Preoperative muscle thickness influences muscle activation after arthroscopic knee surgery

Purpose: the aim of this study was to compare the correlation between preoperative quadriceps femoris muscle thickness and postoperative neuromuscular activation and quadriceps femoris strength in patients with and without patellofemoral pain after arthroscopic partial meniscectomy. Methods: aseries...

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Detalles Bibliográficos
Autores: Amestoy, Jorge, Pérez-Prieto, Daniel, Torres Claramunt, Raúl, Sánchez Soler, Juan Francisco, Solano-López, Alberto, Leal Blanquet, Joan, Hinarejos Gómez, Pedro, Monllau García, Juan Carlos
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:10230/54041
Acceso en línea:http://hdl.handle.net/10230/54041
http://dx.doi.org/10.1007/s00167-021-06820-4
Access Level:acceso abierto
Palabra clave:Knee arthroscopy
Patellofemoral pain
Quadriceps muscle activation
Quadriceps muscle atrophy
Quadriceps muscle strength
Descripción
Sumario:Purpose: the aim of this study was to compare the correlation between preoperative quadriceps femoris muscle thickness and postoperative neuromuscular activation and quadriceps femoris strength in patients with and without patellofemoral pain after arthroscopic partial meniscectomy. Methods: aseries of 120 patients were prospectively analysed in a longitudinal cohort study of patients scheduled for arthroscopic partial meniscectomy. The patellofemoral pain group included patients who developed anterior knee pain after surgery while the control group included those who had not done so. Patients with preoperative patellofemoral pain, previous knee surgeries as well as those on whom additional surgical procedures had been performed were excluded. Of the 120 initially included in the study, 90 patients were analysed after the exclusions. Results: There is a direct correlation between preoperative quadriceps femoris muscle thickness and the neuromuscular activity values and the strength of the muscle at 6 weeks after surgery. These results were seen exclusively in the group of patients who do not develop patellofemoral pain (0.543, p = 0.008). The group of patients who developed anterior knee pain in the postoperative period did not show this correlation (n.s.). Conclusion: in patients without patellofemoral pain after meniscectomy, the greater the preoperative thickness of the quadriceps femoris, the more postoperative neuromuscular activation and strength they had. This correlation did not occur in those patients who develop patellofemoral pain after meniscal surgery.