SynthesisJournal of athletic training
Quadriceps activation following knee injuries: a systematic review.
Synthesis in Journal of athletic training. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05568784 (Quadriceps Activation Comparative Analysis Based on Positioning of the Ankle During Supine Straight Leg Raise and Quad Set), which is not on this map. Cited by 184 papers, 12 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Quadriceps Activation Comparative Analysis Based on Positioning of the Ankle During Supine Straight Leg Raise and Quad Set
Who cites it
184 citing papers in PubMed, 12 syntheses or guidelines pooled it.
- Neuromuscular characteristics of individuals with chronic ankle instability during unilateral landing tasks: a meta-analysis of electromyographic studies.Journal of orthopaedic surgery and research · 2026Pooled it
- Effects of lower limb strengthening training on lower limb biomechanical characteristics and knee pain in patients with patellofemoral pain: a systematic review and meta-analysis.European journal of medical research · 2025Pooled it
- Pooled it
- The Time Course of Quadriceps Strength Recovery After Total Knee Arthroplasty Is Influenced by Body Mass Index, Sex, and Age of Patients: Systematic Review and Meta-Analysis.Frontiers in medicine · 2022Pooled it
- Kinesio Taping Relieves Pain and Improves Isokinetic Not Isometric Muscle Strength in Patients with Knee Osteoarthritis-A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2021Pooled it
- How does anterior cruciate ligament reconstruction affect the functioning of the brain and spinal cord? A systematic review with meta-analysis.Journal of sport and health science · 2021Pooled it
- Neuromuscular Function of the Knee Joint Following Knee Injuries: Does It Ever Get Back to Normal? A Systematic Review with Meta-Analyses.Sports medicine (Auckland, N.Z.) · 2021Pooled it
- Neurostructural correlates of strength decrease following total knee arthroplasty: A systematic review of the literature with meta-analysis.Bosnian journal of basic medical sciences · 2020Pooled it
- Neuromuscular electrical stimulation is effective in strengthening the quadriceps muscle after anterior cruciate ligament surgery.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2018Pooled it
- Disinhibitory interventions and voluntary quadriceps activation: a systematic review.Journal of athletic trainingPooled it
- Pooled it
- Evaluation of electromyographic biofeedback for the quadriceps femoris: a systematic review.Journal of athletic trainingPooled it
- Effect of repetitive transcranial magnetic stimulation on quadriceps function in participants in the early postoperative period after anterior cruciate ligament reconstruction: a randomized controlled trial.BMC musculoskeletal disorders · 2026Trial
- Trial
- The effect of incorporating whole body vibration into exercise therapy on the corticomotor excitability of the quadriceps in athletes following anterior cruciate ligament reconstruction.Scientific reports · 2025Trial
- Effectiveness of blood flow restriction versus traditional weight-bearing training in rehabilitation of knee osteoarthritis patients with MASLD: a multicenter randomized controlled trial.Frontiers in endocrinology · 2023Trial
- Thigh musculature stiffness during active muscle contraction after anterior cruciate ligament injury.BMC musculoskeletal disorders · 2020Trial
- Forward lunge before and after anterior cruciate ligament reconstruction: Faster movement but unchanged knee joint biomechanics.PloS one · 2020Trial
- Comparing the Effectiveness of Blood Flow Restriction and Traditional Heavy Load Resistance Training in the Post-Surgery Rehabilitation of Anterior Cruciate Ligament Reconstruction Patients: A UK National Health Service Randomised Controlled Trial.Sports medicine (Auckland, N.Z.) · 2019Trial
- Impairment-Based Rehabilitation With Patterned Electrical Neuromuscular Stimulation and Lower Extremity Function in Individuals With Patellofemoral Pain: A Preliminary Study.Journal of athletic training · 2019Trial
124 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
contextArthrogenic muscle inhibition is an important underlying factor in persistent quadriceps muscle weakness after knee injury or surgery.
objectiveTo determine the magnitude and prevalence of volitional quadriceps activation deficits after knee injury. DATA SOURCES: Web of Science database. STUDY SELECTION: Eligible studies involved human participants and measured quadriceps activation using either twitch interpolation or burst superimposition on patients with knee injuries or surgeries such as anterior cruciate ligament deficiency (ACLd), anterior cruciate ligament reconstruction (ACLr), and anterior knee pain (AKP). DATA EXTRACTION: Means, measures of variability, and prevalence of quadriceps activation (QA) failure (<95%) were recorded for experiments involving ACLd (10), ACLr (5), and AKP (3). DATA SYNTHESIS: A total of 21 data sets from 18 studies were initially identified. Data from 3 studies (1 paper reporting data for both ACLd and ACLr, 1 on AKP, and the postarthroscopy paper) were excluded from the primary analyses because only graphical data were reported. Of the remaining 17 data sets (from 15 studies), weighted mean QA in 352 ACLd patients was 87.3% on the involved side, 89.1% on the uninvolved side, and 91% in control participants. The QA failure prevalence ranged from 0% to 100%. Weighted mean QA in 99 total ACLr patients was 89.2% on the involved side, 84% on the uninvolved side, and 98.5% for the control group, with prevalence ranging from 0% to 71%. Thirty-eight patients with AKP averaged 78.6% on the involved side and 77.7% on the contralateral side. Bilateral QA failure was commonly reported in patients.
conclusionsQuadriceps activation failure is common in patients with ACLd, ACLr, and AKP and is often observed bilaterally.
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Registered trials
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