Subjective knee apprehension is not associated to physical parameters 6–12 months after anterior cruciate ligament reconstruction

Article Article scientifique Article Subjective knee apprehension is not associated to physical parameters 6–12 months after anterior cruciate ligament reconstruction eng 2022-11-07 2022-11-07 author Gauthier Morgan 0000-0001-6867-9804 670219 author Le Thanh Nam 634945 author Wehn Antonia 971934 author Joseph Samuel 728478 author Tscholl Philippe 843098 110 10.1186/s40634-022-00545-0 36342591 2197-1153 PMC9640491 https://jeo-esska.springeropen.com/articles/10.1186/s40634-022-00545-0 Purpose: Anterior cruciate ligament (ACL) rupture is a common injury and psychological parameters measured at 6-8 months are said to be almost more predictive for return to sport (RTS) than physiological. Purpose was 1) to evaluate the correlation between knee apprehension using ACL-RSI and physical factors after ACL reconstruction (ACLR), 2) to assess the correlation between ACL-RSI and patient parameters (age, pivot-sport, BMI), and 3) to evaluate ACL-RSI over time. Methods: Patients with ACLR with or without meniscal repair between 2013 and 2020 were retrospectively analyzed. Including criteria were RTS testing battery, assessed at least 6 months after surgery, including physical parameters (strength, triple hop test, side hop test, and bilateral knee stability) and psychological parameters (ACL-RSI). 5 subgroups were analyzed to assessed factors such as age, BMI, pivot sport, time interval between two RTS testing battery. Results: Three hundred three patients (212 male, 91 female) presenting ACLR were included. Mean age at surgery was 27 (± 8) years. 258 patients practiced pivot-sport activity and 45 non-pivot-sport activity. The mean interval between ACL rupture and surgery was 6.5 (± 4.5) months. RTS testing battery were performed at 8 (± 7) months after ACLR. Mean ACL-RSI was 58 (± 28). 1) ACL-RSI was not influenced by muscle strength, coordination and stability of the knee. 2) ACL-RSI was significantly better in lower BMI and non-pivot-sport activities. No correlation was found between graft type, age, sex, and ACL-RSI assessment. 3) For patients who performed two RTS testing battery at 8 and 12 months, ACL-RSI did not significantly increase over time (56 to 64 points, p = 0.22) in spite of significant increased quadriceps (127 to 151 Nm/kg, p = 0.005) and hamstring (93 to 105 Nm/kg, p = 0.05) strength. Conclusions: Psychological readiness before RTS, measured upon ACL-RSI does not correlate with any physical parameter at 8-12 months postoperatively. Although quadriceps and hamstring strength increased significantly over time, ACL-RSI does not and must therefore be routinely assessed. Psychological readiness Re-test Return to sport Risk factors Test battery Dewey 617 57 Département de chirurgie 222 false Journal of experimental orthopaedics 9 1 ae583797-be23-4efc-aea8-062f8acca716 Article (Published version) Public Article-scientifique-from-crossref.pdf 1001657 application/pdf CC BY-4.0 fddff91b81bc63cfbed1a1afcbe0130c7f252db9b1e0b3a6df894a8ce594ae1d openAccess Faculté de médecine / Section de médecine clinique / Département de chirurgie

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Subjective knee apprehension is not associated to physical parameters 6–12 months after anterior cruciate ligament reconstruction	Journal of experimental orthopaedics			2022	78	102

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Wehn, Antonia