Sports involvement following ACL reconstruction is related to lower extremity neuromuscular adaptations, subjective knee function and health locus of control

Abstract

Therapeutic case series, level IV.

Influence of personality psychology on outcome of total hip arthroplasty: a cross-sectional study on 69 patients

“…These data confirm what is evidenced in two different studies on anterior cruciate ligament reconstruction in which perceived sports involvement was related to involved lower extremity neuromuscular adaptations, better subjective knee function, a more internal HLOC and higher sports activity intensity levels [16,17]. Correlation between rehabilitation results and Multidimensional Health Locus of Control is described in many other studies about rehabilitation in low back pain, fibromyalgia syndrome and rheumatoid arthritis [18,19].…”

Hip and Knee Kinematics and Kinetics During Landing Tasks After Anterior Cruciate Ligament Reconstruction: A Systematic Review and Meta-Analysis

“…Surprisingly, we observed no conclusive effect for differences in any of the kinematic variables at the knee or hip during landing. The effect sizes associated with kinematic adaptations were mostly heterogeneous, demonstrating that the injured limbs of patients with ACLR may land with more (2/12 included studies), 46,66 less (3/12 included studies), 51,52,64 or no difference (7/12 included studies) 50,56,[58][59][60][61]67 in knee flexion compared with uninjured limbs and healthy controls (Table 2A). Peak kneeadduction angle and frontal-plane knee-joint excursion yielded the strongest evidence for kinematic alterations at the knee, with lower knee-adduction angles (3/3 included studies; Table 2B) in the involved limb compared with healthy controls during double-legged landing.…”

“…Only 4 of the included studies provided separate data for cohorts within the ACLR groups. Nyland et al 58 and Miranda et al 56 reported individual data for males and females, Nyland et al 59 reported data by the activity levels of the ACLR participants, and Mohammadi et al 57 separated data by graft type (bone-patellar tendon-bone and semiten-dinosis-gracilis autografts). These data are reported separately for the corresponding articles.…”

Anterior cruciate ligament reconstruction, rehabilitation, and return to play: 2015 update

“…Given the knee joint neurosensory compromise that occurs when reconstructing a sensitive neurosensory structure with a comparatively “sensory inert” graft, it is not surprising that compensatory neuromuscular control activation, increased hip region muscle stiffness, fast twitch muscle fiber atrophy at the quadriceps femoris, and gastrocnemius of the involved lower extremity and imbalanced lower extremity loading patterns occur to enable continued function. 25 , 26 , 56 Following ACL injury and surgery, patients display a greater tendency to employ a hip strategy when performing progressive step-up and jumping tasks. This enables the gluteus maximus and hamstring muscles to substitute for quadriceps femoris function through the knee for composite lower extremity extension during closed kinetic chain exercises and movements.…”

“…This enables the gluteus maximus and hamstring muscles to substitute for quadriceps femoris function through the knee for composite lower extremity extension during closed kinetic chain exercises and movements. 25 , 26 , 56 An essential part of knee joint recovery is the re-establishment of balanced hip, knee and ankle contributions to composite lower extremity extension. 24 …”