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2013 | 20 | 1 | 13-18

Article title

The Influence of Therapeutic Training on Changes in Selected Biomechanical Variables After an Anterior Cruciate Ligament Reconstruction

Content

Title variants

Languages of publication

EN

Abstracts

EN
Introduction. The number of arthroscopic reconstructions of the anterior cruciate ligament (ACL) has been increasing not only among competitive athletes, but also among recreational athletes. The monitoring of the rehabilitation process in order to determine a safe time to return to the pre-injury activity is thus of great practical importance. The aim of this paper is to analyse the changes in selected biomechanical variables which occur after the therapeutic training following an anterior cruciate ligament reconstruction. Materials and methods. Twenty nine males (age 27.3 ± 5.7 years) after the anterior cruciate ligament reconstruction participated in the study. A quadruple-stranded semitendinosus/gracilis graft was used for the reconstruction. The biomechanical evaluation of the rehabilitation process was provided by an isokinetic dynamometer Biodex System Pro-3 working at speeds of 60 deg/s and 180 deg/s during testing the knee extensor and flexor muscles. In the case of an injured limb, the absolute peak torque, relative peak torque, average power and hamstring/ quadriceps (H/Q) ratio were determined. In addition, the values of flexor and extensor torques for healthy and injured limbs were compared. The study was carried out in four stages: before the surgery, three, six and twelve months after the surgery. Results and analyses. The results showed significant differences in each value between various stages of the biomechanical rehabilitation process of the knee. The applied therapeutic training influenced significantly the changes in the values of the tested variables. The results have confirmed that the biomechanical measurements can be treated as a supplementation to the clinical evaluation of the patient after ACL reconstruction. They may also be used for the optimisation of the therapeutic training.

Publisher

Year

Volume

20

Issue

1

Pages

13-18

Physical description

Dates

published
1 - 03 - 2013
online
10 - 07 - 2013

Contributors

author
  • The Josef Pilsudski University of Physical Education in Warsaw, 1 Faculty of Physical Education and Sport in Biala Podlaska, Department of Physiotherapy
  • Faculty of Physical Education and Sport, Department of Physiotherapy, 2 Akademicka Street, 21-500 Biala Podlaska, tel.: +48 83 3428807, fax: +48 83 3428800
  • The Josef Pilsudski University of Physical Education in Warsaw, Department of Biomechanics and IT

References

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  • Konishi Y., Ikeda K., Nishino A., Sunaga M., Aihara Y., Fukubayashi T. (2006). Relationship between quadriceps femoris muscle volume and muscle torque after anterior cruciate ligament repair. Scandinavian Journal of Medicine& Science in Sports 17(6), 656-661.
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  • Czamara A.(2008). Moments of muscular strength of knee joint extensors and flexors during physiotherapeutic procedures following anterior cruciate ligament reconstruction in males. Acta of Bioengineering and Biomechanics10(3), 37-44.
  • Biodex multi-joint system - 3 pro. Setup/operational manual. Shirley, USA: Biodex Medical Systems.
  • Urabe Y., Ochi M., Orani K. (2002). Changes in isokinetic muscle strength of the lower extremity in recreational athletes with anterior cruciate ligament reconstruction. Journalof Sport Rehabilitation 11(4), 252-267.
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Document Type

Publication order reference

Identifiers

YADDA identifier

bwmeta1.element.-psjd-doi-10_2478_pjst-2013-0002
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