Predictions of total work based on measures of muscle strength and hop performance in individuals after ACL reconstruction
The purpose of this study was to determine the ability to utilize clinical measures of hop performance and thigh muscle strength to predict total limb work, a measure of cumulative single leg power, in young athletes at the time of return to sport after ACLR. We hypothesized that hop test performanc...
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Published in | Physical therapy in sport Vol. 59; pp. 130 - 135 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | English |
Published |
England
Elsevier Ltd
01.01.2023
Elsevier Limited |
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Abstract | The purpose of this study was to determine the ability to utilize clinical measures of hop performance and thigh muscle strength to predict total limb work, a measure of cumulative single leg power, in young athletes at the time of return to sport after ACLR. We hypothesized that hop test performance and thigh muscle strength would predict total limb work during a maximal effort repeated vertical single-leg jump and that hop test performance would better predict total limb work during a maximal effort repeated vertical single-leg jump than measures of thigh strength.
Cross-sectional study.
Analysis on data from 50 individuals after unilateral ACLR (74% women, age 14-23 years)
Performed 10-s repeated vertical single-leg jump test on a force platform where single limb power and resultant total work were calculated. At the same session, participants completed a clinical single leg hop test battery and thigh strength testing.
All clinical measures were associated with total work during the repeated vertical single-leg jump test on the involved and uninvolved limbs, respectfully. After controlling for height and weight, quadriceps femoris peak torque at 180°/s was the strongest predictor of total work for both limbs. On the involved limb, performance on the triple hop test for distance also uniquely contributed to the prediction of total work.
Quadriceps femoris muscle strength and distance hop test performance predict total limb work capacity of the involved limb during a single-leg dynamic task. Optimizing both measures after ACLR may positively impact vital components of sports performance.
•Quadriceps muscle strength is a reasonable clinical indicator of power output.•Single leg hop performance is a reasonable clinical indicator of power output.•Quadriceps muscle strength can provide insight into recovery of power after ACLR.•Single leg hop performance can provide insight into recovery of power after ACLR.•Optimizing both measures after ACLR can positively impact sport performance. |
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AbstractList | ObjectivesThe purpose of this study was to determine the ability to utilize clinical measures of hop performance and thigh muscle strength to predict total limb work, a measure of cumulative single leg power, in young athletes at the time of return to sport after ACLR. We hypothesized that hop test performance and thigh muscle strength would predict total limb work during a maximal effort repeated vertical single-leg jump and that hop test performance would better predict total limb work during a maximal effort repeated vertical single-leg jump than measures of thigh strength.DesignCross-sectional study.ParticipantsAnalysis on data from 50 individuals after unilateral ACLR (74% women, age 14-23 years)Main outcome measuresPerformed 10-s repeated vertical single-leg jump test on a force platform where single limb power and resultant total work were calculated. At the same session, participants completed a clinical single leg hop test battery and thigh strength testing.ResultsAll clinical measures were associated with total work during the repeated vertical single-leg jump test on the involved and uninvolved limbs, respectfully. After controlling for height and weight, quadriceps femoris peak torque at 180°/s was the strongest predictor of total work for both limbs. On the involved limb, performance on the triple hop test for distance also uniquely contributed to the prediction of total work.ConclusionsQuadriceps femoris muscle strength and distance hop test performance predict total limb work capacity of the involved limb during a single-leg dynamic task. Optimizing both measures after ACLR may positively impact vital components of sports performance. The purpose of this study was to determine the ability to utilize clinical measures of hop performance and thigh muscle strength to predict total limb work, a measure of cumulative single leg power, in young athletes at the time of return to sport after ACLR. We hypothesized that hop test performance and thigh muscle strength would predict total limb work during a maximal effort repeated vertical single-leg jump and that hop test performance would better predict total limb work during a maximal effort repeated vertical single-leg jump than measures of thigh strength. Cross-sectional study. Analysis on data from 50 individuals after unilateral ACLR (74% women, age 14-23 years) MAIN OUTCOME MEASURES: Performed 10-s repeated vertical single-leg jump test on a force platform where single limb power and resultant total work were calculated. At the same session, participants completed a clinical single leg hop test battery and thigh strength testing. All clinical measures were associated with total work during the repeated vertical single-leg jump test on the involved and uninvolved limbs, respectfully. After controlling for height and weight, quadriceps femoris peak torque at 180°/s was the strongest predictor of total work for both limbs. On the involved limb, performance on the triple hop test for distance also uniquely contributed to the prediction of total work. Quadriceps femoris muscle strength and distance hop test performance predict total limb work capacity of the involved limb during a single-leg dynamic task. Optimizing both measures after ACLR may positively impact vital components of sports performance. OBJECTIVESThe purpose of this study was to determine the ability to utilize clinical measures of hop performance and thigh muscle strength to predict total limb work, a measure of cumulative single leg power, in young athletes at the time of return to sport after ACLR. We hypothesized that hop test performance and thigh muscle strength would predict total limb work during a maximal effort repeated vertical single-leg jump and that hop test performance would better predict total limb work during a maximal effort repeated vertical single-leg jump than measures of thigh strength.DESIGNCross-sectional study.PARTICIPANTSAnalysis on data from 50 individuals after unilateral ACLR (74% women, age 14-23 years) MAIN OUTCOME MEASURES: Performed 10-s repeated vertical single-leg jump test on a force platform where single limb power and resultant total work were calculated. At the same session, participants completed a clinical single leg hop test battery and thigh strength testing.RESULTSAll clinical measures were associated with total work during the repeated vertical single-leg jump test on the involved and uninvolved limbs, respectfully. After controlling for height and weight, quadriceps femoris peak torque at 180°/s was the strongest predictor of total work for both limbs. On the involved limb, performance on the triple hop test for distance also uniquely contributed to the prediction of total work.CONCLUSIONSQuadriceps femoris muscle strength and distance hop test performance predict total limb work capacity of the involved limb during a single-leg dynamic task. Optimizing both measures after ACLR may positively impact vital components of sports performance. The purpose of this study was to determine the ability to utilize clinical measures of hop performance and thigh muscle strength to predict total limb work, a measure of cumulative single leg power, in young athletes at the time of return to sport after ACLR. We hypothesized that hop test performance and thigh muscle strength would predict total limb work during a maximal effort repeated vertical single-leg jump and that hop test performance would better predict total limb work during a maximal effort repeated vertical single-leg jump than measures of thigh strength. Cross-sectional study. Analysis on data from 50 individuals after unilateral ACLR (74% women, age 14-23 years) Performed 10-s repeated vertical single-leg jump test on a force platform where single limb power and resultant total work were calculated. At the same session, participants completed a clinical single leg hop test battery and thigh strength testing. All clinical measures were associated with total work during the repeated vertical single-leg jump test on the involved and uninvolved limbs, respectfully. After controlling for height and weight, quadriceps femoris peak torque at 180°/s was the strongest predictor of total work for both limbs. On the involved limb, performance on the triple hop test for distance also uniquely contributed to the prediction of total work. Quadriceps femoris muscle strength and distance hop test performance predict total limb work capacity of the involved limb during a single-leg dynamic task. Optimizing both measures after ACLR may positively impact vital components of sports performance. •Quadriceps muscle strength is a reasonable clinical indicator of power output.•Single leg hop performance is a reasonable clinical indicator of power output.•Quadriceps muscle strength can provide insight into recovery of power after ACLR.•Single leg hop performance can provide insight into recovery of power after ACLR.•Optimizing both measures after ACLR can positively impact sport performance. |
Author | McNally, Michael P. Thoma, Louise M. Hewett, Timothy E. Montalto, Mary C. Schmitt, Laura C. Paterno, Mark V. |
AuthorAffiliation | 1 OSU Sports Medicine, Jameson Crane Sports Medicine Institute, Ohio State University, Columbus, OH 2 Division of Physical Therapy, Department of Allied Health Sciences, University of North Carolina, Chapel Hill, NC 6 Division of Physical Therapy, School of Health and Rehabilitation Sciences, Ohio State University, Columbus, OH 5 Division of Occupational Therapy and Physical Therapy, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH; Division of Sports Medicine, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH 3 Tampa Bay Rays Baseball Club, St. Petersburg, FL 4 Hewett Global Consulting, Rochester, MN; Rocky Mountain Consortium for Sports Research, Edwards, CO |
AuthorAffiliation_xml | – name: 6 Division of Physical Therapy, School of Health and Rehabilitation Sciences, Ohio State University, Columbus, OH – name: 3 Tampa Bay Rays Baseball Club, St. Petersburg, FL – name: 1 OSU Sports Medicine, Jameson Crane Sports Medicine Institute, Ohio State University, Columbus, OH – name: 5 Division of Occupational Therapy and Physical Therapy, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH; Division of Sports Medicine, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH – name: 2 Division of Physical Therapy, Department of Allied Health Sciences, University of North Carolina, Chapel Hill, NC – name: 4 Hewett Global Consulting, Rochester, MN; Rocky Mountain Consortium for Sports Research, Edwards, CO |
Author_xml | – sequence: 1 givenname: Mary C. surname: Montalto fullname: Montalto, Mary C. email: mary.montalto@osumc.edu organization: OSU Sports Medicine, Jameson Crane Sports Medicine Institute, Ohio State University, Columbus, OH, USA – sequence: 2 givenname: Louise M. surname: Thoma fullname: Thoma, Louise M. organization: Division of Physical Therapy, Department of Allied Health Sciences, University of North Carolina, Chapel Hill, NC, USA – sequence: 3 givenname: Michael P. surname: McNally fullname: McNally, Michael P. organization: Tampa Bay Rays Baseball Club, St. Petersburg, FL, USA – sequence: 4 givenname: Timothy E. surname: Hewett fullname: Hewett, Timothy E. organization: Hewett Global Consulting, Rochester, MN, USA – sequence: 5 givenname: Mark V. surname: Paterno fullname: Paterno, Mark V. organization: Division of Occupational Therapy and Physical Therapy, Cincinnati Children's Hospital Medical Center, Division of Sports Medicine, Cincinnati Children's Hospital Medical Center, Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA – sequence: 6 givenname: Laura C. surname: Schmitt fullname: Schmitt, Laura C. organization: OSU Sports Medicine, Jameson Crane Sports Medicine Institute, Ohio State University, Columbus, OH, USA |
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Snippet | The purpose of this study was to determine the ability to utilize clinical measures of hop performance and thigh muscle strength to predict total limb work, a... ObjectivesThe purpose of this study was to determine the ability to utilize clinical measures of hop performance and thigh muscle strength to predict total... OBJECTIVESThe purpose of this study was to determine the ability to utilize clinical measures of hop performance and thigh muscle strength to predict total... |
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SubjectTerms | Adolescent Adult Anterior Cruciate Ligament Injuries - surgery Anterior Cruciate Ligament Reconstruction Athletes Cross-Sectional Studies Female Force Humans Joint and ligament injuries Jump Knee Male Muscle function Muscle strength Muscle Strength - physiology Participation Physical therapy Power Quadriceps femoris Quadriceps Muscle - physiology Rehabilitation Return to sport Return to Sport - physiology Software Sports injuries Sports medicine Young Adult Young adults |
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Title | Predictions of total work based on measures of muscle strength and hop performance in individuals after ACL reconstruction |
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