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大学・研究所にある論文を検索できる 「Combining age, sex, body mass index, sport level, and preoperative quadriceps strength improves the predictive ability of quadriceps strength recovery after anterior cruciate ligament reconstruction」の論文概要。リケラボ論文検索は、全国の大学リポジトリにある学位論文・教授論文を一括検索できる論文検索サービスです。

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Combining age, sex, body mass index, sport level, and preoperative quadriceps strength improves the predictive ability of quadriceps strength recovery after anterior cruciate ligament reconstruction

Ueda, Yuya Matsushita, Takehiko Shibata, Yohei Takiguchi, Kohei Ono, Kumiko Kida, Akihiro Nishida, Kyohei Nagai, Kanto Hoshino, Yuichi Matsumoto, Tomoyuki Sakai, Yoshitada Kuroda, Ryosuke 神戸大学

2023.10

概要

Purpose: This study compared the predictive ability of each independent predictor with that of a combination of predictors for quadriceps strength recovery one year after anterior cruciate ligament (ACL) reconstruction. Methods: Patients who underwent primary ACL reconstruction using hamstring autografts were enrolled. Quadriceps strength, hamstring strength, and anterior tibial translation were measured, and the limb symmetry index (LSI) of the quadriceps and the hamstrings was calculated preoperatively and one year after surgery. Patients were classified into two groups according to the LSI of the quadriceps strength at one year postoperatively (≥ 80% or < 80%). Multivariate logistic regression analysis identified the independent predictors of quadriceps strength recovery, and the cut-off value was calculated using the receiver operating characteristic curve. A model assessing predictive ability of the combination of independent predictors was created, and the area under the curve (AUC) for each independent predictor was calculated by using the receiver-operating characteristic curves and the DeLong method. Results: Of the 646 patients, 414 (64.1%) had an LSI of at least 80% for quadriceps strength one year after surgery, and 232 patients (35.9%) had an LSI of < 80%. Age, sex, body mass index (BMI), preinjury sport level, and LSI of preoperative quadriceps strength were independently associated with quadriceps strength recovery one year after ACL reconstruction. The cut-off values were age: 22.5 years; sex: female; BMI: 24.3 kg/m2; preinjury sport level: no sport; and LSI of preoperative quadriceps strength: 63.3%. The AUC of the model assessing the predictive ability of the combination of age, sex, BMI, preinjury sport level, and LSI of preoperative quadriceps strength was significantly higher (0.73) than that of similar factors of preoperative quadriceps strength (AUC: 0.63, 0.53, 0.56, 0.61, and 0.68, p < 0.01, respectively). Conclusion: The combination of age, sex, BMI, preinjury sport level, and LSI of preoperative quadriceps strength had a superior predictive ability for quadriceps strength recovery at one year after ACL reconstruction than these predictors alone. Multiple factors, including patient characteristics and preoperative quadriceps strength, should be considered when planning rehabilitation programs to improve quadriceps strength recovery after ACL reconstruction. Level of evidence: III.

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Publisher's Note Springer Nature remains neutral with regard to

jurisdictional claims in published maps and institutional affiliations.

Authors and Affiliations

Yuya Ueda1,2 · Takehiko Matsushita3 · Yohei Shibata2 · Kohei Takiguchi2 · Kumiko Ono1 · Akihiro Kida2 ·

Kyohei Nishida3 · Kanto Nagai3 · Yuichi Hoshino3 · Tomoyuki Matsumoto3 · Yoshitada Sakai4 · Ryosuke Kuroda3

* Takehiko Matsushita

matsushi@med.kobe-u.ac.jp

Kobe University Graduate School of Health Sciences, Kobe,

Japan

Division of Rehabilitation Medicine, Kobe University

Hospital, Kobe, Japan

13

Department of Orthopaedic Surgery, Kobe University

Graduate School of Medicine, 7‑5‑2, Kusunoki‑cho,

Chuo‑ku, Kobe, Hyogo 650‑0017, Japan

Division of Rehabilitation Medicine, Kobe University

Graduate School of Medicine, Kobe, Japan

...

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