Quadriceps strength asymmetry after ACL reconstruction

Researchers who conducted this study found greater knee movement asymmetries in the sagittal plane in patients with low quadriceps strength compared to patients with high or moderate quadriceps strength.

Volleyball team mates. KeityhJJ photo. Pixabay

By Casey Tingle, Healio Orthopedics Today September 2, 2015

Researchers tested 73 patients at the time the patients were cleared for return to activity after ACL reconstruction. While patients completed a single-leg hop, researchers recorded results for quadriceps strength and activation, IKDC scores, the hop done for distance test and the patients’ sagittal plane lower extremity biomechanics.

Based on the results, there were larger central activation ratios and greater limb symmetry indices on the hop for distance among patients with high and moderate quadriceps strength symmetry vs. patients with low quadriceps strength symmetry. Researchers also found patients with high and moderate quadriceps symmetry had higher knee flexion angle and external moment symmetry. Sagittal plane knee angle and moment symmetry were associated, in the study, with quadriceps strength.

Source Healio Orthopedics Today

Quadriceps Strength Asymmetry After Anterior Cruciate Ligament Reconstruction Alters Knee Joint Biomechanics and Functional Performance at Time of Return to Activity, Palmieri-Smith RM, Lepley LK.Am J Sports Med. 2015 Jul;43(7):1662-9. doi: 10.1177/0363546515578252. Epub 2015 Apr 16.

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