Predicting post-operative functional ability from pre-operative measures in ACL injured individuals
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Predicting post-operative functional ability from pre-operative measures in ACL injured individuals. / Smale, Kenneth B; Alkjaer, Tine; Flaxman, Teresa E; R Krogsgaard, Michael; Simonsen, Erik B; Benoit, Daniel L.
I: Scandinavian Journal of Medicine & Science in Sports, Bind 30, Nr. 1, 2020, s. 166-173.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Predicting post-operative functional ability from pre-operative measures in ACL injured individuals
AU - Smale, Kenneth B
AU - Alkjaer, Tine
AU - Flaxman, Teresa E
AU - R Krogsgaard, Michael
AU - Simonsen, Erik B
AU - Benoit, Daniel L
N1 - © 2019 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
PY - 2020
Y1 - 2020
N2 - PURPOSE: This study aimed to quantify the relationship between objective and subjective measures of functional ability and determine if measures in the deficient (ACLd) state were correlated to, and capable of predicting a patient's objective and subjective measures in the reconstructed (ACLr) state.METHODS: Twenty ACL injured participants completed hop and side cut movements prior to and 10 months post-reconstruction. Their subjective measures (Tegner, Lysholm, IKDC, KOOS, and KNEEs) were related to objective measures of functional ability (peak knee flexion, peak knee extensor moment, stiffness, knee joint center excursion (KJCE), and knee joint center boundary). Correlations were used to determine relationships between variables whereas regressions were used to identify ACLd score's predictive ability of an ACLr score.RESULTS: Relationships between objective and subjective measures were task and ACL status dependent with KJCE and stiffness most commonly being related to subjective scores. The greatest correlation was between knee stiffness and Tegner in the ACLr group during the side cut (r = 0.69). Peak knee flexion angle (adj. R2 = 0.4 - 0.66) was the best objective predictor between ACLd and ACLr states while KOOS-ADL had the strongest correlations (r = 0.70 - 0.77) and Tegner had the greatest predictive power (Odds Ratio: 1.46 -1.86) between states in both tasks.CONCLUSION: Objective measures show a wide range of correlation to subjective measures with some being quite strong. Furthermore, objective measures in the ACLd state are more correlated and more often capable of predicting ACLr scores than the subjective measures of functional ability. This article is protected by copyright. All rights reserved.
AB - PURPOSE: This study aimed to quantify the relationship between objective and subjective measures of functional ability and determine if measures in the deficient (ACLd) state were correlated to, and capable of predicting a patient's objective and subjective measures in the reconstructed (ACLr) state.METHODS: Twenty ACL injured participants completed hop and side cut movements prior to and 10 months post-reconstruction. Their subjective measures (Tegner, Lysholm, IKDC, KOOS, and KNEEs) were related to objective measures of functional ability (peak knee flexion, peak knee extensor moment, stiffness, knee joint center excursion (KJCE), and knee joint center boundary). Correlations were used to determine relationships between variables whereas regressions were used to identify ACLd score's predictive ability of an ACLr score.RESULTS: Relationships between objective and subjective measures were task and ACL status dependent with KJCE and stiffness most commonly being related to subjective scores. The greatest correlation was between knee stiffness and Tegner in the ACLr group during the side cut (r = 0.69). Peak knee flexion angle (adj. R2 = 0.4 - 0.66) was the best objective predictor between ACLd and ACLr states while KOOS-ADL had the strongest correlations (r = 0.70 - 0.77) and Tegner had the greatest predictive power (Odds Ratio: 1.46 -1.86) between states in both tasks.CONCLUSION: Objective measures show a wide range of correlation to subjective measures with some being quite strong. Furthermore, objective measures in the ACLd state are more correlated and more often capable of predicting ACLr scores than the subjective measures of functional ability. This article is protected by copyright. All rights reserved.
U2 - 10.1111/sms.13549
DO - 10.1111/sms.13549
M3 - Journal article
C2 - 31486128
VL - 30
SP - 166
EP - 173
JO - Scandinavian Journal of Medicine & Science in Sports
JF - Scandinavian Journal of Medicine & Science in Sports
SN - 0905-7188
IS - 1
ER -
ID: 227012945