ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2025
Time-course changes in lower limb strength, vertical jump metrics and their relationship with patient reported outcomes following anterior cruciate ligament reconstruction.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Functional rehabilitation strategies for enhancing neuromuscular control after ACL reconstruction: A systematic review.Hong Kong physiotherapy journal : official publication of the Hong Kong Physiotherapy Association Limited = Wu li chih liao · 2026Article
- Squat Jump and Bilateral and Unilateral Countermovement Jump Performance in Soccer Players 6 and 9 Months After Anterior Cruciate Ligament Reconstruction.Medicina (Kaunas, Lithuania) · 2026Article
- Limb Strength and Power Asymmetries in Professional Team Sport Athletes at Return-to-Sport Testing Following ACL Reconstruction.Medicina (Kaunas, Lithuania) · 2026Article
- Rehabilitation alone after anterior cruciate ligament injury yields greater limb symmetry but lower knee related self-efficacy without limiting return to preinjury activity level.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Time-course changes in lower limb strength, vertical jump metrics and their relationship with patient reported outcomes following anterior cruciate ligament reconstruction.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
Corrections and comments
- Erratum issued
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo (1) investigate how lower limb strength, vertical jump metrics, and patient reported outcome measures (PROMs) change in the initial 3- to 12-months of recovery following ACLR; and (2) explore which strength and vertical jump metrics best differentiate between lower and higher Knee Osteoarthritis Outcome Score (KOOS) and Anterior Cruciate Ligament Return to Sport After Injury (ACL-RSI) scores.
methodsThirty recreationally active athletes undergoing unilateral primary ACLR underwent field-based assessments of knee flexion and extension strength, hip adduction and abduction strength, and double and single leg countermovement (CMJ) and drop vertical jump (DVJ) kinetics at 3-, 6-, 9- and 12-months following surgery. The KOOS and ACL-RSI were also completed. Mixed models were used to investigate how measures of lower limb strength, vertical jump metrics and PROMs change across the first 12-months of rehabilitation. Mixed model decision trees were used to determine which strength and vertical jump measures best discriminated between lower and higher PROMs.
resultsVertical jump height and reactive strength index (RSI) improved significantly over time (p < 0.001), with reductions in contraction and contact times (p < 0.05). Isometric knee extension and eccentric knee flexion strength increased significantly (p < 0.001), as did KOOS and ACL-RSI scores (p < 0.001). Surgically reconstructed limbs displayed deficits in most vertical jump and strength measures compared to the uninjured contralateral limb, although deficits reduced over time with between limb asymmetry deceasing in 70% of these variables (p range: 0.05 to <0.001). Single leg CMJ jump height < 8.4 cm best discriminated between lower and higher ACL-RSI scores (r
conclusionMost measures of lower limb strength and vertical jump metrics change in both the ACLR and uninjured contralateral limbs across the first 12-months of recovery following primary ACLR. A strong relationship was found between measures of lower limb strength and vertical jump performance with PROMs. LEVEL OF EVIDENCE: Level II, lower quality prospective cohort study.
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