Analysis of muscular endurance, maximum torque, maximum power and total work on the isokinetic dynamometer at 180°/s in individuals 6 months after anterior cruciate ligament (ACL) reconstruction
DOI:
https://doi.org/10.33448/rsd-v11i12.34425Keywords:
Anterior Cruciate Ligament Reconstruction; Rehabilitation; Muscle Strength Dynamometer; Return to sport.Abstract
The Anterior Cruciate Ligament (ACL) is an important stabilizer of the knee and aids in joint proprioception and arthrokinematics. The incidence of ACL injury is mainly in surgical procedures, treatment for public treatment. Strength is one of the factors that are not, however, the muscle return, which has a role in the characteristics of the lower limbs, which is always an ACL maneuver. The study was mainly analyzed how muscle fatigue behaves, in after 6 months of reconstruction of the ACL reconstruction objective, the 180° Biodex/Sistema brand after analysis. In addition to muscular endurance, maximum power and total work data were also superior. It was observed after 6 months of reconstruction that the extensor muscle group of the injured limb index showed less fatigue compared to the extensor group of the injured limb. Regarding maximum torque, maximum power and total work, the knee extensor muscle group affected showed a deficit greater than 10% in relation to the healthy limb extensor muscle group. Regarding the knee flexor muscle group, no significant differences were observed between the members in studies of the sessions. Therefore, it is suggested that more studies be carried out that use an analysis at 180°/s in the Isokinetic Dynamometer, for a better use of the data, aiming at a safer sports return.
References
Andrade, R., Pereira, R., van Cingel, R., Staal, J. B., & Espregueira-Mendes, J. (2020). How should clinicians rehabilitate patients after ACL reconstruction? A systematic review of clinical practice guidelines (CPGs) with a focus on quality appraisal (AGREE II). British journal of sports medicine, 54(9), 512-519.
Beischer, S., Gustavsson, L., Senorski, E. H., Karlsson, J., Thomeé, C., Samuelsson, K., & Thomeé, R. (2020). Young athletes who return to sport before 9 months after anterior cruciate ligament reconstruction have a rate of new injury 7 times that of those who delay return. Journal of orthopaedic & sports physical therapy, 50(2), 83-90.
Brophy, R. H., Schmitz, L., Wright, R. W., Dunn, W. R., Parker, R. D., Andrish, J. T., ... & Spindler, K. P. (2012). Return to play and future ACL injury risk after ACL reconstruction in soccer athletes from the Multicenter Orthopaedic Outcomes Network (MOON) group. The American journal of sports medicine, 40(11), 2517-2522.
Burgi, C. R., Peters, S., Ardern, C. L., Magill, J. R., Gomez, C. D., Sylvain, J., & Reiman, M. P. (2019). Which criteria are used to clear patients to return to sport after primary ACL reconstruction? A scoping review. British journal of sports medicine, 53(18), 1154-1161.
Dvir, Z., & Müller, S. (2020). Multiple-joint isokinetic dynamometry: a critical review. The Journal of Strength & Conditioning Research, 34(2), 587-601.
Enoka, R. M., & Duchateau, J. (2008). Muscle fatigue: what, why and how it influences muscle function. The Journal of physiology, 586(1), 11-23.
Gokeler, A., Welling, W., Benjaminse, A., Lemmink, K., Seil, R., & Zaffagnini, S. (2017). A critical analysis of limb symmetry indices of hop tests in athletes after anterior cruciate ligament reconstruction: a case control study. Orthopaedics & traumatology: surgery & research, 103(6), 947-951.
Grindem, H., Snyder-Mackler, L., Moksnes, H., Engebretsen, L., & Risberg, M. A. (2016). Simple decision rules can reduce reinjury risk by 84% after ACL reconstruction: the Delaware-Oslo ACL cohort study. British journal of sports medicine, 50(13), 804-808.
Guyton, A.C. e Hall J.E.– Tratado de Fisiologia Médica. Editora Elsevier. 13ª ed., 2017
Hart, J. M., Pietrosimone, B., Hertel, J., & Ingersoll, C. D. (2010). Quadriceps activation following knee injuries: a systematic review. Journal of athletic training, 45(1), 87-97.
Kyritsis, P., Bahr, R., Landreau, P., Miladi, R., & Witvrouw, E. (2016). Likelihood of ACL graft rupture: not meeting six clinical discharge criteria before return to sport is associated with a four times greater risk of rupture. British journal of sports medicine, 50(15), 946-951.
Meredith, S. J., Rauer, T., Chmielewski, T. L., Fink, C., Diermeier, T., Rothrauff, B. B., ... & Wilk, K. (2020). Return to sport after anterior cruciate ligament injury: Panther Symposium ACL Injury Return to Sport Consensus Group. Orthopaedic journal of sports medicine, 8(6), 2325967120930829.
Neumann, Donald A. Cinesiologia do aparelho musculoesquelético: fundamentos da reabilitação /Donald A. Neumann; [tradução Eliseanne Nopper]. - 3. ed. - Rio de Janeiro : Elsevier, 2018.
Nogueira, D. V., Lemos, S. L., Neto, F. A. C., Lima, F. P. S., & Lima, M. O. (2022). Análise da performance muscular de atletas submetidos à reconstrução do ligamento cruzado anterior após programa de reabilitação. Research, Society and Development, 11(3), e6711326199-e6711326199.
Santamaria, L. J., & Webster, K. E. (2010). The effect of fatigue on lower-limb biomechanics during single-limb landings: a systematic review. Journal of orthopaedic & sports physical therapy, 40(8), 464-473.
Tallard, J. C., Hedt, C., Lambert, B. S., & McCulloch, P. C. (2021). The Role of Fatigue in Return to Sport Testing Following Anterior Cruciate Ligament Reconstruction. International Journal of Sports Physical Therapy, 16(4), 1043.
Van Melick, N., Van Rijn, L., Nijhuis-van der Sanden, M. W. G., Hoogeboom, T. J., & Van Cingel, R. E. H. (2019). Fatigue affects quality of movement more in ACL-reconstructed soccer players than in healthy soccer players. Knee Surgery, Sports Traumatology, Arthroscopy, 27(2), 549-555.
Wellsandt, E., Failla, M. J., & Snyder-Mackler, L. (2017). Limb symmetry indexes can overestimate knee function after anterior cruciate ligament injury. journal of orthopaedic & sports physical therapy, 47(5), 334-338.
Wilk, K. E., Macrina, L. C., Cain, E. L., Dugas, J. R., & Andrews, J. R. (2012). Recent advances in the rehabilitation of anterior cruciate ligament injuries. journal of orthopaedic & sports physical therapy, 42(3), 153-171.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Fernando Azevedo Carvalho Neto; Sergio Luiz Lemos; Miguel Ambrosio Neto ; Fernanda Pupio Silva Lima; Maria das Graças Bastos Licurci; Alessandra de Almeida Fagundes; Mário Oliveira Lima; Daniel Vilela Nogueira
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
