Diagnostic value of the hamstring to quadriceps ratio in monitoring of the effectiveness of supervised 6-month physiotherapy in males after Anterior Cruciate Ligament Reconstruction (ACLR)

• Autorzy: Krzemińska Katarzyna , Czamara Andrzej

Identyfikatory

DOI

10.37190/ABB-01656-2020-02

• Języki publikacji: EN

Abstrakty

EN

The aim of the study was to assess the usefulness of isometric torque (IT) and peak torque (PT) of the hamstring to quadriceps muscles ratio (H/Q ratio) in monitoring the effectiveness of physiotherapy (PH) in males after ACLR. Hypothesis: The H/Q ratio is a diagnostic tool for monitoring of the effectiveness of the 6- month PH after ACLR. Methods: Twenty males 6 months after ACLR (ACLR group) and 20 male controls underwent IT and PT (60°/s and 180°/s) bilateral measurements of H and Q muscles. The IT and PT were normalized to body mass, and expressed as relative IT (RIT) and relative PT (RPT). The RIT and RPT H/Q ratios, and Limb Symmetry Index (LSI) were calculated. Results: In the ACLR group, the RIT for the H and Q, the RIT for the H/Q ratio and most of the RPT, as well as the H/Q ratio, ROM and LSI values of the operated knee, were not significantly different (NSD) than those of the non-operated side (NOS) or the control group. The between-group comparison of the H/Q ratio for RIT and RPT weren’t NSD. The isokinetic test at 180 °/s showed lower RPT, H/Q ratio and LSI values for the Q muscle than those of the NOS (p = 0.042, p = 0.001). Conclusions: The H/Q ratio, in combination with the RIT, RPT and LSI, is a useful diagnostic tool for monitoring the effectiveness of 6-month PH after ACLR. Restoring the correct H/Q ratio can reduce the risk factor for ACL graft rupture.

Słowa kluczowe

EN

prevention; isokinetic; symmetry index; motion; isometry

PL

zapobieganie; izokinetyczny; wskaźnik symetrii; ruch; izometria

• Wydawca: Oficyna Wydawnicza Politechniki Wrocławskiej
• Czasopismo: Acta of Bioengineering and Biomechanics
• Rocznik: 2020
• Tom: Vol. 22, no. 4
• Strony: 31--39
• Opis fizyczny: Bibliogr. 28 poz., tab., wykr.

Twórcy

autor

Krzemińska Katarzyna

• Centre of Rehabilitation and Medical Education, Wrocław, Poland

autor

Czamara Andrzej

• College of Physiotherapy in Wroclaw, Wrocław, Poland

Bibliografia

• [1] BIJUR P.E., SILVER W., GALLAGHER E.J., Reliability of the visual analog scale for measurement of acute pain, Acad. Emerg. Med., 2001, 8 (12), 1153–1157.
• [2] CZAMARA A., Moments of muscular strength of knee joint extensors and flexors during physiotherapeutic procedures following anterior cruciate ligament reconstruction in males, Acta Bioeng. Biomech., 2008, 10 (3), 37–44.
• [3] CZAMARA A., KRÓLIKOWSKA A., Two-Plane Assessment of Knee Muscles Isometric and Isokinetic Torques After Anterior Cruciate Ligament Reconstruction, Med. Sci. Monit. 2018, 14 (24), 4882–4893, DOI: 10.12659/MSM.908411.
• [4] CZAMARA A., KRÓLIKOWSKA A., SZUBA Ł., The influence of exercises under isokinetic conditions on heart rate in males aged between 40 and 51, Acta Bioeng. Biomech., 2011, 13 (3), 95–104.
• [5] CZAMARA A., TOMASZEWSKI W., BOBER T., LUBARSKI B., The effect of physiotherapy on knee joint extensor and flexor muscle strength after anterior cruciate ligament reconstruction using hamstring tendon, Med. Sci. Monit., 2011, 17 (1), 35–41, DOI: 10.12659/MSM.881327.
• [6] DAUTY M., MENU P., FOUASSON-CHAILLOUX A., FERRÉOL S., DUBOIS C., Prediction of hamstring injury in professional soccer players by isokinetic measurements, Muscles Ligaments Tendons J., 2016, 6 (1), 116–123, DOI: 10.11138/mltj/ 2016.6.1.116.
• [7] DE STE CROIX M., EL NAGAR Y.O., IGA J., AYALA F., JAMES D., The impact of joint angle and movement velocity on sex differences in the functional hamstring/quadriceps ratio, Knee, 2017, 24 (4), 745–750, DOI: 10.1016/j.knee.2017.03.012.
• [8] EL-ASHKER S., CARSON B.P., AYALA F., DE STE CROIX M., Sex-related differences in joint-angle-specific functional hamstring-to-quadriceps strength ratios, Knee Surg. Sports Traumatol. Arthrosc., 2017, 25 (3), 949–957, DOI: 10.1007/ s00167-015-3684-7.
• [9] FISCHER F., FINK C., HERBST E., HOSER C., HEPPERGER C., BLANK C., GFÖLLER P., Higher hamstring-to-quadriceps isokinetic strength ratio during the first post-operative months in patients with quadriceps tendon compared to hamstring tendon graft following ACL reconstruction, Knee Surg. Sports Traumatol. Arthrosc., 2017, 21 (3), DOI: 10.1007/ s00167-017-4522-x.
• [10] GOKELER A., WELLING W., ZAFFAGNINI S., SEIL R., PADURA D., Development of a test battery to enhance safe return to sports after anterior cruciate ligament reconstruction, Knee Surg. Sports Traumatol. Arthrosc., 2017, 25 (1), 192–199, DOI: 10.1007/s00167-016-4246-3.
• [11] GRYGOROWICZ M., MICHAŁOWSKA M., WALCZAK T., OWEN A., GRABSKI J.K., PYDA A., PIONTEK T., KOTWICKI T., Discussion about different cut-off values of conventional hamstringto-quadriceps ratio used in hamstring injury prediction among professional male football players, PLoS One, 2017, 12 (12), DOI: 10.1371/journal.pone.0188974.
• [12] HAILLOTTE G., HARDY A., GRANGER B., NOAILLES T., KHIAMI F., Early strength recovery after anterior cruciate ligament reconstruction using the fascia lata, Orthop. Traumatol. Surg. Res., 2017, 103 (7), 1021–1025, DOI: 10.1016/ j.otsr.2017.07.013.
• [13] HANNAH R., FOLLAND J.P., SMITH S.L., MINSHULL C., Explosive hamstrings-to-quadriceps force ratio of males versus females, Eur. J. Appl. Physiol., 2015, 115 (4), 837–847, DOI: 10.1007/s00421-014-3063-y.
• [14] HUANG H., GUO J., YANG J., JIANG Y., YU Y., MULLER S., REN G., AO Y., Isokinetic angle-specific moments and ratios characterizing hamstring and quadriceps strength in anterior cruciate ligament deficient knees, Sci. Rep., 2017, 7 (1), DOI: 10.1038/s41598-017-06601-5.
• [15] KIM H., LEE J., AHN S., PARK M., LEE D., Influence of Anterior Cruciate Ligament Tear on Thigh Muscle Strength and Hamstring-to-Quadriceps Ratio: A Meta-Analysis., PLoS One, 2016, 11 (1), DOI: 10.1371/journal.pone.0146234.
• [16] KYRITSIS P., BAHR R., LANDREAU P., MILADI R., WITVROUW E., Likelihood of ACL graft rupture: not meeting six clinical discharge criteria before return to sport is associated with a four times greater risk of rupture, Br. J. Sports Med., 2016, 50 (15), 946–951, DOI: 10.1136/ bjsports-2015-095908.
• [17] LEE D., LEE J., JEONG H., LEE S., Lack of Correlation between Dynamic Balance and Hamstring-to-Quadriceps Ratio in Patients with Chronic Anterior Cruciate Ligament Tears, Knee Surg. Relat. Res., 2015, 27 (2), 101–107, DOI:10.5792/ ksrr.2015.27.2.101.
• [18] LEE J.W.Y., MOK K.M., CHAN H.C.K., YUNG P.S.H., CHAN K.M., Eccentric hamstring strength deficit and poor hamstring-toquadriceps ratio are risk factors for hamstring strain injury in football: A prospective study of 146 professional players, J. Sci. Med. Sport., 2018, 21 (8), 789–793, DOI: 10.1016/ j.jsams.2017.11.017.
• [19] MAURELLI O., BERNARD P.L., DUBOIS R., AHMAIDI S., PRIOUX J., Effects of pre-competitive preparation period on the isokinetic muscular characteristics in world class handball players, J. Strength Cond. Res., 2017, 20, DOI: 10.1519/ JSC.0000000000002199.
• [20] OLIVEIRA L.F., VERNEQUE D., MENEGALDO L.L., The influence of aging on the isometric torque sharing patterns among the plantar flexor muscles, Acta Bioeng. Biomech., 2017, 19 (1), 41–45, DOI: 10.5277/ABB-00540-2015-03.
• [21] OLIVEIRA V., WIECHMANN S., NARCISO A., DEMINICE R., Knee extension and flexion strength asymmetry in Human Immunodeficiency Virus positive subjects: a cross-sectional study, Braz. J. Phys. Ther., 2017, 21 (6), 434–439, DOI: 10.1016/j.bjpt.2017.06.010.
• [22] PELLICER-CHENOLL M., SERRA-ANÓ P., CABEZA-RUIZC R., PARDO A., ARANDAR., GONZÁLEZ L.M., Comparison of conventional hamstring/quadriceps ratio between genders in level-matched soccer players, Rev. Andal. Med. Deporte., 2017, 10 (1), 14–18, DOI: 10.1016/j.ramd.2015.05.002.
• [23] SEKIR U., ARABACI R., AKOVA B., Acute effects of static stretching on peak and end-range hamstring-to-quadriceps functional ratios, World. J. Orthop., 2015, 6 (9), 719–726, DOI: 10.5312/wjo.v6.i9.719.
• [24] SHULTZ R., SILDER A., MALONE M., BRAUN H.J., DRAGOO J.L., Unstable surface improves quadriceps: hamstring co-contraction for anterior cruciate ligament injury prevention strategies, Sports Health, 2015, 7 (2), 166–171, DOI: 10.1177/ 1941738114565088.
• [25] STRUZIK A., SIEMIEŃSKI A., BOBER T., PIETRASZEWSKI B., Ratios of torques of antagonist muscle groups in female soccer players, Acta Bioeng. Biomech., 2018, 20 (1), 153–158, DOI: 10.5277/ABB-00942-2017-02.
• [26] VIEIRA A., ALEX S., MARTORELLI A., BROWN L.E., MOREIRA R., BOTTARO M., Lower-extremity isokinetic strength ratios of elite springboard and platform diving athletes, Phys. Sportsmed., 2017, 45 (2), 87–91, DOI: 10.1080/00913847.2017.1302310.
• [27] WEELING W., BENJAMINSE A., SEIL R., LEMMINK K., ZAFFAGINI S., GOKELER A., Low rates of patients meeting return to sport criteria 9 months after anterior cruciate ligament reconstruction: a prospective longitudinal study, Knee Surg. Sports Traumatol. Arthrosc., 2018, 3 (24), 3636–3644, DOI: 10.1007/s00167-018-4916-4.
• [28] YIP KA-YAN E., CHAN W.L., LIE WAI-HUNG CH., WONG KWUN-HUNG K., WOO SIU-BON, WONG WING-CH., Isokinetic Quadriceps and Hamstring Muscle Strength After Anterior Cruciate Ligament Reconstruction: Comparison Between Single-bundle and Double-bundle Reconstruction, Journal of Orthopaedics, Trauma and Rehabilitation, 2013, 17, 71–76, DOI: 10.1016/j.jotr.2013.05.004.