Quadriceps rate of torque development and disability in individuals with anterior cruciate ligament reconstruction

Clin Biomech (Bristol, Avon). 2017 Jul:46:52-56. doi: 10.1016/j.clinbiomech.2017.04.011. Epub 2017 Apr 28.

Abstract

Background: The purpose of this study was to determine associations between self-reported function (International Knee Documentation Committee Index), isometric quadriceps strength and rate of torque development in individuals with a unilateral anterior cruciate ligament reconstruction.

Methods: Forty-one individuals [31% male, BMI mean 25 (SD 4) kg/m2, months post anterior cruciate ligament reconstruction mean 49 (SD 40)] completed the self-reported function and isometric quadriceps function testing. Rate of torque development was assessed at 0-100ms (early), 100-200ms (late) ms, and peak following the onset of contraction. Associations were examined between rate of torque development, strength, and self-reported function. Linear regression was used to determine the unique amount of variance explained by the combination of rate of torque development and strength.

Findings: Higher rate of torque development 100-200ms is weakly associated with higher self-reported function in individuals with a unilateral anterior cruciate ligament reconstruction (r=0.274, p=0.091); however, rate of torque development 100-200ms does not predict a significant amount of variance in self-reported function after accounting for strength (ΔR2=0.003, P=0.721).

Interpretation: Quadriceps strength has a greater influence on self-reported function compared to rate of torque development in individuals with an anterior cruciate ligament reconstruction with time from surgery.

Keywords: ACL; International Knee Documentation Committee; Maximum voluntary contraction; Strength.

MeSH terms

  • Adolescent
  • Adult
  • Anterior Cruciate Ligament / physiopathology*
  • Anterior Cruciate Ligament Injuries / physiopathology*
  • Anterior Cruciate Ligament Injuries / surgery
  • Anterior Cruciate Ligament Reconstruction*
  • Biomechanical Phenomena
  • Female
  • Humans
  • Knee / physiopathology
  • Knee Injuries / physiopathology
  • Knee Joint / physiopathology
  • Male
  • Orthopedic Equipment
  • Quadriceps Muscle / physiopathology*
  • Self Report
  • Torque
  • Young Adult