Isokinetic muscle strength and readiness to return to sport following anterior cruciate ligament reconstruction: Is there an association? A systematic review and a protocol recommendation

British Journal of Sports Medicine

Volumn 49, Issue 20, 2015, Pages 1305-1310

  Undheim, Marit Baste ^a   Cosgrave, Ciaran ^a   King, Enda ^a,b   Strike, Siobhán ^b   Marshall, Brendan ^a,c   Falvey, Ãanna ^a,d   Franklyn Miller, Andrew ^a,e  

^a Santry Demesne   (Ireland)

^b UNIVERSITY OF ROEHAMPTON   (United Kingdom)

^c DUBLIN CITY UNIVERSITY   (Ireland)

^d UNIVERSITY COLLEGE CORK   (Ireland)

^e UNIVERSITY OF MELBOURNE   (Australia)

Author keywords

[No Author keywords available]

Indexed keywords

ANTERIOR CRUCIATE LIGAMENT; ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION; ATHLETIC INJURIES; BIOMECHANICS; HUMAN; INJURIES; KNEE INJURIES; META ANALYSIS; MUSCLE STRENGTH; PATHOPHYSIOLOGY; PHYSIOLOGY; QUADRICEPS FEMORIS MUSCLE; RETURN TO SPORT; SKELETAL MUSCLE; TREATMENT OUTCOME;

ANTERIOR CRUCIATE LIGAMENT; ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION; ATHLETIC INJURIES; BIOMECHANICAL PHENOMENA; HUMANS; KNEE INJURIES; MUSCLE STRENGTH; MUSCLE, SKELETAL; QUADRICEPS MUSCLE; RETURN TO SPORT; TREATMENT OUTCOME;

EID: 84943356541     PISSN: 03063674     EISSN: 14730480     Source Type: Journal    
DOI: 10.1136/bjsports-2014-093962     Document Type: Review

References (79)

1. Renström PA. Eight clinical conundrums relating to anterior cruciate ligament (ACL) injury in sport: recent evidence and a personal reflection. Br J Sports Med 2023;47:367-72.
2. Beynnon BD, Johnson RJ, Abate JA, et al. Treatment of anterior cruciate ligament injuries, Part I. Am J Sports Med 2005;33:1579-602.
3. Aune AK, Holm I , Risberg MA, et al. Four-strand hamstring tendon autograft compared with patellar tendon-bone autograft for anterior cruciate ligament reconstruction. A randomized study with two-year follow-up. Am J Sports Med 2001;29:7 22-8.
4. Lautamies R, Harilainen A, Kettunen J, et al. Isokinetic quadriceps and hamstring muscle strength and knee function 5 years after anterior cruciate ligament reconstruction: comparison between bone-patellar ten don-bone and hamstring tendon autografts. Knee Surg Sports Traumatol Arthrosc 2008;16:1009-16.
5. Xergia SA, McClelland JA, Kvist J, et al. The influence of graft choice on isokinetic muscle stren gth 4-24 months after anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 2011;19:768-80.
6. Bizzini M, Gorelick M, Munzinger U, et al. Joint laxity and isokinetic thig h muscle strength characteristics after anterior cruciate ligament reconstruction: bone patellar tendon bone versus quadrupled hamstring autografts. Clin J Sport Med 2006;16:4-9.
7. Gobbi A, Mahajan S, Zanazzo M, et al. Patellar tendon versus quadrupled bone-semitendinosus anterior cruciate ligament reconstruction: a prospective clinical investigation in athletes. Arthroscopy 2003;19:592-601.
8. Mattacola CG, Perrin DH, Gansneder BM, et al. Strength, functional outcome, and postural stability after anterior cruciate ligament reconstruction. J Athl Train 2002;37:262-8.
9. Jansson KA, Linko E, Sandelin J, et al. A prospective randomized study of patellar versus hamstring tendon autografts for anterior cruciate ligament reconstruction. Am J Sports Med 2003;31:12-18
10. Bowerman SJ, Smith DR, Carlson M, et al. A comparison of factors influencing ACL injury in male and female athletes and non-Athletes. Phys Ther Sport 2006;7:144-52.
11. Myer GD,Ford KR,Hewett TE. Rationale and clinical techniques for anterior cruciate ligament injury prevention among Female athletes J Athl Train 2004 39, 352-64.
12. Paterno MV, Schmitt LC, F ord KR, et al. Biomechanical measures during landing and postural stability predict second anterior cruciate ligament injury after anterior cruciate ligament reconstruction and return to sport. Am J Sports Med 2010;38:1968-78.
13. Pinczewski LA, Lyman J, Salmon LJ, et al. A 10-year comparison of anterior cruciate ligament reconstructions with hamstring tendon and patellar tendon autograft: a controlled, prospective trial. Am J Sp orts Med 2007;35:564-74.
14. Shelbourne KD, Gray T, Haro M. Incidence of subsequent injury to either knee within 5 years after anterior cruciate ligament reconstruction with patellar tendon autograft. Am J Sports Med 2009;37:246-51.
15. Wright RW, Dunn WR, Amendola A, et al. Risk of tearing the intact anterior cruciate ligament in the contralateral knee and rupturing the anterior cruciate ligament graft during the first 2 years after anterior cruciate ligament reconstruction: a prospective MOON cohort study. Am J Sports Med 2007;35:1131-4.
16. Barber-Westin SD, Noyes FR. Factors used to determine return to unrestricted sports activities after anterior cruciate ligament reconstruction. Arthroscopy 2011;27:1697-705.
17. Hewett TE, Di Stasi SL, Myer GD. Current concepts for injury prevention in athletes after anterior cruciate ligament reconstruction. Am J Sports Med 2013;41:216-24.
18. Lynch AD, Logerstedt DS, Grindem H, et al. Consensus criteria for defining ' successful outcome' after ACL injury and reconstruction: a Delaware-Oslo ACL cohort investigation. Br J Sports Med 2015;49:335-42.
19. van Grinsven S, van Cingel RE, Holla CJ, et al. Evidence-based rehabilitation followin g anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 2010;18:1128-44.
20. de Carvalho Froufe Andrade AC, Caserotti P, de Carvalho CM, et al. Reliability of concentric, eccentric and isometric knee extension and flexion when using the REV9000 isokinetic Dynamometer. J Human Kinet 2013;37:47-53.
21. Fernandes TL, Protta TR, Fregni F, et al. Isokinetic muscle strength and knee function associated with double femoral pin fixation and fixation with interference screw in anterior cruciate ligament reconstruction. K nee Surg Sports Traumatol Arthrosc 2012;20:275-80.
22. Drouin JM, Valovich-mcLeod TC, Shultz SJ, et al. Reliability and validity of the Biodex system 3 pro isokinetic dynamometer velocity, torque and position measurements. Eur J Appl Physiol 2004;91:22-9.
23. Anderson JL, Lamb SE, Barker KL, et al. Changes in muscle torque following anterior cruciate ligament reconstruction: a comparison betwe en hamstrings and patella tendon graft procedures on 45 patients. Acta Orthop Scan 2002;73:546-52.
24. Feiring DC, Ellenbecker TS, Derscheid GL. Test-retest reliability of the biodex isokinetic dynamometer. J Orthop Sports Phys Ther 1990;11:298-300.
25. Czuppon S, Racette BA, Klein SE, et al. Variables associated with return to sport following anterior cruciate ligament reconstruction: a syste matic review. Br J Sports Med 2014;48:356-64.
26. Hartigan EH, Axe MJ, Snyder-Mackler L. Time line for noncopers to pass return-to-sports criteria after anterior cruciate ligament reconstruction. J Orthop Sports Phys Ther 2010;40:141-54.
27. Thomee R, Kaplan Y, Kvist J, et al. Muscle strength and hop performance criteria prior to return to sports after ACL reconstruction. Knee Surg Spor ts Traumatol Arthrosc 2011;19:1798-805.
28. Rosene JM, Fogarty TD, Mahaffey BL. Isokinetic hamstrings: quadriceps ratios in intercollegiate athletes. J Athl Train 2001;36:378-83.
29. Andrade MS, Cohen M, Pi çarro IC, et al. Knee performance after anterior cruciate ligament reconstruction. Isokinet Exerc Sci 2002;10:81.
30. Abrams GD, Harris JD, Gup ta AK, et al. Functional performance testing after anterior cruciate ligament reconstruction: a systematic review. Orthop J Sports Med 2014;2:1-10.
31. Bennell K, Wajswelner H, Lew P, et al. Isokinetic strength testing does not predict hamstring injury in Australian rules footballers. Br J Sports Med 1998;32:309-14.
32. Hewett TE, Myer GD, Zazulak BT. Hamstrings to quadriceps peak torque ratios diverge between sexes with increasing isokinetic angular velocity. .J Sci Med Sport 2008;11:452-9.
33. Moher D,Liberati A,Tetzlaff J,et al. Preferred reporting items for systematic reviews and meta-Analyses: the PRISMA statement BMJ 2009,m 339, b2535
34. Downs SH, Black N. The feasibility of creating a checklist for the assessment of the methodological quality both of randomised and non-randomised studies of health care interventions. J Epidemiol Community Health 1998;52:377-84.
35. Ardern CL, Webster KE. Knee flexor strength recovery following hamstring tendon harvest for anterior cruciate ligament reconstruction: a systematic review. Orthop Rev 2009;1:e12.
36. Ho oper P, Jutai JW, Strong G, et al. Age-related macular degeneration and low-vision rehabilitation: a systematic review. Can J Ophthalmol 2008;43:180-7.
37. Thomas AC, Villwock M, Wojtys EM , et al. Lower extremity muscle strength after anterior cruciate ligament injury and reconstruction. J Athl Train 2013;48: 610-20.
38. Beard DJ, Anderson JL, Davies S, et al. Hamstrings vs. patella tendon for anterior cruciate ligament reconstruction: a randomised controlled trial. Knee 2001;8:45-50.
39. Bush-J oseph CA, Hurwitz DE, Patel RR, et al. Dynamic function after anterior cruciate ligament reconstruction with autologous patellar tendon. Am J Sports Med 2001;29:36-41.
40. Cardone C, Menegassi Z, Emygdio R. Isokinetic assessment of muscle strength following anterior cruciate ligament reconstruction. Isokinet Exerc Sci 2004;12:173-7.
41. Carter TR, Edinger S. Isokinetic evaluation of anterior cruciate ligament reconstruction: hamstring versus patellar tendon. Arthroscopy 1999;15:169-72.
42. Eriksson K, Hamberg P, Jansson E, et al. Semitendinosus muscle in anterior cruciate ligament surgery: morphology and function. Arthroscopy 2001;17:808-17.
43. Feller JA, Webster KE. A randomized comparison of patellar tendon and hamstring tendon anterior cruciate ligament reconstruction. Am J Sports Med 2003;31:564-73.
44. Gokeler A, Schmalz T, Knopf E, et al. The relationship between isokinetic quadriceps strength and laxity on gait analysis parameters in anterior cruciate ligamen t reconstructed knees. Knee Surg Sports Traumatol Arthrosc 2003;11:372-8.
45. Heijne A, Werner S. A 2-year follow-up of rehabilitation after ACL reconstruction using patellar tendon or hamstring tendon grafts: a prospective randomised outcome study. Knee Surg Sports Traumatol Arthrosc 2010;18:805-13.
46. Heijne A, Werner S. Early versus late start of open kinetic chain quadriceps exercises after ACL reconstru ction with patellar tendon or hamstring grafts: a prospective randomized outcome study. Knee Surg Sports Traumatol Arthrosc 2007;15:402-14.
47. Hohmann E, Tetsworth K, Bryant A. Physiotherapy-guided v ersus home-based, unsupervised rehabilitation in isolated anterior cruciate injuries following surgical reconstruction. Knee Surg Sports Traumatol Arthrosc 2011;19:1158-67.
48. Janssen RP, van der Velden MJ, Pasmans HL, et al. Regeneration of hamstring tendons after anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 2013;21:898-905.
49. Karanikas K, Arampatzis A, Bruggemann GP. Motor task and muscle strength followed different adaptation patterns after anterior cruciate ligament reconstruction. Eur J Phys Rehabil Med 2009;45:37-45.
50. Keays SL, Bullock-Saxton JE, Newcombe P, et al. The relationship between knee strength and functional stability before and after anterior cruciate ligament reconstruction. J Orthop Res 2003;21:231-7.
51. Kobayashi A, Higuchi H, Terauchi M, et al. Muscle performance after anterior cruciate ligament reconstruction. Int Orthop 2004;28:48-51.
52. Mikkelsen C, Werner S , Eriksson E. Closed kinetic chain alone compared to combined open and closed kinetic chain exercises for quadriceps strengthening after anterior cruciate ligament reconstruction with respect to return to sports: a prospective matched follow-up s tudy. Knee Surg Sports Traumatol Arthrosc 2000;8:337-42.
53. Nakamura N, Horibe S, Sasaki S, et al. Evaluation of active knee flexion and hamstring strength after anterior cruciate ligament reconst ruction using hamstring tendons. Arthroscopy 2002;18:598-602.
54. Osteras H,Augestad LB,Tondel S. Isokinetic muscle strength after anterior cruciate ligament reconstruction Scand J Med Sci Sports 1998 8 279-82.
55. Risberg MA, Holm I, Myklebust G, et al. Neuromuscular training versus strength training during first 6 months after anterior cruciate ligament reconstruction: a randomized clinic al trial. Phys Ther 2007;87:737-50.
56. Silva F, Ribeiro F, Oliveira J. Effect of an accelerated ACL rehabilitation protocol on knee proprioception and muscle strength after anterior cruciate ligament reconstruction. Arch Exerc Health Dis 2012;3:139-44.
57. Urabe Y, Ochi M, Onari K. Changes in isokinetic muscle strength of the lower extremity in recreational athletes with anterior cruciate ligame nt reconstruction. J Sport Rehabil 2002;11:252-67.
58. Webster KE, Gonzalez-Adrio R, Feller JA. Dynamic joint loading following hamstring and patellar tendon anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 2004;12:15-21.
59. Wilk KE, Romaniello WT, Soscia SM, et al. The relationship between subjective knee scores, isokinetic testing, and functional testing in the ACL-reconstructed knee. J Orthop Sports Phys Ther 1994;20:60-73.
60. Witvrouw E, Bellemans J, Verdonk R, et al. Patellar tendon vs. doubled semitendinosus and gracilis tendon for anterior cruciat e ligament reconstruction. Int Orthop 2001;25:308-11.
61. Wojtys EM, Huston LJ. Longitudinal effects of anterior cruciate ligament injury and patellar tendon autograft reconstruction on neuromuscular perf ormance. Am J Sports Med 2000;28:336-44.
62. Xergia SA, Pappas E, Zampeli F, et al. Asymmetries in functional hop tests, lower extremity kinematics, and isokinetic strength persist 6 to 9 months f ollowing anterior cruciate ligament reconstruction. J Orthop Sports Phys Ther 2013;43:154-62.
63. Yoon T, Hwang J. Comparison of eccentric and concentric isokinetic exercise testing after anterior cruciate ligament reconstruction. Yonsei Med J 2000;41:584-92.
64. Yosmaoglu HB, B altaci G, Kaya D, et al. Tracking ability, motor coordination, and functional determinants after anterior cruciate ligament reconstruction. J Sport Rehabil 2011;20:207-18.
65. Yosmaoglu HB, Balta ci G, Ozer H, et al. Effects of additional gracilis tendon harvest on muscle torque, motor coordination, and knee laxity in ACL reconstruction. Knee Surg Sports Traumatol Arthrosc 2011;19:1287-92.
66. Yuksel HY, Erkan S, Uzun M. Factors affecting isokinetic muscle strength before and after anterior cruciate ligament reconstruction. Acta Orthop Belg 2011;77:339-48.
67. Oni OO, Crowder E. A comparison of isokinetics and muscle strength ratios following intra-Articular and extra-Articular reconstructions of the anterior cruciate ligament. Injury 1996;27:195-7.
68. Kellis E, Baltzopoulos V. Isokinetic eccentric exercise. Sports Med 1995;19:202-22.
69. Sole G, Hamren J, Milosavljevic S, et al. Test-retest reliability of isokinetic knee extension and flexion. Arch Phys Med Rehabil 2007;88:626-31.
70. Almosnino S, Stevenson JM, Bardana DD, et al. Reproducibility of isokinetic knee eccentric and concentric strength indices in asymptomatic young adults. Phys Ther Sport 2012;13:156-62.
71. Li RC, Wu Y, Maffulli N, et al. Eccentric and concentric isokinetic knee flexion and extension: a reliability study using the Cybex 6000 dynamometer. Br J Sports Med 1996; 30:156-60.
72. Baltzopoulos V, Brodie DA. Isokinetic dynamometry. Applications and limitations. Sports Med 1989;8:101-16.
73. Kannus P. Ratio of hamstring to quadriceps femoris muscles' strength in the anterior cruciate ligament insufficient knee. Relationship to long-term recovery. Phys Ther 1988;68:961-5.
74. Baltzopoulos B, King M, Gleeson N, et al. The BASES expert statement on measurement of muscle strength with isokinetic dynamometry. Sport Exerc Sci 2012:12-13.
75. Grimshaw P,Fowler N,Lees A,et al BIOS instant notes in sport and exercise biomechanics. Taylor & Francis 2004.
76. Gransberg L, Knutsson E. Determination of dynamic muscle strength in man with acceleration controlled isokinetic movements. Acta Physiol Scand 1983;119:317-20.
77. Maffiuletti NA, Bizzini M, Desbrosses K, et al. Reliability of knee extension and flexion measurements using the Con-Trex isokinetic dynamometer. Clin Physiol Funct Imaging 2007;27:346-53.
78. Greenberger HB, Wilkowski T, Belyea B. Comparison of quadriceps peak torque using three different isokinetic dynamometers. Isokinet Exerc Sci 1994;4:70-5.
79. Heinrichs KI, Perrin DH, Weltman A, et al. Effect of protocol and assessment device on isokinetic peak torque of the quadriceps muscle group. Isokinet Exerc Sci 1995;5:7-13.