Role of the Triceps Surae Muscles in Patients Undergoing Anterior Cruciate Ligament Reconstruction: A Matched Case-Control Study
A limited number of studies has investigated the gastrocnemius and soleus in patients undergoing anterior cruciate ligament reconstruction (ACLR). This study investigated the muscle strength (Nm kg<sup>−1</sup> × 100) and reaction time (acceleration time (AT), milliseconds) of thigh and...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2020-10-01
|
| Series: | Journal of Clinical Medicine |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2077-0383/9/10/3215 |
| _version_ | 1797551605674934272 |
|---|---|
| author | Hye Chang Rhim Jin Hyuck Lee Seung-Beom Han Kyun-Ho Shin Dong Won Suh Ki-Mo Jang |
| author_facet | Hye Chang Rhim Jin Hyuck Lee Seung-Beom Han Kyun-Ho Shin Dong Won Suh Ki-Mo Jang |
| author_sort | Hye Chang Rhim |
| collection | DOAJ |
| description | A limited number of studies has investigated the gastrocnemius and soleus in patients undergoing anterior cruciate ligament reconstruction (ACLR). This study investigated the muscle strength (Nm kg<sup>−1</sup> × 100) and reaction time (acceleration time (AT), milliseconds) of thigh and calf muscles in patients undergoing ACLR. Thirty-two patients with ACLR and 32 normal control subjects were included. One year postoperatively, the strength of thigh muscles was significantly reduced after ACLR compared with that of controls (hamstring: 80 ± 31.3 vs. 142 ± 26.4, <i>p</i> < 0.001, quadriceps: 159 ± 63.7 vs. 238 ± 35.3, <i>p</i> < 0.001). However, the strength of calf muscles was not significantly different compared with that of controls (gastrocnemius: 77 ± 22.9 vs. 81 ± 22.5, <i>p</i> = 0.425, soleus: 54 ± 15.9 vs. 47 ± 16.1, <i>p</i> = 0.109). The AT of calf muscles was significantly faster after ACLR than that of controls (gastrocnemius: 26 ± 9.8 vs. 31 ± 9, <i>p =</i> 0.030, soleus: 18 ± 6.7 vs. 22 ± 8.5, <i>p =</i> 0.026). The AT of thigh muscles was significantly elongated after ACLR than that of controls (hamstring: 72 ± 18 vs. 55 ± 12.4, <i>p</i> < 0.001, quadriceps: 63 ± 17.6 vs. 47 ± 17, <i>p</i> < 0.000). The strength of thigh muscles was reduced, and the ATs of thigh muscles were slower one year after ACLR. However, the AT of the triceps surae was faster than that of controls. This may implicate a compensatory mechanism of the triceps surae for the weakness and delayed activation in hamstring and quadriceps muscles. |
| first_indexed | 2024-03-10T15:48:30Z |
| format | Article |
| id | doaj.art-24acabea13a1421c8cc098feb4e591c5 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T15:48:30Z |
| publishDate | 2020-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-24acabea13a1421c8cc098feb4e591c52023-11-20T16:15:31ZengMDPI AGJournal of Clinical Medicine2077-03832020-10-01910321510.3390/jcm9103215Role of the Triceps Surae Muscles in Patients Undergoing Anterior Cruciate Ligament Reconstruction: A Matched Case-Control StudyHye Chang Rhim0Jin Hyuck Lee1Seung-Beom Han2Kyun-Ho Shin3Dong Won Suh4Ki-Mo Jang5Department of Orthopaedic Surgery, Anam Hospital, Korea University College of Medicine, Seoul 02841, KoreaDepartment of Sports Medical Center, Anam Hospital, Korea University College of Medicine, Seoul 02841, KoreaDepartment of Orthopaedic Surgery, Anam Hospital, Korea University College of Medicine, Seoul 02841, KoreaDepartment of Orthopaedic Surgery, Anam Hospital, Korea University College of Medicine, Seoul 02841, KoreaDepartment of Orthopaedic Surgery, Barunsesang Hospital, Seongnam 13497, KoreaDepartment of Orthopaedic Surgery, Anam Hospital, Korea University College of Medicine, Seoul 02841, KoreaA limited number of studies has investigated the gastrocnemius and soleus in patients undergoing anterior cruciate ligament reconstruction (ACLR). This study investigated the muscle strength (Nm kg<sup>−1</sup> × 100) and reaction time (acceleration time (AT), milliseconds) of thigh and calf muscles in patients undergoing ACLR. Thirty-two patients with ACLR and 32 normal control subjects were included. One year postoperatively, the strength of thigh muscles was significantly reduced after ACLR compared with that of controls (hamstring: 80 ± 31.3 vs. 142 ± 26.4, <i>p</i> < 0.001, quadriceps: 159 ± 63.7 vs. 238 ± 35.3, <i>p</i> < 0.001). However, the strength of calf muscles was not significantly different compared with that of controls (gastrocnemius: 77 ± 22.9 vs. 81 ± 22.5, <i>p</i> = 0.425, soleus: 54 ± 15.9 vs. 47 ± 16.1, <i>p</i> = 0.109). The AT of calf muscles was significantly faster after ACLR than that of controls (gastrocnemius: 26 ± 9.8 vs. 31 ± 9, <i>p =</i> 0.030, soleus: 18 ± 6.7 vs. 22 ± 8.5, <i>p =</i> 0.026). The AT of thigh muscles was significantly elongated after ACLR than that of controls (hamstring: 72 ± 18 vs. 55 ± 12.4, <i>p</i> < 0.001, quadriceps: 63 ± 17.6 vs. 47 ± 17, <i>p</i> < 0.000). The strength of thigh muscles was reduced, and the ATs of thigh muscles were slower one year after ACLR. However, the AT of the triceps surae was faster than that of controls. This may implicate a compensatory mechanism of the triceps surae for the weakness and delayed activation in hamstring and quadriceps muscles.https://www.mdpi.com/2077-0383/9/10/3215anterior cruciate ligament reconstructionmuscle reaction timemuscle strengthtriceps surae |
| spellingShingle | Hye Chang Rhim Jin Hyuck Lee Seung-Beom Han Kyun-Ho Shin Dong Won Suh Ki-Mo Jang Role of the Triceps Surae Muscles in Patients Undergoing Anterior Cruciate Ligament Reconstruction: A Matched Case-Control Study Journal of Clinical Medicine anterior cruciate ligament reconstruction muscle reaction time muscle strength triceps surae |
| title | Role of the Triceps Surae Muscles in Patients Undergoing Anterior Cruciate Ligament Reconstruction: A Matched Case-Control Study |
| title_full | Role of the Triceps Surae Muscles in Patients Undergoing Anterior Cruciate Ligament Reconstruction: A Matched Case-Control Study |
| title_fullStr | Role of the Triceps Surae Muscles in Patients Undergoing Anterior Cruciate Ligament Reconstruction: A Matched Case-Control Study |
| title_full_unstemmed | Role of the Triceps Surae Muscles in Patients Undergoing Anterior Cruciate Ligament Reconstruction: A Matched Case-Control Study |
| title_short | Role of the Triceps Surae Muscles in Patients Undergoing Anterior Cruciate Ligament Reconstruction: A Matched Case-Control Study |
| title_sort | role of the triceps surae muscles in patients undergoing anterior cruciate ligament reconstruction a matched case control study |
| topic | anterior cruciate ligament reconstruction muscle reaction time muscle strength triceps surae |
| url | https://www.mdpi.com/2077-0383/9/10/3215 |
| work_keys_str_mv | AT hyechangrhim roleofthetricepssuraemusclesinpatientsundergoinganteriorcruciateligamentreconstructionamatchedcasecontrolstudy AT jinhyucklee roleofthetricepssuraemusclesinpatientsundergoinganteriorcruciateligamentreconstructionamatchedcasecontrolstudy AT seungbeomhan roleofthetricepssuraemusclesinpatientsundergoinganteriorcruciateligamentreconstructionamatchedcasecontrolstudy AT kyunhoshin roleofthetricepssuraemusclesinpatientsundergoinganteriorcruciateligamentreconstructionamatchedcasecontrolstudy AT dongwonsuh roleofthetricepssuraemusclesinpatientsundergoinganteriorcruciateligamentreconstructionamatchedcasecontrolstudy AT kimojang roleofthetricepssuraemusclesinpatientsundergoinganteriorcruciateligamentreconstructionamatchedcasecontrolstudy |