Publication:
Early versus late start of isokinetic hamstring-strengthening exercise after anterior cruciate ligament reconstruction with patellar tendon graft

dc.contributor.buuauthorŞekir, Ufuk
dc.contributor.buuauthorGür, Hakan
dc.contributor.buuauthorAkova, Bedrettin
dc.contributor.departmentTıp Fakültesi
dc.contributor.departmentSpor Hekimliği Ana Bilim Dalı
dc.contributor.orcid0000-0003-2735-8697
dc.contributor.orcid0000-0003-2735-8697
dc.contributor.orcid0000-0003-1044-8805
dc.contributor.researcheridAAM-4348-2020
dc.contributor.researcheridI-9594-2017
dc.contributor.researcheridAAI-4550-2021
dc.contributor.scopusid8086677600
dc.contributor.scopusid7006025993
dc.contributor.scopusid6507563417
dc.date.accessioned2022-02-10T07:45:53Z
dc.date.available2022-02-10T07:45:53Z
dc.date.issued2010-03
dc.description.abstractBackgound: Hamstring strengthening after anterior cruciate ligament reconstruction is a vital component of the rehabilitation program. Purpose: The objective of this trial was to investigate the effects of hamstring isokinetic training used in the early phase of the rehabilitation program on the stability, strength, symptoms, and functional outcomes of patients throughout 12 months after anterior cruciate ligament surgery. Study Design: Randomized controlled clinical trial; Level of evidence, 2. Methods: Forty-eight men underwent anterior cruciate ligament reconstruction with an ipsilateral bone-patellar tendon-bone autograft. The patients were randomly assigned to perform daily isokinetic hamstring exercises at postoperative 3 weeks (group 1) or to perform daily isokinetic hamstring exercises at postoperative 9 weeks (group 11). The patients were evaluated monthly for the first 4 months and at the 12th month for postoperative hamstring and quadriceps strength, as well as for knee function via the Cincinnati Knee Rating Scale and International Knee Documentation Committee form. Results: Hamstring isometric strength at 30 degrees of knee flexion (at the first and second months) and concentric isokinetic strength (at 2, 3, 4, and 12 months) at the angular velocity of 60 deg/s were significantly (P < .05-.01) greater in group I compared with group II. Average scores of the Cincinnati Knee Rating Scale for symptoms were significantly (P < .05-.001) higher in group I compared with group II at all evaluation periods. Walking and stair-climbing scores at 1, 2, 3, and 4 months and squatting score at all evaluation periods were also better (P < .05-.01) in group I compared with group II. In addition, group I exhibited better (P < .01-.001) Lachman test results compared with group II for all postoperative evaluation periods. The International Knee Documentation Committee final rating scores were significantly (P < .01) greater at 2, 3, and 4 months in group I compared with group II. Conclusion: The results of this study suggest that hamstring as well as quadriceps strength can be increased via early hamstring strengthening after anterior cruciate ligament reconstruction with no negative impact on knee function.
dc.identifier.citationŞekir, U. vd. (2010). "Early versus late start of isokinetic hamstring-strengthening exercise after anterior cruciate ligament reconstruction with patellar tendon graft". American Journal of Sports Medicine, 38(3), 492-500.
dc.identifier.endpage500
dc.identifier.issn0363-5465
dc.identifier.issn1552-3365
dc.identifier.issue3
dc.identifier.pubmed20194956
dc.identifier.scopus2-s2.0-77953432207
dc.identifier.startpage492
dc.identifier.urihttps://doi.org/10.1177/0363546509349490
dc.identifier.urihttps://pubmed.ncbi.nlm.nih.gov/20194956/
dc.identifier.urihttp://hdl.handle.net/11452/24395
dc.identifier.volume38
dc.identifier.wos000274803800008
dc.indexed.wosSCIE
dc.language.isoen
dc.publisherSage Publications
dc.relation.journalAmerican Journal of Sports Medicine
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectAnterior cruciate ligament (ACL) reconstruction
dc.subjectRehabilitation
dc.subjectIsokinetic training
dc.subjectHamstring
dc.subjectFunctional outcome
dc.subjectClosed-kinetic chain
dc.subjectACL-deficient knee
dc.subjectEarly preiod
dc.subjectQuadriceps exercises
dc.subjectMussle action
dc.subjectFolllow-up
dc.subjectSemitendinosus
dc.subjectStability
dc.subjectInjury
dc.subjectOrthopedics
dc.subjectSport sciences
dc.subject.emtreeAdolescent
dc.subject.emtreeAdult
dc.subject.emtreeAnterior cruciate ligament
dc.subject.emtreeArticle
dc.subject.emtreeAutotransplantation
dc.subject.emtreeBone patellar tendon bone graft
dc.subject.emtreeClinical trial
dc.subject.emtreeControlled clinical trial
dc.subject.emtreeControlled study
dc.subject.emtreeHuman
dc.subject.emtreeJoint characteristics and functions
dc.subject.emtreeJoint instability
dc.subject.emtreeKinesiotherapy
dc.subject.emtreeKnee
dc.subject.emtreeKnee injury
dc.subject.emtreeMale
dc.subject.emtreeMethodology
dc.subject.emtreePhysiology
dc.subject.emtreePlastic surgery
dc.subject.emtreeQuadriceps femoris muscle
dc.subject.emtreeRandomized controlled trial
dc.subject.emtreeTransplantation
dc.subject.emtreeTreatment outcome
dc.subject.meshAdolescent
dc.subject.meshAdult
dc.subject.meshAnterior cruciate ligament
dc.subject.meshBone-patellar tendon-bone graft
dc.subject.meshExercise therapy
dc.subject.meshHumans
dc.subject.meshJoint instability
dc.subject.meshKnee
dc.subject.meshKnee injuries
dc.subject.meshMale
dc.subject.meshQuadriceps muscle
dc.subject.meshRange of motion, articular
dc.subject.meshReconstructive Surgical Procedures
dc.subject.meshTransplantation, autologous
dc.subject.meshTreatment outcome
dc.subject.meshYoung adult
dc.subject.scopusAnterior Cruciate Ligament Reconstruction; Hamstring Tendons; Return to Sport
dc.subject.wosOrthopedics
dc.subject.wosSport sciences
dc.titleEarly versus late start of isokinetic hamstring-strengthening exercise after anterior cruciate ligament reconstruction with patellar tendon graft
dc.typeArticle
dc.wos.quartileQ1
dspace.entity.typePublication
local.contributor.departmentTıp Fakültesi/Spor Hekimliği Ana Bilim Dalı
local.indexed.atScopus
local.indexed.atWOS

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