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. |
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| 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. |
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| 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 |
Full Text Finder | تدمد: | 1941-0921 |
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| DOI: | 10.1177/19417381221139478 |