EVALUATION OF ISOKINETIC KNEE STRENGTH IN INDIVIDUALS WHO HAVE RECEIVED ADVANCED ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION WITH DIFFERENT AUTOGRAFT METHODS – A MINI-REVIEW

Authors

  • Esra Korkmaz Ondokuz Mayıs University, Faculty of Yaşar Doğu Sport Sciences, Samsun, 55100, Türkiye
  • Berna Anil Ondokuz Mayıs University, Faculty of Yaşar Doğu Sport Sciences, Samsun, 55100, Türkiye
  • Enes Akdemir Ondokuz Mayıs University, Faculty of Yaşar Doğu Sport Sciences, Samsun, 55100, Türkiye
  • Nizamettin Güzel 2Samsun Training and Research Hospital, Department of Orthopedics and Traumatology, Samsun, 55090, Türkiye
  • Ahmet Serhat Genç 2Samsun Training and Research Hospital, Department of Orthopedics and Traumatology, Samsun, 55090, Türkiye
  • Mine Pekesen Kurtça Ondokuz Mayıs University, Faculty of Health Sciences, Samsun, 55100, Türkiye
  • Ismail Eseoğlu Vocational School of Health Services, Dokuz Eylül University, İzmir, 35210, Türkiye
  • Lokman Kehribar Department of Orthopaedics and Traumatology, Samsun University, Samsun 55090, Turkey
  • Ali Kerim Yilmaz Ondokuz Mayıs University, Faculty of Yaşar Doğu Sport Sciences, Samsun, 55100, Türkiye

DOI:

https://doi.org/10.46827/ejprs.v3i1.153

Keywords:

isokinetic tests, ACL reconstruction, athletes

Abstract

The anterior cruciate ligament (ACL), which has an important place in the biomechanics of the knee joint, is the most frequently injured ligament due to various reasons, especially sports injuries. Injury to ACL reduces the mechanical stability and proprioception of the knee joint, and long-term pain, decreased muscle strength, and functional loss may occur in the knee joint. Isokinetic tests, which are objective evaluation methods, are frequently preferred in the evaluation of muscle strength. There are many different protocols for reconstruction, which is one of the most common surgical procedures for the knee area. It is important to monitor the functional level and muscle strength of the knee joint at regular intervals after the reconstruction in order to measure the success of the surgical procedure and to compare different surgical protocols. This mini-review presents evidence for the results of isokinetic muscle strength tests after ACL repair performed with different autograft methods.

Author Biographies

  • Esra Korkmaz, Ondokuz Mayıs University, Faculty of Yaşar Doğu Sport Sciences, Samsun, 55100, Türkiye

    Esra Korkmaz is MSc Researcher Graduated from Department of Physical Education and Sports, Graduate School of Education, Ondokuz Mayıs University, Samsun, 55100, Türkiye.

  • Berna Anil, Ondokuz Mayıs University, Faculty of Yaşar Doğu Sport Sciences, Samsun, 55100, Türkiye

    Berna Anil is PhD Student at Department of Physical Education and Sports, Graduate School of Education, Ondokuz Mayıs University, Samsun, 55100, Türkiye.

  • Enes Akdemir, Ondokuz Mayıs University, Faculty of Yaşar Doğu Sport Sciences, Samsun, 55100, Türkiye

    Enes Akdemir is PhD Student at Department of Physical Education and Sports, Graduate School of Education, Ondokuz Mayıs University, Samsun, 55100, Türkiye.

  • Nizamettin Güzel, 2Samsun Training and Research Hospital, Department of Orthopedics and Traumatology, Samsun, 55090, Türkiye

    Dr. Nizamettin Güzel is currently working at Samsun Training and Research Hospital, Department of Orthopedics and Traumatology, Samsun, 55090, Türkiye.

  • Ahmet Serhat Genç, 2Samsun Training and Research Hospital, Department of Orthopedics and Traumatology, Samsun, 55090, Türkiye

    Dr. Ahmet Serhat Genç is currently working at Samsun Training and Research Hospital, Department of Orthopedics and Traumatology, Samsun, 55090, Türkiye.

  • Mine Pekesen Kurtça, Ondokuz Mayıs University, Faculty of Health Sciences, Samsun, 55100, Türkiye

    Dr. Mine Pekesen Kurtça is currently working at Department of Orthopaedics and Traumatology, Samsun University, Samsun 55090, Turkey.

  • Ismail Eseoğlu, Vocational School of Health Services, Dokuz Eylül University, İzmir, 35210, Türkiye

    Dr. İsmail Eseoğlu is currently working at Vocational School of Health Services, Dokuz Eylül University, İzmir, 35210, Türkiye.

  • Lokman Kehribar, Department of Orthopaedics and Traumatology, Samsun University, Samsun 55090, Turkey

    Assoc. Prof. Lokman Kehribar is currently working at Department of Orthopaedics and Traumatology, Samsun University, Samsun 55090, Turkey.

  • Ali Kerim Yilmaz, Ondokuz Mayıs University, Faculty of Yaşar Doğu Sport Sciences, Samsun, 55100, Türkiye

    Assoc. Prof. Ali Kerim Yılmaz is currently working at Department of Recreation, Yaşar Doğu Faculty of Sport Sciences, Ondokuz Mayıs University, Samsun, 55100, Türkiye.

References

Salzler M, Nwachukwu BU, Rosas S, Nguyen C, Law TY, Eberle T, McCormick F. State-of-the-Art Anterior Cruciate Ligament Tears: A Primer For Primary Care Physicians. The Physician And Sportsmedicine, 2015; 43: 169-177.

Beynnon BD, Johnson RJ, Abate JA, Fleming BC, Nichols CE. Treatment of Anterior Cruciate Ligament İnjuries, Part I. The American Journal of Sports Medicine33, 2005; 1579-1602.

Wilk KE, Romaniello WT, Soscia SM, ArrigoCA, Andrews JR. The Relationship Between Subjective Knee Scores, İsokinetic Testing, and Functional Testing in The ACL-Reconstructed Knee. Journal of Orthopaedic & Sports Physical Therapy, 1994; 20: 60-73.

Genç AS, Güzel N. Traditional and Additional Isokinetic Knee Strength Assessments of Athletes; Post-Operative Results of Hamstring Autograft ACL Reconstruction. Medicina, 2022; 58: 1187.

Koga H, Nakamae A, Shima Y, Iwasa J, Myklebust G, Engebretsen L, Krosshaug T. Mechanisms for Noncontact Anterior Cruciate Ligament İnjuries: Knee Joint Kinematics in 10 İnjury Situations From Female Team Handball and Basketball. The American Journal of Sports Medicine, 2010; 38: 2218-2225.

Nordenvall R, Bahmanyar S, Adami J, Stenros C, Wredmark T, Felländer-Tsai L. 2012. A Population-Based Nationwide Study of Cruciate Ligament İnjury in Sweden, İncidence, Treatment, and Sex Differences. The American Journal of Sports Medicine, 2001-2009;40: 1808-1813.

Pua YH, Bryant AL, Steele JR, Newton RU, Wrigley TV. Isokinetic Dynamometry in Anterior Cruciate Ligament İnjury and Reconstruction. Annals Academy Of Medicine Singapore, 2008; 37: 330.

Middleton KK, Hamilton T, Irrgang JJ, Karlsson J, Harner CD, Fu FH.Anatomic Anterior Cruciate Ligament (ACL) Reconstruction: A Global Perspective. Part 1. Knee Surgery, Sports Traumatology, Arthroscopy, 2014; 22: 1467-1482.

Rivera‐Brown AM, Frontera WR, Fontanez R, Micheo WF. Evidence for İsokinetic and Functional Testing in Return to Sport Decisions Following ACL Surgery. PM&R, 2022; 14: 678-690.

Ohji S, Aizawa J, Hirohata K, Ohmi T, Mitomo S, Koga H, Yagishita K. Single-Leg Hop Can Result in Higher Limb Symmetry İndex Than İsokinetic Strength and Single-Leg Vertical Jump Following Anterior Cruciate Ligament Reconstruction. The Knee, 2021;29: 160-166.

Herbawi F, Lozano-Lozano M, Lopez-Garzon M, Postigo-Martin P, Ortiz-Comino L, Martin-Alguacil, JL, Fernandez-Lao C. A Systematic Review and Meta-Analysis of Strength Recovery Measured by Isokinetic Dynamometer Technology after Anterior Cruciate Ligament Reconstruction Using Quadriceps Tendon Autografts vs. Hamstring Tendon Autografts or Patellar Tendon Autografts. International Journal of Environmental Research and Public Health, 2022; 19: 6764.

Huang H, Guo J, Yang J, Jiang Y, Yu Y, Müller S, Ao Y. Isokinetic Angle-Specific Moments And Ratios Characterizing Hamstring And Quadriceps Strength in Anterior Cruciate Ligament Deficient Knees. Scientific Reports,2017; 7: 1-11.

Kellis E, Baltzopoulos V. Isokinetic Eccentric Exercise. Sports Medicine, 1995; 19: 202-222.

Ermiş, E, Yilmaz AK, Kabadayi M, Bostanci Ö, Mayda MH. Bilateral and İpsilateral Peak Torque of Quadriceps and Hamstring Muscles in Elite Judokas. Journal of Musculoskeletal & Neuronal İnteractions, 2019; 19: 286.

Ageberg E, Roos HP, Silbernagel KG, Thomeé R, Roos EM. Knee Extension and Flexion Muscle Power After Anterior Cruciate Ligament Reconstruction With Patellar Tendon Graft or Hamstring Tendons Graft: A Cross-Sectional Comparison 3 Years Post Surgery. Knee Surgery, Sports Traumatology, Arthroscopy, 2009; 17: 162-169.

Petersen W, Taheri P, Forkel P, Zantop T. Return to Play Following ACL Reconstruction: A Systematic Review About Strength Deficits. Archives of Orthopaedic and Trauma Surgery, 2014; 134: 1417-1428.

Gobbi A, Francisco R. Factors Affecting Return to Sports After Anterior Cruciate Ligament Reconstruction With Patellar Tendon and Hamstring Graft: A Prospective Clinical İnvestigation. Knee Surgery, Sports Traumatology, Arthroscopy, 2006; 14: 1021-1028.

Zvijac JE, Toriscelli TA, Merrick WS, Papp DF, Kiebzak GM. Isokinetic Concentric Quadriceps and Hamstring Normative Data for Elite Collegiate American Football Players Participating in The NFL Scouting Combine. The Journal of Strength & Conditioning Research, 2014; 28: 875-883.

Mattacola CG, Perrin DH, Gansneder BM, Gieck JH, Saliba EN, McCue III FC. Strength, Functional Outcome, and Postural Stability After Anterior Cruciate Ligament Reconstruction. Journal of Athletic Training,2002; 37: 262.

Holsgaard-Larsen A, Jensen C, Mortensen NHM, Aagaard P. Concurrent Assessments of Lower Limb Loading Patterns, Mechanical Muscle Strength and Functional Performance in ACL-Patients—A Cross-Sectional Study. The Knee, 2014; 21: 66-73.

Järvelä T, Kannus P, Latvala K, Järvinen M. 2002. Simple Measurements in Assessing Muscle Performance After an ACL Reconstruction. International Journal of Sports Medicine, 2002; 23: 196-201.

Kvist J. 2004. Rehabilitation Following Anterior Cruciate Ligament İnjury. Sports Medicine, 2004; 34: 269-280.

Pai YC, Rymer WZ, Chang RW, Sharma L. Effect of Age and Osteoarthritis on Knee Proprioception. Arthritis & Rheumatism: Official Journal of The American College of Rheumatology, 1997; 40: 2260-2265.

Wilk KE, Romaniello WT, Soscia SM, Arrigo CA, Andrews JR. The Relationship Between Subjective Knee Scores, İsokinetic Testing, and Functional Testing in The ACL-Reconstructed Knee. Journal of Orthopaedic & Sports Physical Therapy, 1994; 20: 60-73.

Otzel DM, ChowJW,Tillman MD. Long-Term Deficits in Quadriceps Strength and Activation Following Anterior Cruciate Ligament Reconstruction. Physical Therapy in Sport, 2015; 16: 22-28.

Altay F. Ritmik Jimnastikte İki Farklı Hızda Yapılan Chaine Rotasyon Sonrasında Yan Denge Hareketinin Biyomekanik Analizi. Hacettepe Üniversitesi Sağlık Bilimleri Enstitüsü Doktora Tezi. Ankara, 2001; 127-132.

Wong KK, Chan KW, Kwok TK, Mak KH. Volar Fixation of Dorsally Displaced Distal Radial Fracture Using Locking Compression Plate. Journal of Orthopaedic Surgery, 2005; 13: 153-157.

Feller JA, Webster KE. A Randomized Comparison of Patellar Tendon and Hamstring Tendon Anterior Cruciate Ligament Reconstruction. The American Journal of Sports Medicine, 2003; 31: 564-573.

Tow BPB, Chang PCC, Mitra AK, Tay BK,Wong MC. Comparing 2-Year Outcomes of Anterior Cruciate Ligament Reconstruction Using Either Patella-Tendon or Semitendinosus-Tendon Autografts: A Non-Randomised Prospective Study. Journal of Orthopaedic Surgery, 2005; 13: 139-146.

Adachi N, Ochi M, Uchio Y, Sakai Y, Kuriwaka M, Fujihara A. Harvesting Hamstring Tendons for ACL Reconstruction İnfluences Postoperative Hamstring Muscle Performance. Archives of Orthopaedic and Trauma Surgery, 2003; 123: 460-465.

Segawa H, Omori G, Koga Y, Kameo T, Iida S, Tanaka M. Rotational Muscle Strength of The Limb After Anterior Cruciate Ligament Reconstruction Using Semitendinosus and Gracilis Tendon. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 2002; 18: 177-182.

Maeda A, Shino K, Horibe S, Nakata K, Buccafusca G. Anterior Cruciate Ligament Reconstruction with Multistranded Autogenous Semitendinosus Tendon. The American Journal of Sports Medicine, 1996; 24: 504-509.

Feller JA,Webster KE. A Randomized Comparison of Patellar Tendon and Hamstring Tendon Anterior Cruciate Ligament Reconstruction. The American Journal of Sports Medicine, 2003; 31: 564-573.

Baltaci G, Harput G, Haksever B, Ulusoy B, Ozer H. Comparison Between Nintendo Wii Fit and Conventional Rehabilitation on Functional Performance Outcomes After Hamstring Anterior Cruciate Ligament Reconstruction: Prospective, Randomized, Controlled, Double-Blind Clinical Trial. Knee Surgery, Sports Traumatology, Arthroscopy, 2013; 2: 880-887.

Kobayashi A, Higuchi H, Terauchi M, Kobayashi F, Kimura M, Takagishi K. Muscle Performance After Anterior Cruciate Ligament Reconstruction. International Orthopaedics, 2004; 28: 48-51.

Victor J, Bellemans J, Witvrouw E, Govaers K, Fabry G. Graft Selection in Anterior Cruciate Ligament Reconstruction–Prospective Analysis of Patellar Tendon Autografts Compared with Allografts. International Orthopaedics, 1997; 21: 93-97.

Shaerf DA, Pastides PS, Sarraf KM, Willis-Owen CA. Anterior Cruciate Ligament Reconstruction Best Practice: A Review of Graft Choice. World Journal of Orthopedics, 2014; 5: 23.

Genç AS, Güzel N. Traditional and Additional Isokinetic Knee Strength Assessments of Athletes; Post-Operative Results of Hamstring Autograft ACL Reconstruction. Medicina, 2022; 58: 1187.

Yosmao HB, Lu GB, Kaya D, Özer H, Atay A. Hamstring Tendon Grefti İle Yapılan Ön Çapraz Bağ Cerrahisinde İki Farklı Tespit Yönteminde Fonksiyonel Sonuçlarını Karşılaştırılması. Acta Orthop Traumatol Turc, 2011; 45: 240-247.

Hunnicutt, JL, Gregory, CM, Mcleod MM, Woolf SK, Chapin RW, Slone HS. Quadriceps Recovery After Anterior Cruciate Ligament Reconstruction with Quadriceps Tendon Versus Patellar Tendon Autografts. Orthopaedic Journal of Sports Medicine,2019; 7: 4

Karasel S, Akpınar B, Gülbahar S, Baydar M, El Ö, Pınar H, Akalın E. Patellar Tendon Otogrefti ile Ön Çapraz Bağ Rekonstrüksiyonu ve Modifiye Hızlandırılmış Rehabilitasyon Programı Sonrasında Klinik ve Fonksiyonel Sonuçlar ve Propriyosepsiyon. Acta Orthop Traumatol Turc, 2010; 44: 220-8.

Martin-Alguacil JL, Arroyo-Morales M, Martín-Gomez JL, Monje-Cabrera IM, Abellán-Guillén J F, Esparza-Ros F, Cantarero-Villanueva I. Strength Recovery After Anterior Cruciate Ligament Reconstruction With Quadriceps Tendon Versus Hamstring Tendon Autografts in Soccer Players: A Randomized Controlled Trial. The Knee, 2018; 25: 704-714.

Fischer F, Fink, C, Herbst, E, Hoser, C, Hepperger, C, Blank, C, Gföller, P. Higher Hamstring-To-Quadriceps İsokinetic Strength Ratio During the First Post-Operative Months in Patients with Quadriceps Tendon Compared to Hamstring Tendon Graft Following ACL Reconstruction. Knee Surgery, Sports Traumatology, Arthroscopy, 2018; 26: 418-425.

Guney-Deniz, H, Harput G, Kaya D, Nyland J, Doral MN. Quadriceps Tendon Autograft ACL Reconstructed Subjects Overshoot Target Knee Extension Angle During Active Proprioception Testing. Knee Surgery, Sports Traumatology, Arthroscopy,2020; 28: 645-652.

Ulusoy B. 2014. Hamstring Otogreft İle Ön Çapraz Bağ Rekonstrüksiyonu Sonrası Izokinetik Diz Kuvveti ile Dinamik Denge Arasındaki İlişkinin Araştırılması.

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Published

2023-08-12

Issue

Vol. 3 No. 1 (2022)

Section

Articles

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