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Effect of high body mass index on knee muscle strength and function after anterior cruciate ligament reconstruction using hamstring tendon autografts.

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  • معلومة اضافية
    • Source:
      Publisher: BioMed Central Country of Publication: England NLM ID: 100968565 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2474 (Electronic) Linking ISSN: 14712474 NLM ISO Abbreviation: BMC Musculoskelet Disord Subsets: MEDLINE
    • Publication Information:
      Original Publication: London : BioMed Central, [2000-
    • Subject Terms:
    • Abstract:
      Background: Increased body mass index (BMI) has been associated with poorer function in patients who have undergone anterior cruciate ligament (ACL) reconstruction. However, the effect of high BMI on muscle strength in these patients remained unclear. The current study aimed to compare knee muscle strength and Knee injury and Osteoarthritis Outcome Score (KOOS) in ACL-reconstructed patients with a variety of different BMIs.
      Methods: From November 2013 to March 2016, we prospectively enrolled 30 patients who underwent ACL reconstruction (18-60 years of age). Anthropometric parameters, body compositions, isokinetic muscle strength and KOOS were assessed preoperatively, and at post-operative 16th week and 28th week. The patients were stratified into two groups by BMI, i.e. normal BMI (18.5-24.9 kg/m 2 ) and high BMI (≥25.0 kg/m 2 ).
      Results: Twelve patients in the normal BMI group completed the follow-up, while sixteen patients did so in the high BMI group. In comparison of muscle strength between baseline and 28th week follow-up, the normal BMI group had significant increases in overall knee muscle strength, while the high BMI group only had increases in extensors of uninjured knee and flexors of the injured knee. However, there were significant increases in all KOOS subscales for the high BMI group. The high BMI patients reported increased KOOS, which may reflect the contribution of ligament stability in the presence of inadequate muscle strength.
      Conclusions: The normal BMI patients had improvement in all knee muscle strength following ACL reconstruction, while high BMI patients only had increases in certain knee muscles. High BMI patients had a decreased quadriceps muscle symmetry index, as compared to their normal BMI counterparts. Increases in quadriceps muscle strength of the uninjured knee and ACL reconstruction were associated with improvements in KOOS in high BMI patients.
    • References:
      Am J Sports Med. 2013 Jun;41(6):1310-8. (PMID: 23562809)
      Am J Sports Med. 2001 Mar-Apr;29(2):213-8. (PMID: 11292048)
      J Orthop Sports Phys Ther. 2012 Jun;42(6):502-10. (PMID: 22523081)
      Geriatr Gerontol Int. 2015 Mar;15(3):282-8. (PMID: 24597918)
      Am J Sports Med. 1998 May-Jun;26(3):350-9. (PMID: 9617395)
      Br J Sports Med. 2009 May;43(5):371-6. (PMID: 19224907)
      Aust J Physiother. 2005;51(1):9-17. (PMID: 15748120)
      Am J Sports Med. 2010 Mar;38(3):492-500. (PMID: 20194956)
      Scand J Surg. 2012;101(3):198-203. (PMID: 22968244)
      J Bone Joint Surg Am. 1994 Apr;76(4):555-60. (PMID: 8150823)
      J Athl Train. 2013 Sep-Oct;48(5):610-20. (PMID: 24067150)
      Knee Surg Sports Traumatol Arthrosc. 2014 May;22(5):1163-74. (PMID: 23812438)
      J Orthop Res. 2004 Sep;22(5):925-30. (PMID: 15304261)
      Knee. 2007 Mar;14(2):81-6. (PMID: 17188495)
      J Arthroplasty. 2010 Oct;25(7):1104-9. (PMID: 19879722)
      World Health Organ Tech Rep Ser. 2000;894:i-xii, 1-253. (PMID: 11234459)
      Knee. 2013 Jun;20(3):208-12. (PMID: 23022031)
      J Sci Med Sport. 2010 Jan;13(1):101-5. (PMID: 18964233)
      Am J Sports Med. 2016 Apr;44(4):855-64. (PMID: 26838934)
      Am J Sports Med. 2015 Jul;43(7):1662-9. (PMID: 25883169)
      Arthroscopy. 2009 May;25(5):457-63. (PMID: 19409302)
      Sports Health. 2009 Jan;1(1):47-53. (PMID: 23015854)
      Curr Orthop Pract. 2011 Jan 1;22(1):90-103. (PMID: 24772230)
      Sci Rep. 2014 Jan 14;4:3677. (PMID: 24419299)
      J Orthop Sports Phys Ther. 1998 Aug;28(2):88-96. (PMID: 9699158)
      Arthroscopy. 2007 Jan;23(1):21-8, 28.e1-3. (PMID: 17210423)
      Clin Biomech (Bristol, Avon). 2002 Jan;17(1):56-63. (PMID: 11779647)
      J Arthroplasty. 2011 Apr;26(3):366-374.e1. (PMID: 20413245)
      J Orthop Sports Phys Ther. 2000 Oct;30(10):602-8; discussion 609-11. (PMID: 11041197)
      Am J Sports Med. 2008 Jul;36(7):1275-82. (PMID: 18354147)
      J Sport Rehabil. 2013 Feb;22(1):33-40. (PMID: 23307572)
      Arthroscopy. 2013 Aug;29(8):1314-21. (PMID: 23830220)
      Ann Phys Rehabil Med. 2010 Dec;53(10):598-614. (PMID: 21112824)
      Knee. 2016 Aug;23(4):582-7. (PMID: 27162116)
      Arthroscopy. 2015 May;31(5):890-5. (PMID: 25771424)
      Sports Health. 2015 May;7(3):231-8. (PMID: 26131300)
      BMC Public Health. 2014 Jan 15;14:35. (PMID: 24428944)
      Arthritis Care Res (Hoboken). 2015 Oct;67(10):1397-405. (PMID: 25776869)
      Am J Sports Med. 2001 Mar-Apr;29(2):167-74. (PMID: 11292041)
      Med Sci Sports Exerc. 2000 Aug;32(8):1472-9. (PMID: 10949014)
      PLoS One. 2016 Jan 08;11(1):e0146234. (PMID: 26745808)
      Clin Biomech (Bristol, Avon). 2015 Aug;30(7):738-47. (PMID: 25953255)
      J Electromyogr Kinesiol. 2015 Dec;25(6):951-8. (PMID: 26559464)
      J Rehabil Med. 2015 Aug 18;47(7):647-54. (PMID: 26073964)
      Arthroscopy. 2001 Oct;17(8):808-17. (PMID: 11600977)
      Am J Sports Med. 2015 Sep;43(9):2242-9. (PMID: 26183172)
    • Grant Information:
      CORPG6C0033 Chang Gung Medical Foundation; CORPG6G0271 Chang Gung Medical Foundation
    • Contributed Indexing:
      Keywords: BMI; Body composition; Leg symmetry index
    • Publication Date:
      Date Created: 20181012 Date Completed: 20190128 Latest Revision: 20190128
    • Publication Date:
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