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Correlations of strength, proprioception, and tactile sensation to return-to-sports readiness among patients with anterior cruciate ligament reconstruction

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posted on 2023-01-04, 12:26 authored by Xiaoli Ma, Lintao Lu, Zhipeng Zhou, Wei Sun, Yan Chen, Guofeng Dai, Cheng Wang, Lijie Ding, Daniel FongDaniel Fong, Qipeng Song

Objectives: Anterior cruciate ligament reconstruction (ACLR) is the most common surgery for anterior cruciate ligament (ACL) injuries, and the relationships between patients’ return to sports (RTS) readiness and different physical functions are inconclusive among patients with ACLR. This study aimed to investigate the correlations of strength, proprioception, and tactile sensation to the RTS readiness among patients with ACLR.

Methods: Forty-two participants who received ACLR for at least 6 months were enrolled in this study. Their strength, proprioception, and tactile sensation were tested, and their RTS readiness was measured with the Knee Santy Athletic Return to Sports (K-STARTS) test, which consists of a psychological scale [Anterior Cruciate Ligament Return to Sports after Injury scale (ACL-RSI)] and seven functional tests. Partial correlations were used to determine their correlations while controlling for covariates (age, height, weight, and postoperative duration), and factor analysis and multivariable linear regressions were used to determine the degrees of correlation.

Results: Knee extension strength was moderately correlated with K-STARTS total, ACL-RSI, and functional scores. Knee flexion strength, knee flexion and extension proprioception, and tactile sensation at the fifth metatarsal were moderately correlated with K-STARTS total and functional scores. Strength has higher levels of correlation with functional scores than proprioception.

Conclusion: Rehabilitation to promote muscle strength, proprioception and tactile sensation should be performed among patients with ACLR, muscle strength has the highest priority, followed by proprioception, with tactile sensation making the least contribution.

Funding

Shandong Young Innovative Talent Team of China (2019–183)

China National Natural Science Foundation (12102235)

History

School

  • Sport, Exercise and Health Sciences

Published in

Frontiers in Physiology

Volume

13

Publisher

Frontiers Media

Version

  • VoR (Version of Record)

Rights holder

© Ma, Lu, Zhou, Sun, Chen, Dai, Wang, Ding, Fong and Song

Publisher statement

This is an Open-Access article published by Frontiers Media and distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. See https://creativecommons.org/licenses/by/4.0/

Acceptance date

2022-11-28

Publication date

2022-12-07

Copyright date

2022

eISSN

1664-042X

Language

  • en

Depositor

Dr Daniel Fong. Deposit date: 3 January 2023

Article number

1046141

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