ArticleBMC sports science, medicine & rehabilitation2022
How limb dominance influences limb symmetry in ACL patients: effects on functional performance.
Article in BMC sports science, medicine & rehabilitation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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11 citing papers in PubMed, 22 citations in OpenAlex.
- Effects of Eccentric-Oriented Strength Training on Return to Sport Criteria in Late-Stage Anterior Cruciate Ligament (ACL)-Reconstructed Professional Team Sport Players.Medicina (Kaunas, Lithuania) · 2023Trial
- Bidirectional longitudinal relationships between MRI-detected structural changes and contralateral knee pain in knee osteoarthritis: Data from the Osteoarthritis Initiative.Osteoarthritis and cartilage open · 2026Article
- Inter-Arm Blood Pressure Differences and Handgrip Strength in Youth Athletes: Implications for Early Cardiovascular Screening.Healthcare (Basel, Switzerland) · 2026Article
- Relationship Between Knee Muscle Strength Symmetry and Lower Limb Landing Mechanics Following ACL Reconstruction.Sports medicine - open · 2026Article
- Evaluating kinetic symmetry during loaded and unloaded jumping across multiple rehabilitation phases in ACLR patients.BMC musculoskeletal disorders · 2026Article
- Functional Asymmetries After 6 Months of ACL Reconstruction: A Cross-Sectional Study.International wound journal · 2025Article
- Greater hip internal rotation range of motion is associated with increased dynamic knee valgus during jump landing, both before and after fatigue.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Evaluation of self-reported dominance in upper and lower limbs and its relationship with fatigue onset in dominant limbs using surface electromyography (sEMG) in young adults.International journal of physiology, pathophysiology and pharmacology · 2025Article
- Functional and Psychological Preparedness of Athletes Post ACL Repair.Journal of pharmacy & bioallied sciences · 2024Article
- Limb dominance influences landing mechanics and neuromuscular control during drop vertical jump in patients with ACL reconstruction.Frontiers in physiology · 2024Article
- The Need To Change Return to Play Testing in Athletes Following ACL Injury: A Theoretical Model.International journal of sports physical therapy · 2023Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTiming for return to sport (RTS) after anterior cruciate ligament (ACL) injury is paramount for the avoidance of a secondary injury. A common criterion in RTS decision-making is the limb symmetry index (LSI) which quantifies (a)symmetries between the affected and unaffected limb. Limb dominance is one of many factors that may contribute to the recovery of the LSI after ACL reconstruction. The purpose of this study was to examine how limb dominance affects the LSI of functional performance tasks nine months following ACL reconstruction (time of RTS).
methodsAt time of return to sport, n = 100 patients (n = 48 injured the dominant limb, n = 52 injured the non-dominant limb, n = 34 female, n = 66 male) with ACL reconstruction surgery performed isokinetic strength measurements of the knee extensors and flexors, and drop jumps (DJ), single leg hop for distance (SHD) and 6 m timed hop (6MTH) testings.
resultsThe findings indicated that injury of the dominant leg led to significantly higher LSI values in maximal isokinetic knee extensor strength (p = 0.030). No significant differences were observed for maximal isokinetic knee flexor strength, DJ, SHD or 6MTH performance. Stratifying for sex revealed no significant differences. Simple regression analyses demonstrated that LSI in maximal knee extensor strength significantly predicted LSIs in DJ and SHD while explaining 14% and 18% of the respective variance.
conclusionsGiven that limb dominance affects the LSI of muscle strength suggests that a differentiated interpretation of the LSI with respect to limb dominance should be considered for a safe return to sport. Monoarticular knee extensor strength and multiarticular hop test performance are interrelated and thus can show asymmetries which are not maladaptive but established during years of habituation or training.
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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.