Application of the Sit-to-Stand Movement for the Early Assessment of Functional Deficits in Patients Who Underwent Anterior Cruciate Ligament Reconstruction
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Objective = The aims of this study were to identify and quantify functional deficits between the involved and the uninvolved limb as early as 1 mo after ACL reconstruction by means of a sit-to-stand movement on two force platforms. Design = Ground reaction forces were measured in 73 patients who underwent ACL reconstruction, 47 with patellar tendon autograft and 26 with hamstring tendon autograft (ACL-H), and in 22 controls, who stood up from a seat as fast as possible. Side-to-side limb symmetry index (LSI) was calculated for peak force and rate of force development. Results = The LSI of vertical peak force was 59% in the patellar tendon autograft group and 68% in the ACL-H group, which were both lower than the 95% LSI of the controls (P < 0.001). The LSI of rate of force development was 27% in the patellar tendon autograft group and 48% in the ACL-H group, which were both lower than the 97% LSI of the controls (P < 0.001). After 2 mos, only in the ACL-H group, the LSI of both vertical peak force and rate of force development reached 88% and 80%, respectively, thus approaching the 96% and 92% LSI of the controls. Conclusions = Sit-to-stand is effective for measuring functional deficits as early as 1 mo after ACL reconstruction. After 2 mos from surgery, the ACL-H group but not the patellar tendon autograft group approached the LSI of the control group, which may be attributed to differences in the graft.
American Journal of Physical Medicine & Rehabilitation;
Laudani, L., Giombini, A., Mariani, P.P., Pigozzi, F. and Macaluso, A. (2014) 'Application of the sit-to-stand movement for the early assessment of functional deficits in patients who underwent anterior cruciate ligament reconstruction', American Journal of Physical Medicine & Rehabilitation, 93(3), pp.189-199
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Article published in American Journal of Physical Medicine & Rehabilitation available at https://doi.org/10.1097/PHM.0b013e3182a54178
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