Associations of isokinetic knee steadiness with hop performance in patients with ACL deficiency

Verfasser / Beitragende:
[Yong-Hao Pua, Peck-Hoon Ong, Jia-Ying Ho, Adam Bryant, Kate E Webster, Ross Clark]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/8(2015-08-01), 2185-2195
Format:
Artikel (online)
ID: 605459320
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024 7 0 |a 10.1007/s00167-014-2995-4  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-014-2995-4 
245 0 0 |a Associations of isokinetic knee steadiness with hop performance in patients with ACL deficiency  |h [Elektronische Daten]  |c [Yong-Hao Pua, Peck-Hoon Ong, Jia-Ying Ho, Adam Bryant, Kate E Webster, Ross Clark] 
520 3 |a Purpose: Contrary to the ample data available regarding the functional significance of isokinetic knee strength in patients with anterior cruciate ligament deficiency (ACLD), much less is known about the functional significance of isokinetic knee steadiness. This cross-sectional study aimed to evaluate, in patients with ACLD, the independent impact of isokinetic quadriceps and hamstrings torque steadiness on single-leg hop performance. Methods: Eighty-seven patients with unilateral ACLD participated. Patients performed isokinetic quadriceps and hamstrings steadiness and strength testing at 60°/s on an isokinetic dynamometer. Muscle steadiness and strength were represented by the wavelet-derived mean instantaneous frequency and peak value of the torque-time curves, respectively. To measure hop performance, patients performed a single-leg hop for distance and a 6-m single-leg hop for velocity. Results: One of two patients [n=45 (51%)] had a 10% or greater difference in knee torque frequency levels between the ACLD and contralateral knees. In multivariable models adjusted for age, sex, knee pain, and knee strength, hamstrings steadiness was significantly related with hop velocity whilst quadriceps steadiness was significantly related with both hop distance and velocity. Variance decomposition analyses suggested that quadriceps steadiness was similar in importance to hamstrings strength on hop distance and velocity. Conclusions: In patients with ACLD, isokinetic knee steadiness deficits were common and were independently associated with single-leg hop performance. Knee torque steadiness—a heretofore understudied variable—may prove a useful adjunct to conventional peak torque measurements by offering additional information to researchers and rehabilitation professionals about muscle performance and neuromuscular knee control. Level of evidence: Prognostic studies, Level III. 
540 |a Springer-Verlag Berlin Heidelberg, 2014 
690 7 |a Force control  |2 nationallicence 
690 7 |a Isokinetics  |2 nationallicence 
690 7 |a Knee  |2 nationallicence 
690 7 |a ACL deficiency  |2 nationallicence 
690 7 |a Single-leg hop test  |2 nationallicence 
700 1 |a Pua  |D Yong-Hao  |u Department of Physiotherapy, Singapore General Hospital, Outram Road, 169608, Singapore, Singapore  |4 aut 
700 1 |a Ong  |D Peck-Hoon  |u Department of Physiotherapy, Singapore General Hospital, Outram Road, 169608, Singapore, Singapore  |4 aut 
700 1 |a Ho  |D Jia-Ying  |u Department of Physiotherapy, Singapore General Hospital, Outram Road, 169608, Singapore, Singapore  |4 aut 
700 1 |a Bryant  |D Adam  |u Department of Physiotherapy, The University of Melbourne, Melbourne, Australia  |4 aut 
700 1 |a E Webster  |D Kate  |u School of Health Sciences Research, La Trobe University, Melbourne, Australia  |4 aut 
700 1 |a Clark  |D Ross  |u School of Exercise Science, Australian Catholic University, Melbourne, Australia  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/8(2015-08-01), 2185-2195  |x 0942-2056  |q 23:8<2185  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-014-2995-4  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00167-014-2995-4  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Pua  |D Yong-Hao  |u Department of Physiotherapy, Singapore General Hospital, Outram Road, 169608, Singapore, Singapore  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Ong  |D Peck-Hoon  |u Department of Physiotherapy, Singapore General Hospital, Outram Road, 169608, Singapore, Singapore  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Ho  |D Jia-Ying  |u Department of Physiotherapy, Singapore General Hospital, Outram Road, 169608, Singapore, Singapore  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Bryant  |D Adam  |u Department of Physiotherapy, The University of Melbourne, Melbourne, Australia  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a E Webster  |D Kate  |u School of Health Sciences Research, La Trobe University, Melbourne, Australia  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Clark  |D Ross  |u School of Exercise Science, Australian Catholic University, Melbourne, Australia  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/8(2015-08-01), 2185-2195  |x 0942-2056  |q 23:8<2185  |1 2015  |2 23  |o 167