ORIGINAL ARTICLE

Patient characteristics of non-operative anterior cruciate ligament injury associated with poor knee functions on activities of daily living: a cross-sectional study

I Putu Gde Surya Adhitya , Ida Bagus Amertha Putra Manuaba, Lalu Suprawesta, Yosika Septi Mauludina, Siti Ainun Marufa

I Putu Gde Surya Adhitya
Graduate Institute of Injury Prevention and Control, College of Public Health, Taipei Medical University; Department of Physical Therapy, Faculty of Medicine, Universitas Udayana, Bali Indonesia. Email: surya_adhitya@unud.ac.id

Ida Bagus Amertha Putra Manuaba
PhD Candidate, Department of Education and Humanities in Medicine, International Program in Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan; Medical and Health Education Development, Faculty of Medicine, Universitas Udayana, Bali-Indonesia

Lalu Suprawesta
Graduate Institute of Injury Prevention and Control, College of Public Health, Taipei Medical University; Department of Sport and Health Education, Faculty of Sport Science and Public Health, Universitas Pendidikan Mandalika, West Nusa Tenggara-Indonesia

Yosika Septi Mauludina
Graduate Institute of Injury Prevention and Control, College of Public Health, Taipei Medical University

Siti Ainun Marufa
Department of Physical Therapy, Faculty of Health Science, Universitas Muhammadiyah Malang, East Java, Indonesia
Online First: November 03, 2020 | Cite this Article
Adhitya, I., Manuaba, I., Suprawesta, L., Mauludina, Y., Marufa, S. 2020. Patient characteristics of non-operative anterior cruciate ligament injury associated with poor knee functions on activities of daily living: a cross-sectional study. Bali Medical Journal 9(3): 608-613. DOI:10.15562/bmj.v9i3.2023


Introduction: The ACL injury has commonly occurred in a greater number of athletes, less publication is about poor knee function and ACL injury in the patient with non-operative treatment. This study aimed to describe the characteristics of patients with ACL injury non-operative, which are associated with poor knee function on daily living activities.

Methods: We included patients with ACL injury that has been diagnosed for ACL injury by an orthopedic surgeon or physiotherapist in a hospital or private clinic. All participants were recruited from February 2019 to April 2019. The inclusion criteria were patients who at least 18 years old. We used the KOOS ADL function cut-off score ≤80 to dichotomous the patient with knee problems, and score >80 have no statistical analysis problem. We calculated using binary logistic regression on the KOOS ADL function for each variable.

Results: The mean score of KOOS daily living was 72.8 points, of which 66 participants had poor scores, and 37 were acceptable. Women were 9.2 times more likely to had poor KOOS daily living scores than men in non-operative ACL injury patients (p=0.044), and non-elite athletes had a higher possibility by 8.5 times higher than those who were participated in sports only for leisure or recreation (p=0.002).

Conclusion: This study confirmed that patients who did not undergo the ACL reconstruction had a poor knee function in daily living. It was associated with women and non-elite athlete participants, yet the concomitant injuries were possibly confounder for the association.

References

Kaeding CC, Pedroza AD, Reinke EK, Huston LJ, Consortium M, Spindler KP. Risk factors and predictors of subsequent ACL injury in either knee after ACL reconstruction: prospective analysis of 2488 primary ACL reconstructions from the MOON cohort. The American journal of sports medicine. 2015;43(7):1583-90.

Singh N. International epidemiology of anterior cruciate ligament injuries. Orthopedic Res Online J. 2018;1.

Moses B, Orchard J, Orchard J. Systematic review: annual incidence of ACL injury and surgery in various populations. Res Sports Med. 2012;20(3-4):157-79.

Ristić V, Ninković S, Harhaji V, Milankov M. Causes of anterior cruciate ligament injuries. Med Pregl. 2010;63(7-8):541-5.

Lohmander LS, Englund PM, Dahl LL, Roos EM. The long-term consequence of anterior cruciate ligament and meniscus injuries: osteoarthritis. The American journal of sports medicine. 2007;35(10):1756-69.

Filbay S, Culvenor A, Ackerman I, Russell T, Crossley K. Quality of life in anterior cruciate ligament-deficient individuals: a systematic review and meta-analysis. Br J Sports Med. 2015;49(16):1033-41.

Biau DJ, Tournoux C, Katsahian S, Schranz P, Nizard R. ACL reconstruction: a meta-analysis of functional scores. Clinical Orthopaedics and Related Research®. 2007;458:180-7.

Paterno MV, Rauh MJ, Schmitt LC, Ford KR, Hewett TE. Incidence of second ACL injuries 2 years after primary ACL reconstruction and return to sport. The American journal of sports medicine. 2014;42(7):1567-73.

Roos EM, Lohmander LS. The Knee injury and Osteoarthritis Outcome Score (KOOS): from joint injury to osteoarthritis. Health and quality of life outcomes. 2003;1(1):1-8.

Roos EM, Engelhart L, Ranstam J, Anderson AF, Irrgang JJ, Marx RG, et al. ICRS recommendation document: patient-reported outcome instruments for use in patients with articular cartilage defects. Cartilage. 2011;2(2):122-36.

Deelen I, Ettema D, Kamphuis CB. Sports participation in sport clubs, gyms or public spaces: How users of different sports settings differ in their motivations, goals, and sports frequency. PLoS One. 2018;13(10):e0205198.

Paradowski PT, Bergman S, Sundén-Lundius A, Lohmander LS, Roos EM. Knee complaints vary with age and gender in the adult population. Population-based reference data for the Knee injury and Osteoarthritis Outcome Score (KOOS). BMC Musculoskelet Disord. 2006;7(1):38.

Roos EM, Roos HP, Lohmander LS, Ekdahl C, Beynnon BD. Knee Injury and Osteoarthritis Outcome Score (KOOS)—development of a self-administered outcome measure. J Orthop Sports Phys Ther. 1998;28(2):88-96.

Kvist J, Ek A, Sporrstedt K, Good L. Fear of re-injury: a hindrance for returning to sports after anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc. 2005;13(5):393-7.

Myklebust G, Engebretsen L, Brækken IH, Skjølberg A, Olsen O-E, Bahr R. Prevention of anterior cruciate ligament injuries in female team handball players: a prospective intervention study over three seasons. Clin J Sport Med. 2003;13(2):71-8.

Srikanth VK, Fryer JL, Zhai G, Winzenberg TM, Hosmer D, Jones G. A meta-analysis of sex differences prevalence, incidence and severity of osteoarthritis. Osteoarthritis Cartilage. 2005;13(9):769-81.

Koga H, Nakamae A, Shima Y, Iwasa J, Myklebust G, Engebretsen L, et al. Mechanisms for noncontact anterior cruciate ligament injuries: knee joint kinematics in 10 injury situations from female team handball and basketball. The American journal of sports medicine. 2010;38(11):2218-25.

Krosshaug T, Slauterbeck JR, Engebretsen L, Bahr R. Biomechanical analysis of anterior cruciate ligament injury mechanisms: three‐dimensional motion reconstruction from video sequences. Scand J Med Sci Sports. 2007;17(5):508-19.

Behan FP, Maden-Wilkinson TM, Pain MT, Folland JP. Sex differences in muscle morphology of the knee flexors and knee extensors. PLoS One. 2018;13(1):e0190903.

DeMorat G, Weinhold P, Blackburn T, Chudik S, Garrett W. Aggressive quadriceps loading can induce noncontact anterior cruciate ligament injury. The American journal of sports medicine. 2004;32(2):477-83.

Evangelidis PE, Massey GJ, Pain MT, Folland JP. Strength and size relationships of the quadriceps and hamstrings with special reference to reciprocal muscle balance. Eur J Appl Physiol. 2016;116(3):593-600.

Hannah R, Folland JP, Smith SL, Minshull C. Explosive hamstrings-to-quadriceps force ratio of males versus females. Eur J Appl Physiol. 2015;115(4):837-47.

Buchanan TS, Lloyd DG. Muscle activation at the human knee during isometric flexion‐extension and varus‐valgus loads. J Orthop Res. 1997;15(1):11-7.

Sims M, Mulcahey MK. Sex-Specific differences in psychological response to injury and return to sport following ACL reconstruction. Jbjs Reviews. 2018;6(7):e9.

Tan SHS, Lau BPH, Khin LW, Lingaraj K. The importance of patient sex in the outcomes of anterior cruciate ligament reconstructions: a systematic review and meta-analysis. The American journal of sports medicine. 2016;44(1):242-54.

Nyland J, Cottrell B, Harreld K, Caborn DN. Self-reported outcomes after anterior cruciate ligament reconstruction: an internal health locus of control score comparison. Arthroscopy: The Journal of Arthroscopic & Related Surgery. 2006;22(11):1225-32.

Patel NK, Sabharwal S, Hadley C, Blanchard E, Church S. Factors affecting return to sport following hamstrings anterior cruciate ligament reconstruction in non-elite athletes. Eur J Orthop Surg Traumatol. 2019;29(8):1771-9.

Smith F, Rosenlund E, Aune A, MacLean J, Hillis S. Subjective functional assessments and the return to competitive sport after anterior cruciate ligament reconstruction. Br J Sports Med. 2004;38(3):279-84.

Lentz TA, Zeppieri Jr G, Tillman SM, Indelicato PA, Moser MW, George SZ, et al. Return to preinjury sports participation following anterior cruciate ligament reconstruction: contributions of demographic, knee impairment, and self-report measures. J Orthop Sports Phys Ther. 2012;42(11):893-901.

Udry E, Shelbourne KD, Gray T. Psychological readiness for anterior cruciate ligament surgery: describing and comparing the adolescent and adult experiences. J Athl Train. 2003;38(2):167.


No Supplementary Material available for this article.
Article Views      : 0
PDF Downloads : 0