ArticleJournal of orthopaedic research : official publication of the Orthopaedic Research Society2011
Factors explaining chronic knee extensor strength deficits after ACL reconstruction.
Article in Journal of orthopaedic research : official publication of the Orthopaedic Research Society, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 3 of them syntheses that pooled it.
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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.
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Who cites it
53 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Time-Dependent Alterations in Walking Biomechanics After Anterior Cruciate Ligament Reconstruction Compared with Healthy Individuals: A Systematic Review with Meta-analysis.Sports medicine - open · 2026Pooled 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
- Pooled it
- Functional Resistance Training Differentially Alters Gait Kinetics After Anterior Cruciate Ligament Reconstruction: A Pilot Study.Sports health · 2023Trial
- Hop tests can result in higher limb symmetry index values than isokinetic strength and leg press tests in patients following ACL reconstruction.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Trial
- Effect of knee angle on quadriceps strength and activation after anterior cruciate ligament reconstruction.Journal of applied physiology (Bethesda, Md. : 1985) · 2015Trial
- The effect of neuromuscular electrical stimulation on quadriceps strength and knee function in professional soccer players: return to sport after ACL reconstruction.BioMed research international · 2013Trial
- Cross-education strength and activation after eccentric exercise.Journal of athletic trainingTrial
- Isokinetic eccentric training is more effective than constant load eccentric training for quadriceps rehabilitation following anterior cruciate ligament reconstruction: a randomized controlled trial.Brazilian journal of physical therapyTrial
- Effect of Stroke and Aging on Plantarflexor Strength and Voluntary Activation.Restorative neurology and neuroscience · 2026Article
- Limb Strength and Power Asymmetries in Professional Team Sport Athletes at Return-to-Sport Testing Following ACL Reconstruction.Medicina (Kaunas, Lithuania) · 2026Article
- Comparable isokinetic quadriceps performance six months after ACL reconstruction with rectus femoris versus hamstring tendon autografts.Journal of experimental orthopaedics · 2025Article
- Strength development following a six-week risk reduction athletic development training program in men and women.Sports medicine and health science · 2025Article
- Lateral extra-articular tenodesis improves functional movement outcomes in ACL reconstruction patients.Journal of experimental orthopaedics · 2025Article
- Effects of Blood Flow Restriction Training in Patients before and after Anterior Cruciate Ligament Reconstruction: A Systematic Review and Meta-Analysis.Healthcare (Basel, Switzerland) · 2024Review
- Effect of Step Load Based on Time under Tension in Hypoxia on the ACL Pre-Operative Rehabilitation and Hormone Levels: A Case Study.Journal of clinical medicine · 2024Article
- Functional resistance training during walking: do biomechanical and neural effects differ based on targeted joints?IEEE transactions on medical robotics and bionics · 2024Article
- Five-times sit-to-stand test following anterior cruciate ligament surgery: a cross-sectional reliability study.Malawi medical journal : the journal of Medical Association of Malawi · 2023Article
- Functional Resistance Training With Viscous and Elastic Devices: Does Resistance Type Acutely Affect Knee Function?IEEE transactions on bio-medical engineering · 2023Article
- Demographic and Clinical Correlates of Device-Measured Physical Activity Levels in Individuals with Femoroacetabular Impingement Syndrome.Archives of rehabilitation research and clinical translation · 2023Article
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
Persistent quadriceps muscle weakness is common after anterior cruciate ligament (ACL) reconstruction. The mechanisms underlying these chronic strength deficits are not clear. This study examined quadriceps strength in people 2-15 years post-ACL reconstruction and tested the hypothesis that chronic quadriceps weakness is related to levels of voluntary quadriceps muscle activation, antagonistic hamstrings moment, and peripheral changes in muscle. Knee extensor strength and activation were evaluated in 15 ACL reconstructed and 15 matched uninjured control subjects using an interpolated triplet technique. Electrically evoked contractile properties were used to evaluate peripheral adaptations in the quadriceps muscle. Antagonistic hamstrings moments were predicted using a practical mathematical model. Knee extensor strength and evoked torque at rest were significantly lower in the reconstructed legs (p < 0.05). Voluntary activation and antagonistic hamstrings activity were similar across legs and between groups (p > 0.05). Regression analyses indicated that side-to-side differences in evoked torque at rest explained 71% of the knee extensor strength differences by side (p < 0.001). Voluntary activation and antagonistic hamstrings moment did not contribute significantly (p > 0.05). Chronic quadriceps weakness in this sample was primarily related to peripheral changes in the quadriceps muscle, not to levels of voluntary activation or antagonistic hamstrings activity.
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