Relation of Self-Reported Knee Function and Physical Performance with Psychological Responses in Anterior Cruciate Ligament Reconstructed Individuals

Abstract

Purpose: The aim of this study was to investigate the correlation between anterior cruciate ligament return to sport index after injury (ACL-RSI) score and self-reported knee function, and physical performance in anterior cruciate ligament reconstructed individuals.Methods: Ninety ACL reconstructed individuals at 6 months post-surgery were included in this study. To evaluate psychological responses, ACL-RSI score; and to assess self-reported knee function, International Knee Documentation Committee Subjective Knee Form (IKDC), Knee Injury and Osteoarthritis Outcome (KOOS) and Lysholm scores were selected. One leg hop test and anterior, posteromedial and posterolateral reach distances of star excursion balance test were used to measure physical performance. Pearson correlation test was used for statistical analysis.Results: ACL-RSI score was positively correlated with IKDC, Lysholm and KOOS scores; one leg hop test; and posteromedial and posterolateral reach distances of the star excursion balance test (p<0.05).Discussion: Psychological responses were correlated with self-reported knee function and physical performance in anterior cruciate ligament reconstructed individuals. Therefore, maximizing knee function and performance is important to overcome individuals' fear of re-injury which affects return to sport after surgery, negatively. Tartışma: Ön çapraz bağ cerrahisi geçirmiş bireylerde psikolojik yanıt hasta bildirimli diz fonksiyonu ve fiziksel performansla ilişkili bulundu. Bu nedenle, ön çapraz bağ cerrahisi sonrası bireylerin spora dönüşünü olumsuz yönde etkileyen tekrar yaralanma korkusunu yenmeleri için diz fonksiyonunun ve performansın arttırılması önemlidir.

What tests should be used to assess functional performance in youth and young adults following anterior cruciate ligament or meniscal injury? A systematic review of measurement properties for the OPTIKNEE consensus

“…Twenty-seven of the included studies involved individuals who had an ACL reconstruction,44–70 two evaluated ACL deficient individuals71 72 and one included both ACL reconstructed and ACL deficient individuals (table 1). 73 No studies evaluating individuals with an isolated meniscal injury were identified.…”

“…Twenty-five of the 26 tests were single-activity tests,44–72 with the remaining test a multi-activity functional performance test or battery (table 2). 73 Tests involved a range of tasks, including: (1) hopping,44–46 48–55 57–59 61–65 67–73 (2) jumping,57 (3) stepping,66 (4) running55 56 or (5) dynamic balance 47 50 51 60 66.…”

“…Twenty-five of the 26 tests were single-activity tests,44–72 with the remaining test a multi-activity functional performance test or battery (table 2). 73 Tests involved a range of tasks, including: (1) hopping,44–46 48–55 57–59 61–65 67–73 (2) jumping,57 (3) stepping,66 (4) running55 56 or (5) dynamic balance 47 50 51 60 66. Required equipment varied from common equipment such as measuring tape and stopwatch to more advanced equipment such as a force platform, accelerometer or timing gates.…”

“…Included studies investigated five measurement properties: reliability,52 58 63 64 67 measurement error,63 64 67 construct validity,44–51 53–62 65–72 structural validity73 and responsiveness 64…”

Systematic review of the measurement properties of functional performance tests and muscle strength tests in persons with anterior cruciate ligament or meniscal injury

“…82 Tests involved a range of tasks, including: (i) hopping, 53-55, 57-64, 66-68, 70-74, 76-82 (ii) jumping, 66 (iii) stepping, 75 (iv) running, 64,65 or (v) dynamic balance. 56,59,60,69,75 Required equipment varied from common equipment such as measuring tape and stopwatch to more advanced equipment such as a force platform, accelerometer, or timing gates. Test administration (e.g., best versus mean score) and task constraints (e.g., landing requirements or arm placement) also varied between studies for the same functional performance test.…”