Evidence map›Paper›PMID 35434169›Full record

ArticleOrthopaedic journal of sports medicine2022

Between-Limb Symmetry in ACL and Tibiofemoral Contact Forces in Athletes After ACL Reconstruction and Clearance for Return to Sport.

Argyro Kotsifaki, Sam Van Rossom, Rod Whiteley, Vasileios Korakakis, Roald Bahr, Pieter D'Hooghe, Emmanuel Papakostas, Vasileios Sideris, Abdulaziz Farooq, Ilse Jonkers

Open access · goldAbstract read
In one paragraph

Article in Orthopaedic journal of sports medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.9field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 18 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 3 countries.

Argyro KotsifakiAspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar.
Sam Van RossomHuman Movement Biomechanics Research Group, Department of Movement Sciences, Katholieke Universiteit Leuven, Leuven, Belgium.
Rod WhiteleyAspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar.
Vasileios KorakakisAspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar.
Roald BahrAspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar.
Pieter D'HoogheAspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar.
Emmanuel PapakostasAspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar.
Vasileios SiderisAspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar.
Abdulaziz FarooqAspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar.
Ilse JonkersHuman Movement Biomechanics Research Group, Department of Movement Sciences, Katholieke Universiteit Leuven, Leuven, Belgium.
Qatar Orthopaedic and Sports Medicine Hospital · QAKU Leuven · BENorwegian School of Sport Sciences · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Current return-to-sport (RTS) criteria after anterior cruciate ligament (ACL) reconstruction (ACLR) include demonstrating symmetry in functional and strength tests. It remains unknown if at the time that athletes are cleared to RTS, they exhibit between-limb symmetry in ACL and tibiofemoral contact forces or if these forces are comparable with those in uninjured athletes. Purposes: To (1) examine ACL and tibiofemoral contact forces in athletes who underwent ACLR and were cleared to RTS and (2) compare the involved leg to the healthy contralateral leg and healthy controls during functional tasks. Study Design: Cross-sectional study; Level of evidence, 3. Methods: A total of 26 male athletes who underwent ACLR were tested at the time of RTS during tasks that included single-leg vertical, horizontal, and side jumps; cutting maneuvers; and high-intensity running. We used an electromyography-constrained musculoskeletal modeling workflow to estimate ACL and tibiofemoral contact forces and compared the results with those of 23 healthy male participants. Results: The ACLR group presented no differences in peak tibiofemoral contact forces in the involved limb compared with the control group. However, there were significant between-limb differences mainly due to higher contact forces in the uninvolved (healthy) limb of the ACLR group compared with the control group. In the ACLR group, ACL forces were significantly higher in the uninvolved limb compared with the involved limb during cutting and running. Lateral contact forces were lower in the involved compared with the uninvolved limb, with large effect sizes during cutting ( Conclusion: Current discharge criteria for clearance to RTS after ACLR did not ensure the restoration of symmetric loading in our cohort of male athletes. ACL force asymmetry was observed during cutting and running, in addition to knee loading asymmetries on several tasks tested.

Indexed as

ACLbiomechanicscontact forcesinjury preventionreturn to sport

Identifiers

PMID35434169
PMCPMC9006381
OpenAlexW4223658014

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.