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ID 116081
タイトル別表記
前十字靭帯再建術後のジョギング開始指標における膝伸展筋力体重比の有用性
著者
岩目, 敏幸 徳島大学大学院医科学教育部(医学専攻) 徳島大学 教育研究者総覧
Okahisa, T. Tokushima University
Katsuura-Kamano, S. Tokushima University
キーワード
anterior cruciate ligament reconstruction
hamstring tendon autograft
quadriceps strength to body weight ratio
jogging
資料タイプ
学位論文
抄録
Background: Quadriceps strength recovery after anterior cruciate ligament (ACL) reconstruction is an important criterion for progress in rehabilitation and return to sports. The purpose of this study was to determine whether quadriceps strength to body weight ratio (QS/BW) is a significant indicator for initiating jogging after ACL reconstruction.
Methods: Isokinetic quadriceps strength at 60/s was measured and a jogging trial was completed 3 months after ACL reconstruction with hamstring tendon autograft in 83 patients (36 male, 47 female; mean age, 26.6 ± 12.4 years). Based on the jogging trial results, patients were assigned to either a successful jogging group (mean velocity ≥ 9 km/h) or an unsuccessful jogging group (mean velocity < 9 km/h). The association between QS/BW and successful jogging after surgery was investigated by multivariate logistic regression analysis and the cut-off value was determined by receiver operating characteristic analysis.
Results: Forty-four patients (53.0%) were assigned to the successful jogging group and 39 (47.0%) to the unsuccessful jogging group. QS/BW was independently associated with initiating jogging 3 months after surgery. The cut-off value of QS/BW for successful jogging was 1.45 Nm/kg (area under the curve = 0.94; sensitivity = 88.6%, specificity = 87.2%). All of the patients who initiated jogging with QS/BW of > 1.45 Nm/kg at 3 months returned to sports without recurrence or contralateral injury by 10 months after surgery.
Conclusions: QS/BW is a significant indicator for safely initiating jogging 3 months after ACL reconstruction. The cut-off value of QS/BW for initiating jogging was 1.45 Nm/kg.
掲載誌名
The Knee
ISSN
09680160
cat書誌ID
AA10996272
AA11534443
出版者
Elsevier
28
開始ページ
240
終了ページ
246
発行日
2021-01-09
備考
内容要旨・審査要旨・論文本文の公開
本論文は,著者T. Iwameの学位論文として提出され,学位審査・授与の対象となっている。
EDB ID
出版社版DOI
出版社版URL
フルテキストファイル
言語
eng
著者版フラグ
博士論文全文を含む
文科省報告番号
甲第3529号
学位記番号
甲医第1499号
学位授与年月日
2021-04-22
学位名
博士(医学)
学位授与機関
徳島大学
部局
病院
医学系