A Comparison of Knee joint Isokinetic Profile between Healthy Military Personnel and Individuals with Reconstructed Anterior Cruciate Ligaments

Omid Monfaredian, Mohammad Aziminia, Sharif Najafi, Simin Riahy

Abstract


Background: Considering the prolonged recovery process from anterior cruciate ligament (ACL) injuries, the occurrence of secondary problems post-surgery, and the lack of adherence to rehabilitation programs after surgery, there is a risk of recurrent tears in this ligament. Ignoring the isokinetic strength in individuals with reconstructed ACL can be one of the main reasons for re-injury. Objective: Therefore, this study aimed to compare the isokinetic profile of knee joint parameters in healthy military personnel and those with reconstructed ACL. Methods: The present study was a cross-sectional study. 28 male military personnel in two groups with healthy and reconstructed anterior cruciate ligaments (ACLR) participated in this study voluntarily. The Biodex isokinetic dynamometer was used to measure the parameters under study. Isokinetic measurements were performed at an angular velocity of 60°/s. Based on the research objective, the concentric strength of flexor and extensor muscles, average power, the strength ratio of agonist to antagonist muscles, and knee joint proprioception were evaluated. An independent t-test was used to examine the significant differences between the healthy and injured groups. Results: According to the independent t-test results, the peak extensor torque in the ACLR group was lower on average compared to the healthy group, but no significant relationship was observed between the two groups (p = 0.132). Additionally, the peak flexor torque, average extensor and flexor power, hamstring-to-quadriceps ratio, and proprioception in the ACLR group were significantly lower compared to the healthy group (p = 0.000, p = 0.001, p = 0.003, p = 0.000, p = 0.003). Conclusions: Based on the results of this study, it is recommended that rehabilitation exercises focus on improving the strength and proprioception of the acting muscles and teaching proper techniques during rehabilitation training to reduce the risks associated with recurrent anterior cruciate ligament injuries.

Keywords


ACL, Anterior Cruciate Ligament Reconstruction, Isokinetic Profile, Proprioceptive, Knee Joint, Military Personnel

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References


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DOI: https://doi.org/10.7575/aiac.ijkss.v.13n.1p.26

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