The Relationship Between Knee Function After ACL Reconstruction And Physical Activity Level Of The ACL Community Indonesia
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Published:
Jun 18, 2024
Keywords:
Anterior Cruciate Ligament Reconstruction, Knee Function, Physical Activity, Knee Injury and Osteoarthritis Outcome Score, Lysholm Knee Scale, Tegner activity scale.
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Abstract
Background: Several deficits occurred in the knee after ACL reconstruction that affected the level of physical activity. The purpose of this study was to determine the relationship between post-ACLR knee function and physical activity level. Methods: The design of this study was observational analytic using a cross-sectional approach. The total sample consisted of 105 people from the Indonesian ACL Community selected using purposive sampling technique. Research instruments used to measure knee function included the Knee Injury and Osteoarthritis Outcome Score (KOOS) and Lysholm Knee Scale, while physical activity was assessed using the Tegner activity scale (TAS). Results: A relationship was found between post-ACLR knee function and physical activity, with the results of the Spearman's rho test indicating a value of p = 0.034 (p <0.05) and a value of r = 0.207, which was positive. A positive value indicated that knee function increased or improved, leading to a tendency for increased physical activity. Discussion: Impaired knee function after ACLR negatively affected the level of physical activity, emphasizing the importance of special attention to knee function rehabilitation to optimize physical activity and achieve satisfactory results.
Keywords: Anterior Cruciate Ligament Reconstruction, Knee Function, Physical Activity, Knee Injury and Osteoarthritis Outcome Score, Lysholm Knee Scale, Tegner activity scale.
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1.
Bondeng V, Adhitya IP. The Relationship Between Knee Function After ACL Reconstruction And Physical Activity Level Of The ACL Community Indonesia. maskermedika [Internet]. 18Jun.2024 [cited 6Dec.2024];12(1):174-8. Available from: http://mail.jmm.ikestmp.ac.id/index.php/maskermedika/article/view/618
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References
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2.Adhitya, I. P. G. S., Wibawa, A., Aryana, I. G. N. W., & Tegner, Y. (2023b). Reliability, validity, and responsiveness of the Indonesian version of the Lysholm knee score and Tegner activity scale in patients with anterior cruciate ligament reconstruction. Journal of Bodywork and Movement Therapies, 34, 53–59. https://doi.org/10.1016/j.jbmt.2023.04.062
3.Adhitya, I. P. G. S., Wibawa, A., Aryana, I. G. N. W., Suprawesta, L., Kurniawati, I., Kamayoga, I. D. G. A., & Kinandana, G. P. (2023c). Predictors of lower knee function improvement two years after anterior cruciate ligament reconstruction. The Physician and Sportsmedicine, 1–7. https://doi.org/10.1080/00913847.2023.2217877
4.Arner, J. W., Jiang, K. N., Musahl, V., & Fu, F. H. (2017). Pain and the unstable knee. Annals of Joint, 2, 82. https://doi.org/10.21037/aoj.2017.12.02
5.Barber-Westin, S. D., & Noyes, F. R. (2017). Rating of athletic and daily functional activities. In Elsevier eBooks (pp. 1211–1221). https://doi.org/10.1016/b978-0-323-32903-3.00043-3
6.Briggs KK, Lysholm J, Tegner Y, Rodkey WG, Kocher MS, Steadman JR. (2009). The reliability, validity, and responsiveness of the Lysholm score and Tegner activity scale for anterior cruciate ligament injuries of the knee: 25 years later. Am J Sports Med.37(5):890-7. doi: 10.1177/0363546508330143.
7.Beischer, S., Senorski, E. H., & Thomeé, R. (2022a). Patients that maintain their pre-injury level of physical activity 3–5 years after ACL reconstruction are, 18 months after surgery, characterised by higher levels of readiness to return to sport. Knee Surgery, Sports Traumatology, Arthroscopy, 31(2), 596–607. https://doi.org/10.1007/s00167-022-07230-w
8.Bull, F. C., Al-Ansari, S. S., Biddle, S., Borodulin, K., Buman, M. P., Cardon, G., Carty, C., Chaput, J. P., Chastin, S., Chou, R., Dempsey, P. C., DiPietro, L., Ekelund, U., Firth, J., Friedenreich, C. M., Garcia, L., Gichu, M., Jago, R., Katzmarzyk, P. T., Lambert, E., … Willumsen, J. F. (2020). World Health Organization 2020 guidelines on physical activity and sedentary behaviour. British journal of sports medicine, 54(24), 1451–1462. https://doi.org/10.1136/bjsports-2020-102955
9.Barenius, B., Ponzer, S., Shalabi, A., Bujak, R., Norlén, L., & Eriksson, K. (2014). Increased risk of osteoarthritis after anterior cruciate ligament reconstruction. The American Journal of Sports Medicine, 42(5), 1049–1057. https://doi.org/10.1177/0363546514526139
10.Burland, J. P., Toonstra, J., Werner, J. L., Mattacola, C. G., Howell, D. M., & Howard, J. S. (2018). Decision to return to sport after anterior cruciate ligament reconstruction, Part I: A qualitative investigation of psychosocial factors. Journal of Athletic Training, 53(5), 452–463. https://doi.org/10.4085/1062-6050-313-16
11.Beischer, S., Senorski, E. H., Thomeé, P., & Thomeé, R. (2021b). Validation of an 18-item version of the Swedish Knee Self-Efficacy Scale for patients after ACL injury and ACL reconstruction. Journal of Experimental Orthopaedics, 8(1). https://doi.org/10.1186/s40634-021-00414-2
12.Central Bureau of Statistics of Indonesia. (2021). Portrait of the 2020 population census towards one Indonesian population data. https://www.bps.go.id/publication.html. Accessed January 3, 2023
13.Deviandri, R., Van Der Veen, H. C., Lubis, A. M. T., Postma, M. J., & Van Den Akker‐Scheek, I. (2021). Translation, Cross-Cultural adaptation, Validity, and Reliability of the Indonesian version of the IKDC Subjective Knee Form. Orthopaedic Journal of Sports Medicine, 9(9), 232596712110383. https://doi.org/10.1177/23259671211038372.
14.Everhart, J. S., Best, T. M., & Flanigan, D. C. (2013). Psychological predictors of anterior cruciate ligament reconstruction outcomes: a systematic review. Knee Surgery, Sports Traumatology, Arthroscopy, 23(3), 752–762. https://doi.org/10.1007/s00167-013-2699-1
15.Filbay, S. R., Skou, S. T., Bullock, G. S., Le, C., Räisänen, A., Toomey, C., Ezzat, A. M., Hayden, A., Culvenor, A. G., Whittaker, J. L., Roos, E. M., Crossley, K. M., Juhl, C. B., & Emery, C. A. (2022). Long-term quality of life, work limitation, physical activity, economic cost and disease burden following ACL and meniscal injury: a systematic review and meta-analysis for the OPTIKNEE consensus. British Journal of Sports Medicine, 56(24), 1465–1474. https://doi.org/10.1136/bjsports-2022-105626
16.Inada, M. M., & Piedade, S. R. (2021). CLINICAL OUTCOMES AFTER TWO-STAGE BICRUCIATE KNEE LIGAMENT RECONSTRUCTION. Acta Ortopedica Brasileira, 29(1), 7–11. https://doi.org/10.1590/1413-785220212901234943
17.Klasan, A., Putnis, S., Grasso, S., Kandhari, V., Oshima, T., & Parker, D. (2020). Tegner level is predictive for successful return to sport 2 years after anterior cruciate ligament reconstruction. Knee Surgery, Sports Traumatology, Arthroscopy, 29(9), 3010–3016. https://doi.org/10.1007/s00167-020-06335-4
18.Kim, S. H., Lee, J. W., Kim, S. G., Cho, H. W., & Bae, J. H. (2021). Low rate of return to preinjury Tegner activity level among recreational athletes: Results at 1 year after primary ACL reconstruction. Orthopaedic Journal of Sports Medicine, 9(1), 232596712097575. https://doi.org/10.1177/2325967120975751
19.KOCHAİ A, BAYAM L, ERDEM M, ERDEM AC, GÜLABİ D, ÖZDEMİR U, ÇETİNKAYA SM, ERKORKMAZ Ü. Kinesiophobia Following Anterior Cruciate Ligament Reconstruction. Sakarya Tıp Dergisi. June 2019;9(2):289-296. doi:10.31832/smj.552802
20.Keays, S. L., Bullock-Saxton, J. E., Keays, A. C., Newcombe, P. A., & Bullock, M. I. (2007). A 6-year follow-up of the effect of graft site on strength, stability, range of motion, function, and joint degeneration after anterior cruciate ligament reconstruction: patellar tendon versus semitendinosus and Gracilis tendon graft. The American journal of sports medicine, 35(5), 729–739. https://doi.org/10.1177/0363546506298277
21.Larson, D. J., Vu, V., Ness, B. M., Wellsandt, E., & Morrison, S. (2021). A Multi-Systems Approach to Human Movement after ACL Reconstruction: The Musculoskeletal System. The International Journal of Sports Physical Therapy, 17(1). https://doi.org/10.26603/001c.29456
22.Lentz, T. A., Zeppieri, G., George, S. Z., Tillman, S. M., Moser, M., Farmer, K. W., & Chmielewski, T. L. (2014). Comparison of physical impairment, functional, and psychosocial measures based on fear of Reinjury/Lack of Confidence and Return-to-Sport status after ACL reconstruction. The American Journal of Sports Medicine, 43(2), 345–353. https://doi.org/10.1177/0363546514559707
23.Mostafaee, N., Negahban, H., Yazdi, M. J. S., Goharpey, S., Mehravar, M., & Pirayeh, N. (2018). Responsiveness of a Persian version of Knee Injury and Osteoarthritis Outcome Score and Tegner activity scale in athletes with anterior cruciate ligament reconstruction following physiotherapy treatment. Physiotherapy Theory and Practice, 36(9), 1019–1026. https://doi.org/10.1080/09593985.2018.1548672
24.Maralisa, A. D., & Lesmana, S. I. (2020). PENATALAKSANAAN FISIOTERAPI REKONSTRUKSI ACL KNEE DEXTRA HAMSTRING GRAFT. Indonesian Journal of Physiotherapy Research and Education, 1(1). https://journal.aptifi.org/index.php/ijopre/article/view/22
25.Moses, B., & Orchard, J. (2012). Systematic Review: Annual Incidence of ACL injury and Surgery in various populations. Research in Sports Medicine, 20(3–4), 157–179. https://doi.org/10.1080/15438627.2012.680633
26.Meierbachtol, A., Obermeier, M., Yungtum, W., Bottoms, J., Paur, E., Nelson, B. J., Tompkins, M., Russell, H., & Chmielewski, T. L. (2020). Injury-Related fears during the Return-to-Sport phase of ACL reconstruction rehabilitation. Orthopaedic Journal of Sports Medicine, 8(3), 232596712090938. https://doi.org/10.1177/2325967120909385
27.Nwachukwu, B. U., Adjei, J., Rauck, R. C., Chahla, J., Okoroha, K. R., Verma, N. N., Allen, A. A., & Williams, R. J. (2019). How much do psychological factors affect lack of return to play after anterior cruciate ligament reconstruction? A systematic review. Orthopaedic Journal of Sports Medicine, 7(5), 232596711984531. https://doi.org/10.1177/2325967119845313
28.Nawasreh, Z. H., Logerstedt, D., Cummer, K., Axe, M. J., Risberg, M. A., & Snyder‐Mackler, L. (2017). Functional performance 6 months after ACL reconstruction can predict return to participation in the same preinjury activity level 12 and 24 months after surgery. British Journal of Sports Medicine, 52(6), 375. https://doi.org/10.1136/bjsports-2016-097095
29.Nyland, J., Mattocks, A., Kibbe, S., Kalloub, A., Greene, J., & Caborn, D. N. (2016). Anterior cruciate ligament reconstruction, rehabilitation, and return to play: 2015 update. Open Access Journal of Sports Medicine, 21. https://doi.org/10.2147/oajsm.s72332
30.Nguyen, U. D. T., Felson, D. T., Niu, J., White, D. K., Segal, N. A., Lewis, C. E., Rasmussen, M., & Nevitt, M. C. (2014). The impact of knee instability with and without buckling on balance confidence, fear of falling and physical function: the Multicenter Osteoarthritis Study. Osteoarthritis and Cartilage, 22(4), 527–534. https://doi.org/10.1016/j.joca.2014.01.008
31.Paterno, M. V., Schmitt, L. C., Ford, K. R., Rauh, M. J., & Hewett, T. E. (2013). Altered postural sway persists after anterior cruciate ligament reconstruction and return to sport. Gait & Posture, 38(1), 136–140. https://doi.org/10.1016/j.gaitpost.2012.11.001
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