, Helmut
Hoser, Christian
Gföller, Peter
Raschner, Christian
Fink, Christian
Physical Fitness after Anterior Cruciate Ligament Reconstruction: Influence of Graft, Age, and Sex
title Physical Fitness after Anterior Cruciate Ligament Reconstruction: Influence of Graft, Age, and Sex
title_full Physical Fitness after Anterior Cruciate Ligament Reconstruction: Influence of Graft, Age, and Sex
title_fullStr Physical Fitness after Anterior Cruciate Ligament Reconstruction: Influence of Graft, Age, and Sex
title_full_unstemmed Physical Fitness after Anterior Cruciate Ligament Reconstruction: Influence of Graft, Age, and Sex
title_short Physical Fitness after Anterior Cruciate Ligament Reconstruction: Influence of Graft, Age, and Sex
title_sort physical fitness after anterior cruciate ligament reconstruction: influence of graft, age, and sex
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7183074/
https://www.ncbi.nlm.nih.gov/pubmed/32155933
http://dx.doi.org/10.3390/sports8030030
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