Skip to main content
Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy 8/2013

01.08.2013 | Knee

Documentation of strength training for research purposes after ACL reconstruction

verfasst von: Jesper Augustsson

Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy | Ausgabe 8/2013

Einloggen, um Zugang zu erhalten

Abstract

Purpose

The purpose of this systematic literature review was to evaluate strength training protocol documentation during rehabilitation after anterior cruciate ligament (ACL) reconstruction. The aim was further to present recommendations concerning what components (i.e. methods, principles and training variables) could be considered vital to document when it comes to strength training for research purposes after ACL reconstruction.

Methods

A search of the PUBMED/MEDLINE, CINAHL and SportDiscus databases was made of relevant literature relating to strength training after ACL reconstruction. The database search was based on relevant medical subject headings terms (strength/resistance/weight training, anterior cruciate ligament reconstruction/rehabilitation). The literature was reviewed regarding the way methods and variables were documented in strength training protocols during rehabilitation after ACL reconstruction in peer-reviewed original prospective articles.

Results

The systematic literature search identified 139 citations published between January 1983 and May 2012. Six studies contained a strength training programme-part of the rehabilitation protocol after ACL reconstruction that met the inclusion criteria. Basic information (i.e. training frequency, intensity, volume, progression or the duration of the training period) regarding the strength training protocols used during rehabilitation after ACL reconstruction was not documented in full in four of the studies.

Conclusion

The results clearly indicate the need of a more standardised and detailed way of documenting strength training for research purposes after ACL reconstruction in order to increase the value of future studies on this subject. This review gives recommendations on strength training protocol documentation after ACL reconstruction to facilitate this goal.

Level of evidence

IV.
Literatur
1.
Zurück zum Zitat Adachi N, Ochi M, Uchio Y, Sakai Y, Kuriwaka M, Fujihara A (2003) Harvesting hamstring tendons for ACL reconstruction influences postoperative hamstring muscle performance. Arch Orthop Trauma Surg 123:460–465PubMedCrossRef Adachi N, Ochi M, Uchio Y, Sakai Y, Kuriwaka M, Fujihara A (2003) Harvesting hamstring tendons for ACL reconstruction influences postoperative hamstring muscle performance. Arch Orthop Trauma Surg 123:460–465PubMedCrossRef
2.
Zurück zum Zitat Ageberg E, Roos HP, Silbernagel KG, Thomeé R, Roos EM (2009) Knee extension and flexion muscle power after anterior cruciate ligament reconstruction with patellar tendon graft or hamstring tendons graft: a cross-sectional comparison 3 years post surgery. Knee Surg Sports Traumatol Arthrosc 17:162–169PubMedCrossRef Ageberg E, Roos HP, Silbernagel KG, Thomeé R, Roos EM (2009) Knee extension and flexion muscle power after anterior cruciate ligament reconstruction with patellar tendon graft or hamstring tendons graft: a cross-sectional comparison 3 years post surgery. Knee Surg Sports Traumatol Arthrosc 17:162–169PubMedCrossRef
3.
Zurück zum Zitat Andersen LL, Magnusson SP, Nielsen M, Haleem J, Poulsen K, Aagaard (2006) Neuromuscular activation in conventional therapeutic exercises and heavy resistance exercises: implications for rehabilitation. Phys Ther 86:683–697PubMed Andersen LL, Magnusson SP, Nielsen M, Haleem J, Poulsen K, Aagaard (2006) Neuromuscular activation in conventional therapeutic exercises and heavy resistance exercises: implications for rehabilitation. Phys Ther 86:683–697PubMed
4.
Zurück zum Zitat Anderson JL, Lamb SE, Barker KL, Davies S, Dodd CA, Beard DJ (2002) Changes in muscle torque following anterior cruciate ligament reconstruction: a comparison between hamstrings and patella tendon graft procedures on 45 patients. Acta Orthop Scand 73:546–552PubMedCrossRef Anderson JL, Lamb SE, Barker KL, Davies S, Dodd CA, Beard DJ (2002) Changes in muscle torque following anterior cruciate ligament reconstruction: a comparison between hamstrings and patella tendon graft procedures on 45 patients. Acta Orthop Scand 73:546–552PubMedCrossRef
5.
Zurück zum Zitat Arangio GA, Chen C, Kalady M, Reed JF 3rd (1997) Thigh muscle size and strength after anterior cruciate ligament reconstruction and rehabilitation. J Orthop Sports Phys Ther 26:238–243PubMed Arangio GA, Chen C, Kalady M, Reed JF 3rd (1997) Thigh muscle size and strength after anterior cruciate ligament reconstruction and rehabilitation. J Orthop Sports Phys Ther 26:238–243PubMed
6.
Zurück zum Zitat Augustsson J, Thomeé R, Karlsson J (2004) Ability of a new hop test to determine functional deficits after anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 12:350–356PubMedCrossRef Augustsson J, Thomeé R, Karlsson J (2004) Ability of a new hop test to determine functional deficits after anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 12:350–356PubMedCrossRef
7.
Zurück zum Zitat Barber-Westin SD, Noyes FR (2011) Factors used to determine return to unrestricted sports activities after anterior cruciate ligament reconstruction. Arthroscopy 27:1697–1705PubMedCrossRef Barber-Westin SD, Noyes FR (2011) Factors used to determine return to unrestricted sports activities after anterior cruciate ligament reconstruction. Arthroscopy 27:1697–1705PubMedCrossRef
8.
Zurück zum Zitat Barber-Westin SD, Noyes FR (2011) Objective criteria for return to athletics after anterior cruciate ligament reconstruction and subsequent reinjury rates: a systematic review. Phys Sportsmed 39:100–110PubMedCrossRef Barber-Westin SD, Noyes FR (2011) Objective criteria for return to athletics after anterior cruciate ligament reconstruction and subsequent reinjury rates: a systematic review. Phys Sportsmed 39:100–110PubMedCrossRef
9.
Zurück zum Zitat Beynnon BD, Johnson RJ, Fleming BC (2002) The science of anterior cruciate ligament rehabilitation. Clin Orthop Relat Res 402:9–20PubMedCrossRef Beynnon BD, Johnson RJ, Fleming BC (2002) The science of anterior cruciate ligament rehabilitation. Clin Orthop Relat Res 402:9–20PubMedCrossRef
10.
Zurück zum Zitat Beynnon BD, Uh BS, Johnson RJ, Abate JA, Nichols CE, Fleming BC, Poole AR, Roos H (2005) Rehabilitation after anterior cruciate ligament reconstruction: a prospective, randomized, double-blind comparison of programs administered over 2 different time intervals. Am J Sports Med 33:347–359PubMedCrossRef Beynnon BD, Uh BS, Johnson RJ, Abate JA, Nichols CE, Fleming BC, Poole AR, Roos H (2005) Rehabilitation after anterior cruciate ligament reconstruction: a prospective, randomized, double-blind comparison of programs administered over 2 different time intervals. Am J Sports Med 33:347–359PubMedCrossRef
11.
Zurück zum Zitat Carter T, Edinger S (1999) Isokinetic evaluation of anterior cruciate ligament reconstruction: hamstring versus patellar tendon. Arthroscopy 15:169–172PubMedCrossRef Carter T, Edinger S (1999) Isokinetic evaluation of anterior cruciate ligament reconstruction: hamstring versus patellar tendon. Arthroscopy 15:169–172PubMedCrossRef
12.
Zurück zum Zitat Cooper RL, Taylor NF, Feller JA (2005) A randomised controlled trial of proprioceptive and balance training after surgical reconstruction of the anterior cruciate ligament. Res Sports Med 13:217–230PubMedCrossRef Cooper RL, Taylor NF, Feller JA (2005) A randomised controlled trial of proprioceptive and balance training after surgical reconstruction of the anterior cruciate ligament. Res Sports Med 13:217–230PubMedCrossRef
13.
Zurück zum Zitat De Lorme TL (1946) Heavy resistance exercises. Arch Phys Med Rehabil 27:607–630 De Lorme TL (1946) Heavy resistance exercises. Arch Phys Med Rehabil 27:607–630
14.
Zurück zum Zitat Eitzen I, Holm I, Risberg MA (2009) Preoperative quadriceps strength is a significant predictor of knee function two years after anterior cruciate ligament reconstruction. Br J Sports Med 43:371–376PubMedCrossRef Eitzen I, Holm I, Risberg MA (2009) Preoperative quadriceps strength is a significant predictor of knee function two years after anterior cruciate ligament reconstruction. Br J Sports Med 43:371–376PubMedCrossRef
15.
Zurück zum Zitat Eitzen I, Moksnes H, Snyder-Mackler L, Risberg MA (2010) A progressive 5-week exercise therapy program leads to significant improvement in knee function early after anterior cruciate ligament injury. J Orthop Sports Phys Ther 40:705–721PubMed Eitzen I, Moksnes H, Snyder-Mackler L, Risberg MA (2010) A progressive 5-week exercise therapy program leads to significant improvement in knee function early after anterior cruciate ligament injury. J Orthop Sports Phys Ther 40:705–721PubMed
16.
Zurück zum Zitat Ernst GP, Saliba E, Diduch DR, Hurwitz SR, Ball DW (2000) Lower extremity compensations following anterior cruciate ligament reconstruction. Phys Ther 80:251–260PubMed Ernst GP, Saliba E, Diduch DR, Hurwitz SR, Ball DW (2000) Lower extremity compensations following anterior cruciate ligament reconstruction. Phys Ther 80:251–260PubMed
17.
Zurück zum Zitat Gustavsson A, Neeter C, Thomeé P, Silbernagel KG, Augustsson J, Thomeé R, Karlsson J (2006) A test battery for evaluating hop performance in patients with an ACL injury and patients who have undergone ACL reconstruction. Knee Surg Sports Traumatol Arthrosc 14:778–788PubMedCrossRef Gustavsson A, Neeter C, Thomeé P, Silbernagel KG, Augustsson J, Thomeé R, Karlsson J (2006) A test battery for evaluating hop performance in patients with an ACL injury and patients who have undergone ACL reconstruction. Knee Surg Sports Traumatol Arthrosc 14:778–788PubMedCrossRef
18.
Zurück zum Zitat Hartigan EH, Axe MJ, Snyder-Mackler L (2010) Time line for noncopers to pass return-to-sports criteria after anterior cruciate ligament reconstruction. J Orthop Sports Phys Ther 40:141–154PubMed Hartigan EH, Axe MJ, Snyder-Mackler L (2010) Time line for noncopers to pass return-to-sports criteria after anterior cruciate ligament reconstruction. J Orthop Sports Phys Ther 40:141–154PubMed
19.
Zurück zum Zitat Hiemstra LA, Webber S, MacDonald PB, Kriellaars DJ (2000) Knee strength deficits after hamstring tendon and patellar tendon anterior cruciate ligament reconstruction. Med Sci Sports Exerc 32:1472–1479PubMedCrossRef Hiemstra LA, Webber S, MacDonald PB, Kriellaars DJ (2000) Knee strength deficits after hamstring tendon and patellar tendon anterior cruciate ligament reconstruction. Med Sci Sports Exerc 32:1472–1479PubMedCrossRef
20.
Zurück zum Zitat Hoffman M, Koceja DM (2000) Hoffmann reflex profiles and strength ratios in postoperative anterior cruciate ligament reconstruction patients. Int J Neurosci 104:17–27PubMedCrossRef Hoffman M, Koceja DM (2000) Hoffmann reflex profiles and strength ratios in postoperative anterior cruciate ligament reconstruction patients. Int J Neurosci 104:17–27PubMedCrossRef
21.
Zurück zum Zitat Hooper DM, Morrissey MC, Drechsler W, Morrissey D, King J (2001) Open and closed kinetic chain exercises in the early period after anterior cruciate ligament reconstruction. Improvements in level walking, stair ascent, and stair descent. Am J Sports Med 29:167–174PubMed Hooper DM, Morrissey MC, Drechsler W, Morrissey D, King J (2001) Open and closed kinetic chain exercises in the early period after anterior cruciate ligament reconstruction. Improvements in level walking, stair ascent, and stair descent. Am J Sports Med 29:167–174PubMed
22.
Zurück zum Zitat Keays SL, Bullock-Saxton JE, Newcombe P, Keays AC (2003) The relationship between knee strength and functional stability before and after anterior cruciate ligament reconstruction. J Orthop Res 21:231–237PubMedCrossRef Keays SL, Bullock-Saxton JE, Newcombe P, Keays AC (2003) The relationship between knee strength and functional stability before and after anterior cruciate ligament reconstruction. J Orthop Res 21:231–237PubMedCrossRef
23.
Zurück zum Zitat Konishi Y, Ikeda K, Nishino A, Sunaga M, Aihara Y, Fukubayashi T (2007) Relationship between quadriceps femoris muscle volume and muscle torque after anterior cruciate ligament repair. Scand J Med Sci Sports 17:656–661PubMedCrossRef Konishi Y, Ikeda K, Nishino A, Sunaga M, Aihara Y, Fukubayashi T (2007) Relationship between quadriceps femoris muscle volume and muscle torque after anterior cruciate ligament repair. Scand J Med Sci Sports 17:656–661PubMedCrossRef
24.
Zurück zum Zitat Kraemer WJ, Newton RU (2000) Training for muscular power. Phys Med Rehabil Clin N Am 11:341–368PubMed Kraemer WJ, Newton RU (2000) Training for muscular power. Phys Med Rehabil Clin N Am 11:341–368PubMed
25.
Zurück zum Zitat Kraemer WJ, Duncan ND, Volek JS (1998) Resistance training and elite athletes: adaptations and program considerations. J Orthop Sports Phys Ther 28:110–119PubMed Kraemer WJ, Duncan ND, Volek JS (1998) Resistance training and elite athletes: adaptations and program considerations. J Orthop Sports Phys Ther 28:110–119PubMed
26.
Zurück zum Zitat Kraemer WJ, Ratamess NA, French DN (2002) Resistance training for health and performance. Curr Sports Med Rep 1:165–171PubMed Kraemer WJ, Ratamess NA, French DN (2002) Resistance training for health and performance. Curr Sports Med Rep 1:165–171PubMed
28.
Zurück zum Zitat Lautamies R, Harilainen A, Kettunen J, Sandelin J, Kujala UM (2008) Isokinetic quadriceps and hamstring muscle strength and knee function 5 years after anterior cruciate ligament reconstruction: comparison between bone-patellar tendon-bone and hamstring tendon autografts. Knee Surg Sports Traumatol Arthrosc 16:1009–1016PubMedCrossRef Lautamies R, Harilainen A, Kettunen J, Sandelin J, Kujala UM (2008) Isokinetic quadriceps and hamstring muscle strength and knee function 5 years after anterior cruciate ligament reconstruction: comparison between bone-patellar tendon-bone and hamstring tendon autografts. Knee Surg Sports Traumatol Arthrosc 16:1009–1016PubMedCrossRef
29.
Zurück zum Zitat Lewek M, Rudolph K, Axe M, Snyder-Mackler L (2002) The effect of insufficient quadriceps strength on gait after anterior cruciate ligament reconstruction. Clin Biomech 17:56–63CrossRef Lewek M, Rudolph K, Axe M, Snyder-Mackler L (2002) The effect of insufficient quadriceps strength on gait after anterior cruciate ligament reconstruction. Clin Biomech 17:56–63CrossRef
30.
Zurück zum Zitat Liu-Ambrose T, Taunton JE, MacIntyre D, McConkey P, Khan KM (2003) The effects of proprioceptive or strength training on the neuromuscular function of the ACL reconstructed knee: a randomized clinical trial. Scand J Med Sci Sports 13:115–123PubMedCrossRef Liu-Ambrose T, Taunton JE, MacIntyre D, McConkey P, Khan KM (2003) The effects of proprioceptive or strength training on the neuromuscular function of the ACL reconstructed knee: a randomized clinical trial. Scand J Med Sci Sports 13:115–123PubMedCrossRef
31.
Zurück zum Zitat Mikkelsen C, Werner S, Eriksson E (2000) Closed kinetic chain alone compared to combined open and closed kinetic chain exercises for quadriceps strengthening after anterior cruciate ligament reconstruction with respect to return to sports: a prospective matched follow-up study. Knee Surg Sports Traumatol Arthrosc 8:337–342PubMedCrossRef Mikkelsen C, Werner S, Eriksson E (2000) Closed kinetic chain alone compared to combined open and closed kinetic chain exercises for quadriceps strengthening after anterior cruciate ligament reconstruction with respect to return to sports: a prospective matched follow-up study. Knee Surg Sports Traumatol Arthrosc 8:337–342PubMedCrossRef
32.
Zurück zum Zitat Morrissey MC, Drechsler WI, Morrissey D, Knight PR, Armstrong PW, McAuliffe TB (2002) Effects of distally fixated versus nondistally fixated leg extensor resistance training on knee pain in the early period after anterior cruciate ligament reconstruction. Phys Ther 82:35–43PubMed Morrissey MC, Drechsler WI, Morrissey D, Knight PR, Armstrong PW, McAuliffe TB (2002) Effects of distally fixated versus nondistally fixated leg extensor resistance training on knee pain in the early period after anterior cruciate ligament reconstruction. Phys Ther 82:35–43PubMed
33.
Zurück zum Zitat Myer GD, Paterno MV, Ford KR, Quatman CE, Hewett TE (2006) Rehabilitation after anterior cruciate ligament reconstruction: criteria-based progression through the return-to-sport phase. J Orthop Sports Phys Ther 36:385–402PubMed Myer GD, Paterno MV, Ford KR, Quatman CE, Hewett TE (2006) Rehabilitation after anterior cruciate ligament reconstruction: criteria-based progression through the return-to-sport phase. J Orthop Sports Phys Ther 36:385–402PubMed
34.
Zurück zum Zitat Myer GD, Paterno MV, Ford KR, Hewett TE (2008) Neuromuscular training techniques to target deficits before return to sport after anterior cruciate ligament reconstruction. J Strength Cond Res 22:987–1014PubMedCrossRef Myer GD, Paterno MV, Ford KR, Hewett TE (2008) Neuromuscular training techniques to target deficits before return to sport after anterior cruciate ligament reconstruction. J Strength Cond Res 22:987–1014PubMedCrossRef
35.
Zurück zum Zitat Neeter C, Gustavsson A, Thomeé P, Augustsson J, Thomeé R, Karlsson J (2006) Development of a strength test battery for evaluating leg muscle power after anterior cruciate ligament injury and reconstruction. Knee Surg Sports Traumatol Arthrosc 14:571–580PubMedCrossRef Neeter C, Gustavsson A, Thomeé P, Augustsson J, Thomeé R, Karlsson J (2006) Development of a strength test battery for evaluating leg muscle power after anterior cruciate ligament injury and reconstruction. Knee Surg Sports Traumatol Arthrosc 14:571–580PubMedCrossRef
36.
Zurück zum Zitat Øiestad BE, Holm I, Aune AK, Gunderson R, Myklebust G, Engebretsen L, Fosdahl MA, Risberg MA (2010) Knee function and prevalence of knee osteoarthritis after anterior cruciate ligament reconstruction: a prospective study with 10 to 15 years of follow-up. Am J Sports Med 38:2201–2210PubMedCrossRef Øiestad BE, Holm I, Aune AK, Gunderson R, Myklebust G, Engebretsen L, Fosdahl MA, Risberg MA (2010) Knee function and prevalence of knee osteoarthritis after anterior cruciate ligament reconstruction: a prospective study with 10 to 15 years of follow-up. Am J Sports Med 38:2201–2210PubMedCrossRef
37.
Zurück zum Zitat Peterson MD, Rhea MR, Alvar BA (2005) Applications of the dose-response for muscular strength development: a review of meta-analytic efficacy and reliability for designing training prescription. J Strength Cond Res 19:950–958PubMed Peterson MD, Rhea MR, Alvar BA (2005) Applications of the dose-response for muscular strength development: a review of meta-analytic efficacy and reliability for designing training prescription. J Strength Cond Res 19:950–958PubMed
38.
Zurück zum Zitat Pfeifer K, Banzer W (1999) Motor performance in different dynamic tests in knee rehabilitation. Scand J Med Sci Sports 9:19–27PubMedCrossRef Pfeifer K, Banzer W (1999) Motor performance in different dynamic tests in knee rehabilitation. Scand J Med Sci Sports 9:19–27PubMedCrossRef
39.
Zurück zum Zitat Ratamess NA, Alvar BA, Evetoch TK, Housh TJ, Kibler B, Kraemer WJ, Triplett NT (2009) American College of Sports Medicine position stand. Progression models in resistance training for healthy adults. Med Sci Sports Exerc 41:687–708CrossRef Ratamess NA, Alvar BA, Evetoch TK, Housh TJ, Kibler B, Kraemer WJ, Triplett NT (2009) American College of Sports Medicine position stand. Progression models in resistance training for healthy adults. Med Sci Sports Exerc 41:687–708CrossRef
40.
Zurück zum Zitat Risberg MA, Holm I, Tjomsland O, Ljunggren E, Ekeland A (1999) Prospective study of changes in impairments and disabilities after anterior cruciate ligament reconstruction. J Orthop Sports Phys Ther 29:400–412PubMed Risberg MA, Holm I, Tjomsland O, Ljunggren E, Ekeland A (1999) Prospective study of changes in impairments and disabilities after anterior cruciate ligament reconstruction. J Orthop Sports Phys Ther 29:400–412PubMed
41.
Zurück zum Zitat Risberg MA, Holm I, Myklebust G, Engebretsen L (2007) Neuromuscular training versus strength training during first 6 months after anterior cruciate ligament reconstruction: a randomized clinical trial. Phys Ther 87:737–750PubMedCrossRef Risberg MA, Holm I, Myklebust G, Engebretsen L (2007) Neuromuscular training versus strength training during first 6 months after anterior cruciate ligament reconstruction: a randomized clinical trial. Phys Ther 87:737–750PubMedCrossRef
42.
Zurück zum Zitat Sale D (1988) Neural adaptation to resistance training. Med Sci Sports Exerc 20:135–145CrossRef Sale D (1988) Neural adaptation to resistance training. Med Sci Sports Exerc 20:135–145CrossRef
43.
Zurück zum Zitat Scarfe AC, Li FX, Reddin DB, Bridge MW (2011) A new progression scale for common lower-limb rehabilitation tasks. J Strength Cond Res 25:612–619PubMed Scarfe AC, Li FX, Reddin DB, Bridge MW (2011) A new progression scale for common lower-limb rehabilitation tasks. J Strength Cond Res 25:612–619PubMed
44.
Zurück zum Zitat Schoenfeld BJ (2010) The mechanisms of muscle hypertrophy and their application to resistance training. J Strength Cond Res 24:2857–2872PubMedCrossRef Schoenfeld BJ (2010) The mechanisms of muscle hypertrophy and their application to resistance training. J Strength Cond Res 24:2857–2872PubMedCrossRef
45.
Zurück zum Zitat Thomeé R, Neeter C, Gustavsson A, Thomeé P, Augustsson J, Eriksson B, Karlsson J (2012) Variability in leg muscle power and hop performance after anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 20(6): 1143–1151PubMedCrossRef Thomeé R, Neeter C, Gustavsson A, Thomeé P, Augustsson J, Eriksson B, Karlsson J (2012) Variability in leg muscle power and hop performance after anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 20(6): 1143–1151PubMedCrossRef
46.
Zurück zum Zitat Urbach D, Nebelung W, Becker R, Awiszus F (2001) Effects of reconstruction of the anterior cruciate ligament on voluntary activation of quadriceps femoris: a prospective twitch interpolation study. J Bone Joint Surg Br 83:1104–1110PubMedCrossRef Urbach D, Nebelung W, Becker R, Awiszus F (2001) Effects of reconstruction of the anterior cruciate ligament on voluntary activation of quadriceps femoris: a prospective twitch interpolation study. J Bone Joint Surg Br 83:1104–1110PubMedCrossRef
47.
Zurück zum Zitat Wernbom M, Augustsson J, Thomeé R (2007) The influence of frequency, intensity, volume and mode of strength training on whole muscle cross-sectional area in humans. Sports Med 37:225–264PubMedCrossRef Wernbom M, Augustsson J, Thomeé R (2007) The influence of frequency, intensity, volume and mode of strength training on whole muscle cross-sectional area in humans. Sports Med 37:225–264PubMedCrossRef
48.
Zurück zum Zitat Wojtys EM, Huston LJ (2000) Longitudinal effects of anterior cruciate ligament injury and patellar tendon autograft reconstruction on neuromuscular performance. Am J Sports Med 28:336–344PubMed Wojtys EM, Huston LJ (2000) Longitudinal effects of anterior cruciate ligament injury and patellar tendon autograft reconstruction on neuromuscular performance. Am J Sports Med 28:336–344PubMed
Metadaten
Titel
Documentation of strength training for research purposes after ACL reconstruction
verfasst von
Jesper Augustsson
Publikationsdatum
01.08.2013
Verlag
Springer Berlin Heidelberg
Erschienen in
Knee Surgery, Sports Traumatology, Arthroscopy / Ausgabe 8/2013
Print ISSN: 0942-2056
Elektronische ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-012-2167-3

Weitere Artikel der Ausgabe 8/2013

Knee Surgery, Sports Traumatology, Arthroscopy 8/2013 Zur Ausgabe

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen. 
» Jetzt entdecken

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Arthroskopie kann Knieprothese nicht hinauszögern

25.04.2024 Gonarthrose Nachrichten

Ein arthroskopischer Eingriff bei Kniearthrose macht im Hinblick darauf, ob und wann ein Gelenkersatz fällig wird, offenbar keinen Unterschied.

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

25.04.2024 Hypertonie Nachrichten

Beginnen ältere Männer im Pflegeheim eine Antihypertensiva-Therapie, dann ist die Frakturrate in den folgenden 30 Tagen mehr als verdoppelt. Besonders häufig stürzen Demenzkranke und Männer, die erstmals Blutdrucksenker nehmen. Dafür spricht eine Analyse unter US-Veteranen.

Ärztliche Empathie hilft gegen Rückenschmerzen

23.04.2024 Leitsymptom Rückenschmerzen Nachrichten

Personen mit chronischen Rückenschmerzen, die von einfühlsamen Ärzten und Ärztinnen betreut werden, berichten über weniger Beschwerden und eine bessere Lebensqualität.

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.