دورية أكاديمية
Pain Early After Anterior Cruciate Ligament Reconstruction is Associated With 6-Month Loading Mechanics During Running.
العنوان: | Pain Early After Anterior Cruciate Ligament Reconstruction is Associated With 6-Month Loading Mechanics During Running. |
---|---|
المؤلفون: | Johnson AK; Orthopaedic Rehabilitation and Biomechanics Laboratory, School of Kinesiology, University of Michigan, Ann Arbor, Michigan., Heebner NR; Department of Rehabilitation Sciences, College of Health Sciences, University of Kentucky, Lexington, Kentucky., Hunt ER; Department of Orthopaedics, Brigham and Women's Hospital, Harvard Medical School, Boston, MA., Conley CEW; Department of Orthopedic Surgery and Sports Medicine, College of Medicine, University of Kentucky, Lexington, Kentucky., Jacobs CA; Department of Orthopedic Surgery and Sports Medicine, College of Medicine, University of Kentucky, Lexington, Kentucky., Ireland ML; Department of Orthopedic Surgery and Sports Medicine, College of Medicine, University of Kentucky, Lexington, Kentucky., Abt JP; Children's Health, Andrews Institute for Orthopaedics and Sports Medicine, Plano, Texas., Lattermann C; Department of Orthopaedics, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts. |
المصدر: | Sports health [Sports Health] 2023 Nov-Dec; Vol. 15 (6), pp. 908-916. Date of Electronic Publication: 2022 Dec 14. |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Sage Publications Country of Publication: United States NLM ID: 101518422 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1941-0921 (Electronic) Linking ISSN: 19410921 NLM ISO Abbreviation: Sports Health Subsets: PubMed not MEDLINE; MEDLINE |
أسماء مطبوعة: | Original Publication: Thousand Oaks, CA : Sage Publications |
مستخلص: | Background: Anterior cruciate ligament reconstruction (ACLR) results in persistent altered knee biomechanics, but contributing factors such as pain or patient function, leading to the altered loading, are unknown. Hypothesis: Individuals with worse self-reported pain after ACLR would have poorer biomechanics during running, and poor loading mechanics would be present in the ACLR limb compared with contralateral and control limbs. Study Design: Cohort pilot study. Level of Evidence: Level 3. Methods: A total of 20 patients after ACLR (age, 18.4 ± 2.7 years; height, 1.7 ± 0.1 m; mass, 84.2 ± 19.4 kg) completed visual analog scale and Knee Injury and Osteoarthritis Outcomes Score (KOOS) at 1 and 6 months postsurgery. At 6 months postsurgery, patients underwent biomechanical testing during running. A total of 20 control individuals also completed running biomechanical analyses. Associations between patient outcomes and biomechanics were conducted, and differences in running biomechanics between groups were analyzed. Results: KOOS pain score 1 month after surgery was associated with peak ACLR knee abduction moment ( R 2 = 0.35; P = 0.01). At 6-months, KOOS sport score was related to peak abduction moment in the ACLR limb ( R 2 = 0.23; P = 0.05). For change scores, the improvement in pain scores related to ACLR limb peak knee abduction moment ( R 2 = 0.55; P = 0.001). The ACLR limb had lower knee excursion, extension moments, and ground-reaction forces compared with the uninvolved and control limb. The uninvolved limb also had higher ground-reaction forces compared with the ACLR limb and control limb. Conclusion: These results suggest that patient-reported outcomes 1 and 6 months after surgery are associated with running mechanics 6 months after ACLR. Further, the underloading present in the ACLR limb and overloading in the uninvolved limb indicates greater need for running rehabilitation after ACLR. Clinical Relevance: Understanding pain and how it may be linked to movement dysfunction is important for improving long-term outcomes. |
References: | J Bone Joint Surg Am. 1990 Jul;72(6):871-7. (PMID: 2365720) Sensors (Basel). 2018 Oct 15;18(10):. (PMID: 30326570) Am J Sports Med. 2015 Feb;43(2):345-53. (PMID: 25480833) J Orthop Sports Phys Ther. 1998 Aug;28(2):88-96. (PMID: 9699158) Am J Sports Med. 2014 Mar;42(3):641-7. (PMID: 24451111) J Orthop Sports Phys Ther. 2014 Dec;44(12):914-23. (PMID: 25347228) Arthritis Rheum. 2004 Jun 15;51(3):371-6. (PMID: 15188321) Am J Sports Med. 2009 Jul;37(7):1434-43. (PMID: 19567666) Acad Emerg Med. 2001 Dec;8(12):1153-7. (PMID: 11733293) Arthritis Rheum. 1998 Jul;41(7):1233-40. (PMID: 9663481) Arthroscopy. 2019 Feb;35(2):511-520. (PMID: 30473456) Am J Sports Med. 2007 Oct;35(10):1756-69. (PMID: 17761605) Asia Pac J Sports Med Arthrosc Rehabil Technol. 2018 Dec 14;16:14-18. (PMID: 30984558) Phys Ther Sport. 2020 Jan;41:1-8. (PMID: 31678754) J Orthop Sports Phys Ther. 2012 Jul;42(7):601-14. (PMID: 22402434) Curr Opin Rheumatol. 2006 Sep;18(5):514-8. (PMID: 16896293) Med Sci Sports Exerc. 2019 Apr;51(4):630-639. (PMID: 30444797) Sports Med. 2019 Sep;49(9):1411-1424. (PMID: 31102111) Arthritis Rheum. 2004 Oct;50(10):3145-52. (PMID: 15476248) PM R. 2018 Jan;10(1):56-63. (PMID: 28602934) Am J Sports Med. 2016 Jul;44(7):1861-76. (PMID: 26772611) Clin Biomech (Bristol, Avon). 2016 Feb;32:249-54. (PMID: 26640045) J Orthop Res. 2017 Mar;35(3):454-465. (PMID: 27256202) Exerc Sport Sci Rev. 2005 Oct;33(4):195-200. (PMID: 16239837) Knee Surg Sports Traumatol Arthrosc. 2018 Dec;26(12):3682-3689. (PMID: 29700560) Gait Posture. 2018 Sep;65:221-227. (PMID: 30558935) Knee Surg Sports Traumatol Arthrosc. 2018 Feb;26(2):391-398. (PMID: 29185004) Eur J Phys Rehabil Med. 2009 Mar;45(1):37-45. (PMID: 18987563) Br J Sports Med. 2009 May;43(5):366-70. (PMID: 19042923) Gait Posture. 1998 Jan 1;7(1):77-95. (PMID: 10200378) Am J Sports Med. 2017 Oct;45(12):2812-2816. (PMID: 28749699) J Orthop Traumatol. 2010 Dec;11(4):237-43. (PMID: 21116674) Am J Sports Med. 2010 Oct;38(10):1968-78. (PMID: 20702858) J Orthop Res. 2017 Jul;35(7):1366-1374. (PMID: 28383764) Clin Biomech (Bristol, Avon). 2017 Mar;43:79-85. (PMID: 28214426) Am J Sports Med. 2015 Oct;43(10):2553-8. (PMID: 26276828) Med Sci Sports Exerc. 2016 May;48(5):790-5. (PMID: 26694845) J Orthop Sports Phys Ther. 2018 Dec;48(12):960-967. (PMID: 30032698) Clin J Sport Med. 2002 Mar;12(2):99-106. (PMID: 11953556) Clin Biomech (Bristol, Avon). 2002 Jan;17(1):56-63. (PMID: 11779647) |
معلومات مُعتمدة: | UL1 TR001998 United States TR NCATS NIH HHS |
فهرسة مساهمة: | Keywords: ACLR; biomechanics; knee; patient-reported outcomes |
تواريخ الأحداث: | Date Created: 20221215 Latest Revision: 20231215 |
رمز التحديث: | 20231215 |
مُعرف محوري في PubMed: | PMC10606962 |
DOI: | 10.1177/19417381221139478 |
PMID: | 36519181 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1941-0921 |
---|---|
DOI: | 10.1177/19417381221139478 |