Factors affecting knee abduction during weight-bearing activities in individuals with anterior cruciate ligament reconstruction

Journal article


Cronström, Anna, Ageberg, Eva, Franettovich Smith, Melinda M., Blackmore, Tim, Nae, Jenny and Creaby, Mark. (2019) Factors affecting knee abduction during weight-bearing activities in individuals with anterior cruciate ligament reconstruction. Physical Therapy in Sport. 38, pp. 8 - 15. https://doi.org/10.1016/j.ptsp.2019.04.006
AuthorsCronström, Anna, Ageberg, Eva, Franettovich Smith, Melinda M., Blackmore, Tim, Nae, Jenny and Creaby, Mark
Abstract

Objective To investigate if muscle strength and muscle activation patterns are associated with increased knee abduction during two functional tasks, commonly used in rehabilitation for individuals with anterior cruciate ligament reconstruction (ACLR). Design Cross-sectional study. Setting Laboratory. Participants 24 women and 29 men approximately 7 months after ACLR. Main outcome measures Isometric peak torque of the trunk and lower extremity muscles were determined during maximal voluntary contractions. Trunk and lower extremity average muscle activation amplitude and peak knee abduction were evaluated during the single-leg squat (SLS) and the single-leg hop for distance (SLHD) for the injured side. Separate backward regressions were performed for men and women. Results In women, lower knee flexion and extension strength were associated with greater peak knee abduction during the SLS (B = 4.63–18.26, p ≤ 0.036); lower knee flexion strength and iliocostalis activation on the non-injured side were associated with greater peak knee abduction during the SLHD (B = 0.60–20.48, p ≤ 0.043). No associations between muscle function and peak knee abduction were found in men. Conclusions Muscle function may contribute differently to knee abduction in men and women after ACLR. This should be considered when designing rehabilitation programs to reduce knee abduction in these patients.

Keywordsanterior cruciate ligament injury; knee abduction; strength; muscle activation
Year2019
JournalPhysical Therapy in Sport
Journal citation38, pp. 8 - 15
PublisherElsevier Ltd
ISSN1873-1600
Digital Object Identifier (DOI)https://doi.org/10.1016/j.ptsp.2019.04.006
Scopus EID2-s2.0-85064478430
Page range8 - 15
Research GroupSports Performance, Recovery, Injury and New Technologies (SPRINT) Research Centre
Place of publicationUnited Kingdom
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Tibial loading mechanics: Implications for stress fracture injury
Creaby, Mark and Dixon, Sharon. (2008) Tibial loading mechanics: Implications for stress fracture injury. In 2nd Sports Medicine and Sports Science Review pp. 49 - 62 Central Queensland University Press.
Dynamic restraint capacity of the hamstring muscles has important functional implications after anterior cruciate ligament injury and anterior cruciate ligament reconstruction
Bryant, Adam L., Creaby, Mark William, Newton, Robert U. and Steele, Julie R.. (2008) Dynamic restraint capacity of the hamstring muscles has important functional implications after anterior cruciate ligament injury and anterior cruciate ligament reconstruction. Archives of Physical Medicine and Rehabilitation. 89(12), pp. 2324 - 2331. https://doi.org/10.1016/j.apmr.2008.04.027
Stress fracture risk factors in female football players and their clinical implications
Warden, Stuart, Creaby, Mark, Bryant, Adam and Crossley, Kay. (2007) Stress fracture risk factors in female football players and their clinical implications. British Journal of Sports Medicine. 41(8), pp. i38 - i43. https://doi.org/10.1136/bjsm.2007.037804
Comparison of static and dynamic biomedical measures in military recruits with and without a history of third metarsal stress fracture
Dixon, Sharon, Creaby, Mark and Allsopp, Adrian. (2006) Comparison of static and dynamic biomedical measures in military recruits with and without a history of third metarsal stress fracture. Clinical Biomechanics. 21(4), pp. 412 - 419. https://doi.org/10.1016/j.clinbiomech.2005.11.009