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- Title
Age-, Sex-, and Graft-Specific Reference Values From 783 Adolescent Patients at 5 to 7 Months After ACL Reconstruction: IKDC, Pedi-IKDC, KOOS, ACL-RSI, Single-Leg Hop, and Thigh Strength.
- Authors
KUENZE, CHRISTOPHER; WEAVER, ADAM; GRINDSTAFF, TERRY L.; ULMAN, SOPHIA; NORTE, GRANT E.; ROMAN, DYLAN P.; GIAMPETRUZZI, NICHOLAS; LISEE, CAROLINE M.; BIRCHMEIER, THOMAS; TRIPLETT, ASHLEY; FARMER, BROOKE; HOPPER, HALEIGH; SHERMAN, DAVID A.; NESS, BRANDON M.; COLLINS, KATHERINE; WALASZEK, MICHELLE; BAEZ, SHELBY E.; HARKEY, MATTHEW S.; TULCHIN-FRANCIS, KIRSTEN; ELLIS, HENRY
- Abstract
* OBJECTIVE: To describe age-, sex-, and graft source-specific reference values for patient-reported, physical function, and strength outcome measures in adolescents at 5 to 7 months after anterior cruciate ligament reconstruction. * DESIGN: Cross-sectional study. * METHODS: Data were collected at 3 universities and 2 children's hospitals. The participants completed at least one of the International Knee Documentation Committee (IKDC) Subjective Evaluation Form, Pediatric IKDC (Pedi-IKDC), Knee Injury and Osteoarthritis Outcomes Score (KOOS), and Anterior Cruciate Ligament Return to Sport After Injury (ACL-RSI) Scale. Participants also completed single-leg hop tests and/ or isokinetic quadriceps and hamstrings strength assessments (at 60°/s). Reference values were summarized using descriptive statistics and stratified for age, sex, and graft source. * RESULTS: Reference values were reported for common patient-reported outcomes and measures of physical function and strength from 783 participants (56% females, age = 16. 4 ± 2.0 years) who were in early adolescence (12-14 years, N = 183, 52% females), middle adolescence (15-17 years, N = 456, 58% females), or late adolescence (18-20 years, N = 144, 55% females). Three hundred seventy-nine participants (48.4%) received a bone-patellar tendon-bone autograft, 292 participants (37.3%) received hamstring tendon autograft, and 112 participants (14.3%) received autograft or allograft from an alternative source. * CONCLUSION: Reference values for common patient-reported outcomes and measures of physical function and strength differed depending on a patient's age, sex, and graft source. Using patient-specific reference values, in addition to previously described age-appropriate cutoff values, may help clinicians monitor and progress patients through rehabilitation and return to physical activity after anterior cruciate ligament reconstruction.
- Subjects
MICHIGAN; REFERENCE values; SPORTS participation; RESEARCH; ANTERIOR cruciate ligament; FUNCTIONAL status; AGE distribution; CROSS-sectional method; CHILDREN'S hospitals; HEALTH outcome assessment; MUSCLE strength testing; ATHLETES; SEX distribution; PHYSICAL activity; POSTOPERATIVE period; UNIVERSITIES &; colleges; QUESTIONNAIRES; DESCRIPTIVE statistics; BODY movement; ANTERIOR cruciate ligament surgery; ATHLETIC ability; TRANSPLANTATION of organs, tissues, etc.
- Publication
Journal of Orthopaedic & Sports Physical Therapy, 2023, Vol 53, Issue 4, p194
- ISSN
0190-6011
- Publication type
Article
- DOI
10.2519/jospt.2023.11389