Evidence map›Paper›PMID 39866956›Full record

ArticleOrthopaedic journal of sports medicine2025

Relationship Between Quadriceps Strength at 6 Months Postoperatively and Improvement in Patient-Reported Knee Function After Anterior Cruciate Ligament Reconstruction.

Tomoya Ishida, Makoto Suzuki, Hisashi Matsumoto, Mina Samukawa, Satoru Kaneko, Chiharu Inoue, Yoshimitsu Aoki, Harukazu Tohyama

Abstract read
In one paragraph

Article in Orthopaedic journal of sports medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Review
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

8 authors.

Tomoya IshidaFaculty of Health Sciences, Hokkaido University, Sapporo, Japan.ORCID https://orcid.org/0000-0003-0174-7416
Makoto SuzukiFaculty of Health Sciences, Hokkaido University, Sapporo, Japan.ORCID https://orcid.org/0000-0001-8452-7915
Hisashi MatsumotoDepartment of Rehabilitation, Hokushin Orthopaedic Hospital, Sapporo, Japan.
Mina SamukawaFaculty of Health Sciences, Hokkaido University, Sapporo, Japan.ORCID https://orcid.org/0000-0002-4663-598X
Satoru KanekoDepartment of Orthopaedic Surgery, Hokushin Orthopaedic Hospital, Sapporo, Japan.
Chiharu InoueDepartment of Orthopaedic Surgery, Hokushin Orthopaedic Hospital, Sapporo, Japan.
Yoshimitsu AokiDepartment of Orthopaedic Surgery, Hokushin Orthopaedic Hospital, Sapporo, Japan.
Harukazu TohyamaFaculty of Health Sciences, Hokkaido University, Sapporo, Japan.ORCID https://orcid.org/0000-0002-0317-8088

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Understanding the factors associated with poor recovery over time after anterior cruciate ligament reconstruction (ACLR) helps clinicians identify patients who are at risk and targets for an intervention. Purpose: To determine the factors associated with improvement in subjective knee function from 6 to 12 months after ACLR. Study Design: Case-control study; Level of evidence, 3. Methods: A total of 91 patients undergoing primary unilateral ACLR were included. Subjective knee function was assessed using the International Knee Documentation Committee Subjective Knee Form (IKDC-SKF) at 6 and 12 months postoperatively. Isokinetic knee strength (quadriceps and hamstring) and Anterior Cruciate Ligament-Return to Sport After Injury (ACL-RSI) scale scores were also assessed. Patients were included in the poor recovery group if their improvement in the IKDC-SKF score from 6 to 12 months was <15.5 points (minimal detectable change) and their IKDC-SKF score at 12 months was <90 points (maximum, 100 points). The IKDC-SKF score, knee strength, and the ACL-RSI score were compared between the poor recovery and good recovery groups with and without propensity score matching. Matched variables included age, sex, and IKDC-SKF score at 6 months after ACLR. In addition, logistic regression analysis was performed to identify factors that discriminated between the poor recovery and good recovery groups. Results: There were 32 participants (35%) allocated to the poor recovery group. Before propensity score matching, the poor recovery group had a significantly older age, lower IKDC-SKF scores at 6 and 12 months, and a lower limb symmetry index (LSI) for quadriceps strength at 6 months. After propensity score matching, the LSI for quadriceps strength at 6 months was significantly different between the poor recovery and good recovery groups (73.0 ± 17.4 vs 83.3 ± 18.2, respectively; Conclusion: A lower LSI for quadriceps strength at 6 months postoperatively was associated with poor recovery of the IKDC-SKF score from 6 to 12 months after ACLR, even after adjusting for confounders.

Indexed as

ACLclinical assessments/grading scalesknee ligamentspatient-reported outcome measurespsychological readinessrehabilitationsubgroup analysis

Identifiers

PMID39866956
PMCPMC11760129

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Registered trials

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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.