Quadriceps Muscle Strength Associated with Quality of Life After Anterior Cruciate Ligament Reconstruction
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Jun 18, 2024
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Abstract
Abstract
Background: After undergoing anterior cruciate ligament reconstruction, great quadriceps muscle strength can improve the rehabilitation process and quality of life. This study aimed to evaluate the long-term changes of post-reconstruction anterior cruciate ligament rehabilitation by understanding the extent to which quadriceps muscle strength and patient demographic factors correlate with quality of life components. Methods: This study used an observational analytic design with a cross-sectional study approach. Involving 26 ACLR patients from the Indonesian ACL Community in Bali. Quadriceps muscle strength was measured with a hand-held dynanometer, while quality of life was evaluated with the Short-form Health Survey 36 questionnaire. Results: The analysis showed a significant relationship between quadriceps muscle strength and quality of life in the aspects of physical limitations and vitality (p = 0.049 and p = 0.005; correlation coefficients 0.389 and 0.533). Patients with poor quadriceps muscle strength had a higher risk of physical limitation (1.20 times risk) and decreased vitality (16.5 times risk) compared to those with good muscle strength (p = 0.030 and p = 0.025). Discussion: Individuals who have undergone ACL reconstruction and have decreased quadriceps muscle strength will have decreased quality of life in the aspects of high levels of physical limitations and decreased vitality function.
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Dewi NP. Quadriceps Muscle Strength Associated with Quality of Life After Anterior Cruciate Ligament Reconstruction. maskermedika [Internet]. 18Jun.2024 [cited 6Dec.2024];12(1):185-94. Available from: http://mail.jmm.ikestmp.ac.id/index.php/maskermedika/article/view/619
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References
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Laskowski, Edward R. 2014. “ACL Injury and Rehabilitation.” Current Physical Medicine and Rehabilitation Reports 2(1):35–40. doi: 10.1007/s40141-013-0036-8.
Lepley, Lindsey K. 2015. “Deficits in Quadriceps Strength and Patient-Oriented Outcomes at Return to Activity After ACL Reconstruction.” Sports Health: A Multidisciplinary Approach 7(3):231–38. doi: 10.1177/1941738115578112.
Muraki, Shigeyuki, Toru Akune, Masatoshi Teraguchi, Ryohei Kagotani, Yoshiki Asai, Munehito Yoshida, Fumiaki Tokimura, Sakae Tanaka, Hiroyuki Oka, Hiroshi Kawaguchi, Kozo Nakamura, and Noriko Yoshimura. 2015. “Quadriceps Muscle Strength, Radiographic Knee Osteoarthritis and Knee Pain: The ROAD Study.” BMC Musculoskeletal Disorders 16(1):305. doi: 10.1186/s12891-015-0737-5.
Ni Nyoman Rinda Pravidayanti, I Putu Gde Surya Adhitya, and Anak Agung Gede Eka Septian Utama. 2023. “FAKTOR-FAKTOR YANG MEMPENGARUHI PERUBAHAN FUNGSI EKSTREMITAS BAWAH DAN PSIKOLOGIS SEBELUM DAN SESUDAH OPERASI ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION.” Kinesiology and Physiotherapy Comprehensive 2(2):37–43. doi: 10.62004/kpc.v2i2.17.
Ni Putu Aprilia Chintya Dewi, I Putu Gde Surya Adhitya, and Anak Agung Gede Angga Puspa Negara. 2023. “Relationship between Lower Limb Muscle Strength and Knee Function with Quality of Life after Anterior Cruciate Ligament Reconstruction Patients: A Literature Review.” Kinesiology and Physiotherapy Comprehensive 2(1):5–8. doi: 10.62004/kpc.v2i1.14.
Norte, Grant, Justin Rush, and David Sherman. 2022. “Arthrogenic Muscle Inhibition: Best Evidence, Mechanisms, and Theory for Treating the Unseen in Clinical Rehabilitation.” Journal of Sport Rehabilitation 31(6):717–35. doi: 10.1123/jsr.2021-0139.
Pottkotter, Kristy A., Stephanie L. Di Stasi, Laura C. Schmitt, Robert A. Magnussen, Mark V. Paterno, David C. Flanigan, Christopher C. Kaeding, and Timothy E. Hewett. 2020. “TIMELINE OF GAINS IN QUADRICEPS STRENGTH SYMMETRY AND PATIENT-REPORTED FUNCTION EARLY AFTER ACL RECONSTRUCTION.” International Journal of Sports Physical Therapy 15(6):995–1005. doi: 10.26603/ijspt20200995.
Sartori, Roberta, Vanina Romanello, and Marco Sandri. 2021. “Mechanisms of Muscle Atrophy and Hypertrophy: Implications in Health and Disease.” Nature Communications 12(1):330. doi: 10.1038/s41467-020-20123-1.
Sonnery-Cottet, Bertrand, Adnan Saithna, Benedicte Quelard, Matt Daggett, Amrut Borade, Hervé Ouanezar, Mathieu Thaunat, and William G. Blakeney. 2019. “Arthrogenic Muscle Inhibition after ACL Reconstruction: A Scoping Review of the Efficacy of Interventions.” British Journal of Sports Medicine 53(5):289–98. doi: 10.1136/bjsports-2017-098401.
Thomas, Abbey C., Edward M. Wojtys, Catherine Brandon, and Riann M. Palmieri-Smith. 2016. “Muscle Atrophy Contributes to Quadriceps Weakness after Anterior Cruciate Ligament Reconstruction.” Journal of Science and Medicine in Sport 19(1):7–11. doi: 10.1016/j.jsams.2014.12.009.
Webster, Kate E., and Julian A. Feller. 2014. “Use of the Short Form Health Surveys as an Outcome Measure for Anterior Cruciate Ligament Reconstruction.” Knee Surgery, Sports Traumatology, Arthroscopy 22(5):1142–48. doi: 10.1007/s00167-013-2520-1.
Adhitya, I. Putu Gde Surya, Ida Bagus Amertha Putra Manuaba, Lalu Suprawesta, Yosika Septi Mauludina, and Siti Ainun Marufa. 2020. “Patient Characteristics of Non-Operative Anterior Cruciate Ligament Injury Associated with Poor Knee Functions on Activities of Daily Living: A Cross-Sectional Study.” Bali Medical Journal 9(3):710–15. doi: 10.15562/bmj.v9i3.2023.
Adhitya, I. Putu Gde Surya, Ari Wibawa, I. Gusti Ngurah Wien Aryana, Lalu Suprawesta, Ida Kurniawati, I. Dewa Gede Alit Kamayoga, and Gede Parta Kinandana. 2023. “Predictors of Lower Knee Function Improvement Two Years after Anterior Cruciate Ligament Reconstruction.” The Physician and Sportsmedicine 1–7. doi: 10.1080/00913847.2023.2217877.
Baron, Jacqueline E., Emily A. Parker, Kyle R. Duchman, and Robert W. Westermann. 2020. “Perioperative and Postoperative Factors Influence Quadriceps Atrophy and Strength After ACL Reconstruction: A Systematic Review.” Orthopaedic Journal of Sports Medicine 8(6):232596712093029. doi: 10.1177/2325967120930296.
Bodkin, Stephan, John Goetschius, Jay Hertel, and Joe Hart. 2017. “Relationships of Muscle Function and Subjective Knee Function in Patients After ACL Reconstruction.” Orthopaedic Journal of Sports Medicine 5(7):232596711771904. doi: 10.1177/2325967117719041.
Brown, Conlan, Lee Marinko, Michael P. LaValley, and Deepak Kumar. 2021. “Quadriceps Strength After Anterior Cruciate Ligament Reconstruction Compared With Uninjured Matched Controls: A Systematic Review and Meta-Analysis.” Orthopaedic Journal of Sports Medicine 9(4):232596712199153. doi: 10.1177/2325967121991534.
Deviandri, Romy, Hugo C. van der Veen, Andri MT Lubis, Maarten J. Postma, and Inge van den Akker-Scheek. 2023. “Responsiveness of the Indonesian Versions of the Anterior Cruciate Ligament-Return to Sport After Injury Score, the International Knee Documentation Committee Subjective Knee Form, and the Lysholm Score in Patients With ACL Injury.” Orthopaedic Journal of Sports Medicine 11(8). doi: 10.1177/23259671231191827.
Deviandri, Romy, Hugo C. van der Veen, Andri MT Lubis, Ghuna A. Utoyo, Inge van den Akker-Scheek, and Maarten J. Postma. 2022. “Burden and Cost of Anterior Cruciate Ligament Reconstruction and Reimbursement of Its Treatment in a Developing Country: An Observational Study in Indonesia.” ClinicoEconomics and Outcomes Research Volume 14:479–86. doi: 10.2147/CEOR.S368840.
van Dijk, Gabriella M., Cindy Veenhof, Guus J. Lankhorst, Cornelia HM van den Ende, and Joost Dekker. 2011. “Vitality and the Course of Limitations in Activities in Osteoarthritis of the Hip or Knee.” BMC Musculoskeletal Disorders 12(1):269. doi: 10.1186/1471-2474-12-269.
Garcia, Steven A., Tyler J. Moffit, Mike N. Vakula, Skylar C. Holmes, Melissa M. Montgomery, and Derek N. Pamukoff. 2020. “Quadriceps Muscle Size, Quality, and Strength and Self-Reported Function in Individuals With Anterior Cruciate Ligament Reconstruction.” Journal of Athletic Training 55(3):246–54. doi: 10.4085/1062-6050-38-19.
Gerami, MohamadHadi, Farshid Haghi, Ferdos Pelarak, and SeyedRohallah Mousavibaygei. 2022. “Anterior Cruciate Ligament (ACL) Injuries: A Review on the Newest Reconstruction Techniques.” Journal of Family Medicine and Primary Care 11(3):852. doi: 10.4103/jfmpc.jfmpc_1227_21.
Greenberg, Elliot M., Eric T. Greenberg, Jeffrey Albaugh, Eileen Storey, and Theodore J. Ganley. 2019. “Anterior Cruciate Ligament Reconstruction Rehabilitation Clinical Practice Patterns: A Survey of the PRiSM Society.” Orthopaedic Journal of Sports Medicine 7(4):232596711983904. doi: 10.1177/2325967119839041.
Hannon, Joseph P., Sharon Wang-Price, Shiho Goto, Steven Singleton, Lindsey Dietrich, James Bothwell, Curtis Bush, and Craig Garrison. 2021. “Twelve-Week Quadriceps Strength as A Predictor of Quadriceps Strength At Time Of Return To Sport Testing Following Bone-Patellar Tendon-Bone Autograft Anterior Cruciate Ligament Reconstruction.” International Journal of Sports Physical Therapy 16(3). doi: 10.26603/001c.23421.
Iijima, Hirotaka, Tomoki Aoyama, Naoto Fukutani, Takuya Isho, Yuko Yamamoto, Masakazu Hiraoka, Kazuyuki Miyanobu, Masashi Jinnouchi, Eishi Kaneda, Hiroshi Kuroki, and Shuichi Matsuda. 2018. “Psychological Health Is Associated with Knee Pain and Physical Function in Patients with Knee Osteoarthritis: An Exploratory Cross-Sectional Study.” BMC Psychology 6(1):19. doi: 10.1186/s40359-018-0234-3.
Laskowski, Edward R. 2014. “ACL Injury and Rehabilitation.” Current Physical Medicine and Rehabilitation Reports 2(1):35–40. doi: 10.1007/s40141-013-0036-8.
Lepley, Lindsey K. 2015. “Deficits in Quadriceps Strength and Patient-Oriented Outcomes at Return to Activity After ACL Reconstruction.” Sports Health: A Multidisciplinary Approach 7(3):231–38. doi: 10.1177/1941738115578112.
Muraki, Shigeyuki, Toru Akune, Masatoshi Teraguchi, Ryohei Kagotani, Yoshiki Asai, Munehito Yoshida, Fumiaki Tokimura, Sakae Tanaka, Hiroyuki Oka, Hiroshi Kawaguchi, Kozo Nakamura, and Noriko Yoshimura. 2015. “Quadriceps Muscle Strength, Radiographic Knee Osteoarthritis and Knee Pain: The ROAD Study.” BMC Musculoskeletal Disorders 16(1):305. doi: 10.1186/s12891-015-0737-5.
Ni Nyoman Rinda Pravidayanti, I Putu Gde Surya Adhitya, and Anak Agung Gede Eka Septian Utama. 2023. “FAKTOR-FAKTOR YANG MEMPENGARUHI PERUBAHAN FUNGSI EKSTREMITAS BAWAH DAN PSIKOLOGIS SEBELUM DAN SESUDAH OPERASI ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION.” Kinesiology and Physiotherapy Comprehensive 2(2):37–43. doi: 10.62004/kpc.v2i2.17.
Ni Putu Aprilia Chintya Dewi, I Putu Gde Surya Adhitya, and Anak Agung Gede Angga Puspa Negara. 2023. “Relationship between Lower Limb Muscle Strength and Knee Function with Quality of Life after Anterior Cruciate Ligament Reconstruction Patients: A Literature Review.” Kinesiology and Physiotherapy Comprehensive 2(1):5–8. doi: 10.62004/kpc.v2i1.14.
Norte, Grant, Justin Rush, and David Sherman. 2022. “Arthrogenic Muscle Inhibition: Best Evidence, Mechanisms, and Theory for Treating the Unseen in Clinical Rehabilitation.” Journal of Sport Rehabilitation 31(6):717–35. doi: 10.1123/jsr.2021-0139.
Pottkotter, Kristy A., Stephanie L. Di Stasi, Laura C. Schmitt, Robert A. Magnussen, Mark V. Paterno, David C. Flanigan, Christopher C. Kaeding, and Timothy E. Hewett. 2020. “TIMELINE OF GAINS IN QUADRICEPS STRENGTH SYMMETRY AND PATIENT-REPORTED FUNCTION EARLY AFTER ACL RECONSTRUCTION.” International Journal of Sports Physical Therapy 15(6):995–1005. doi: 10.26603/ijspt20200995.
Sartori, Roberta, Vanina Romanello, and Marco Sandri. 2021. “Mechanisms of Muscle Atrophy and Hypertrophy: Implications in Health and Disease.” Nature Communications 12(1):330. doi: 10.1038/s41467-020-20123-1.
Sonnery-Cottet, Bertrand, Adnan Saithna, Benedicte Quelard, Matt Daggett, Amrut Borade, Hervé Ouanezar, Mathieu Thaunat, and William G. Blakeney. 2019. “Arthrogenic Muscle Inhibition after ACL Reconstruction: A Scoping Review of the Efficacy of Interventions.” British Journal of Sports Medicine 53(5):289–98. doi: 10.1136/bjsports-2017-098401.
Thomas, Abbey C., Edward M. Wojtys, Catherine Brandon, and Riann M. Palmieri-Smith. 2016. “Muscle Atrophy Contributes to Quadriceps Weakness after Anterior Cruciate Ligament Reconstruction.” Journal of Science and Medicine in Sport 19(1):7–11. doi: 10.1016/j.jsams.2014.12.009.
Webster, Kate E., and Julian A. Feller. 2014. “Use of the Short Form Health Surveys as an Outcome Measure for Anterior Cruciate Ligament Reconstruction.” Knee Surgery, Sports Traumatology, Arthroscopy 22(5):1142–48. doi: 10.1007/s00167-013-2520-1.