Contralateral limb deficit after ACL-reconstruction: an analysis of early and late phase of rate of force development

J Sports Sci. 2017 Mar;35(5):435-440. doi: 10.1080/02640414.2016.1168933. Epub 2016 Apr 4.

Abstract

The aim of this study was to assess the effect of a unilateral anterior cruciate ligament reconstruction (ACLR) on maximum voluntary contraction (MVC) and explosive strength of both the involved limb and the uninvolved limb. Nineteen male athletes completed a standard isometric testing protocol 4 months post-ACLR, while 16 healthy participants served as a control group (CG). The explosive strength of the knee extensors and flexors was assessed as RFD obtained from the slope of the force-time curves over various time intervals. Both muscle groups of the involved limb had significantly lower MVC compared to the uninvolved. The involved limb also had significantly lower RFD in the late phase of contraction (140-250 ms) for both knee extensors and flexors (P < 0.05). There was no difference in MVC between the uninvolved limb and the CG. However, RFD of the uninvolved limb was lower compared to CG for both knee extensors (0-180 ms; P < 0.01) and flexors (0-150 ms; P < 0.05). ACLR leads to lower MVC and explosive strength of the involved limb. As a consequence of potential crossover (presumably neural-mediated) effects, explosive strength deficits could be bilateral, particularly in the early phase of the contraction (<100 ms).

Keywords: Quadriceps; arthrogenic inhibition; hamstrings; rate of force development.

MeSH terms

  • Anterior Cruciate Ligament Reconstruction*
  • Cross-Sectional Studies
  • Humans
  • Isometric Contraction / physiology*
  • Knee / physiology*
  • Male
  • Muscle Strength / physiology*
  • Postoperative Period
  • Quadriceps Muscle / physiology
  • Young Adult