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Comparing Changes in Knee Muscle Strength after Reconstruction of the Anterior and Posterior Cruciate Ligaments
J Kor Phys Ther 2019;31(6):339-345
Published online December 30, 2019;  https://doi.org/10.18857/jkpt.2019.31.6.339
© 2019 The Korea Society of Physical Therapy.

SangWook Hyun1, SoHee Kim2, TaeHo Kim3

1Department of Physical Therapy, Daegu Health College Hospital, Daegu; 2Department of Physical Therapy, Daegu Dalgubeol General Welfare Center, Daegu; 3Department of Physical Therapy, College of Rehabilitation Science, Daegu University, Daegu, Korea
SoHee Kim E-mail tindrum5@hanmail.net
Received November 4, 2019; Revised December 10, 2019; Accepted December 10, 2019.
This is an Open Access article distribute under the terms of the Creative Commons Attribution Non-commercial License (Http://creativecommons.org/license/by-nc/4.0.) which permits unrestricted non-commercial use, distribution,and reproduction in any medium, provided the original work is properly cited.
Abstract
Purpose: The purpose of this study was to identify changes in knee muscle strength after reconstruction of the anterior cruciate ligament (ACL) and the posterior cruciate ligament (PCL).
Methods: Thirteen subjects (males) with anterior ligament injury and ten subjects (males) with posterior ligament injury voluntarily participated in this study. Both groups were evaluated at the pre-and post-reconstruction stages using an isokinetic dynamometer. Peak torque, total work, and the hamstrings to quadriceps (H/Q) peak torque ratio were calculated at angular velocities of 60°/sec and 180°/sec. Statistical analysis was conducted on SPSS 18.0 for Windows using t-tests to compare mean differences.
Results: At an angular velocity of 60°/sec, both the ACL and PCL groups showed a significant increase in muscle strength in the flexors and extensors. Muscle strength in the extensors was significantly increased in the PCL group compared to the ACL group. At an angular velocity of 180°/sec, the ACL group showed a significant increase in muscle endurance in the flexors and extensors, and the PCL group showed a significant increase in muscle endurance in the flexors. At angular velocities of 60°/sec and 180°/sec, the H/Q peak torque ratio increased in the ACL group but decreased in the PCL group. Consequently, the H/Q peak torque ratio was significantly different for the two groups.
Conclusion: The results suggest that the patients with ACL injury should focus on strengthening the knee extensors and that the patients with PCL injury need to strengthen the knee flexors.
Keywords : Anterior cruciate ligament, Posterior cruciate ligament, Muscle strength


December 2019, 31 (6)
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