Coordination of the Lower Limbs of Soccer Players after Anterior Cruciate Ligament Reconstruction with Allograft and Autograft during Landing
نویسندگان
1 Iranian Center of Excellence in Physiotherapy, Rehabilitation Research Center, Department of Physiotherapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran
2 Iranian Center of Excellence in Physiotherapy, Rehabilitation Research Center, Department of Physiotherapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran
3 2 Iranian Center of Excellence in Physiotherapy, Rehabilitation Research Center, Department of Physiotherapy, and Department of Rehabilitation Management, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran 3Geriatric Mental Health Research Center, Iran University of Medical Sciences, Tehran, Iran
4 Biomechanics Lab., Rehabilitation Research Center, and Department of Basic Rehabilitation Sciences, Faculty of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran
5 Department of Orthopedic, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
doi
10.22038/abjs.2023.74186.3433چکیده
Objectives: Quantitative biomechanical tests, along with physical assessment, may be useful tounderstand kinematics associated with graft types in anterior cruciate ligament surgery, particularly inindividuals aiming for a safe return to sport.Methods: Sixty male soccer players in three groups participated in this study. Three equal groups of healthy, autotransplanted and allotransplanted participants, matched for age, gender, activity level and functional status, landedwith one foot on a force plate. Their kinematic information was recorded by the motion analyzer and used to describecoordination the variability by measuring coupling angles using vector coding.Results: The coordination variability of the allograft group in the surgical limb was significantly greater than that ofthe healthy group at least 9 months after the reconstructive surgery of the ACL and at the stage of return to sports,(F (6, 35) = 2.79, p = 0.025; Wilk's Λ = 0.676, partial η2 = 0.32). The coordination pattern in the surgical and healthylimbs of the surgical groups also differed from that of the healthy people, which was more pronounced in the allograftgroup, (F (6, 35) = 2.61, p = 0.034; Wilk's Λ = 0.690, partial η2 = 0.31).Conclusion: These results show that the allograft group has a different coordination variability at return to sportthan the healthy group, so they may need more time for excessive training and competition. Level of evidence: II