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Muscle function, Lysholm score and hop performance in individuals with clinical indications for the combined reconstruction of the anterior cruciate and the anterolateral ligaments of the knee: A cross-sectional study
Carvalho, Adriana; Novaes, Marilia; Sauer, Juliana; Demange, Marco Kawamura; Helito, Camilo Partezani; João, Silvia Maria Amado.
Affiliation
  • Carvalho, Adriana; Universidade de São Paulo. Faculdade de Medicina. Physical Therapy Service, Instituto de Ortopedia e Traumatologia, Hospital das Clincas. São Paulo. BR
  • Novaes, Marilia; Universidade de São Paulo. Faculdade de Medicina. Department of Physical Therapy, Speech and Occupational Therapy. São Paulo. BR
  • Sauer, Juliana; Universidade de São Paulo. Faculdade de Medicina. Department of Physical Therapy, Speech and Occupational Therapy. São Paulo. BR
  • Demange, Marco Kawamura; Universidade de São Paulo. Faculdade de Medicina. Knee Surgery Division, Instituto de Ortopedia e Traumatologia, Hospital das clinicas. São Paulo. BR
  • Helito, Camilo Partezani; Universidade de São Paulo. Faculdade de Medicina. Knee Surgery Division, Instituto de Ortopedia e Traumatologia, Hospital das clinicas. São Paulo. BR
  • João, Silvia Maria Amado; Universidade de São Paulo. Faculdade de Medicina. Department of Physical Therapy, Speech and Occupational Therapy. São Paulo. BR
Clinics ; Clinics;78: 100267, 2023. tab, graf
Article in En | LILACS-Express | LILACS | ID: biblio-1520707
Responsible library: BR1.1
ABSTRACT
Abstract Objective To evaluate hip and knee muscular function, knee patient-reported outcome measures and hop performance in patients with a clinical indication for combined ACL+ALL reconstruction surgery compared to patients with an isolated ACL reconstruction surgery indication (preoperative phase) and to a control group. Design Cross-sectional study. Methods The sample was composed of male individuals, aged between 18 and 59 years, divided into three groups (ACL, ACL+ALL and Control). Isokinetic dynamometry was performed for the flexor and extensor knee muscles and for the hip abductors and adductors. SLHT, COHT and the Lysholm score were performed. Pain, swelling, and thigh trophism were also measured. Results The study participants were 89 male individuals 63 in the injury group and 26 in the control group. After applying the criteria for an ALL reconstruction indication, 33 patients were assigned to the ACL Group and 30 patients to the ACL+ALL Group. Regarding knee and hip muscle function, both groups presented worse results when compared to the control group, however, did not show significant differences compared to each other. Regarding the functional variables, the ACL+ALL group showed a significantly shorter distance achieved in the Crossover Hop Test than the other groups, as well as more pain during the tests. Conclusion Knee and hip muscular functions are impaired after an ACL injury and do not seem to be influenced or worsened in individuals with greater rotational instability with clinical indications for combined reconstruction of the anterior cruciate and the anterolateral ligaments of the knee.
Key words

Full text: 1 Collection: 01-internacional Database: LILACS Language: En Journal: Clinics Journal subject: MEDICINA Year: 2023 Document type: Article Affiliation country: Brazil Country of publication: Brazil

Full text: 1 Collection: 01-internacional Database: LILACS Language: En Journal: Clinics Journal subject: MEDICINA Year: 2023 Document type: Article Affiliation country: Brazil Country of publication: Brazil