Evaluation of Reactive Strength Index During Single-Limb Vertical Jumps and Isokinetic Strength Five to Eight Months After Anterior Cruciate Ligament Reconstruction.
Hiroyuki Omiya, Minami Kawamura, Shinnosuke Hada
PMID 41635588WHAT IT FOUND
In athletes after hamstring-graft ACL reconstruction, reactive strength on single-leg jumps tracked quadriceps strength at five and seven months but not by eight months.
Jump symmetry stayed below the return-to-sport threshold.
Key findings
01Reactive strength correlated strongly with operated-limb knee extension strength at five months (r = 0.810, p < 0.001) and at seven months (r = 0.909, p < 0.001), but the relationship was no longer statistically significant by eight months (r = 0.355, p = 0.257).
02There were no significant differences in operated-limb knee extension strength or reactive strength across the three time points, while knee flexion strength did improve significantly between five and eight months.
03Reactive strength limb symmetry never reached 90% at any time point, and knee extension symmetry stayed between 72% and 75%, below the 90% benchmark commonly referenced for returning to sport.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
Only twelve patients were followed, and no sample size or power calculation was done, so the study is too small to give precise estimates and cannot support analysis of subgroups. Everyone had the same operation from the same surgeon and the same rehabilitation at one hospital, so the results may not apply to patients with a different graft type, such as quadriceps or patellar tendon, or a different rehabilitation programme. Ages in the group ranged widely, from the early teens to the early fifties, and age was not taken into account, so the size of the correlations should be read cautiously. Reactive strength was measured with one phone or tablet application, so results could differ with other apps or devices. Home exercises, extra self-directed training and outside coaching were not recorded, so these may have contributed to differences in strength and jumping. Participants were told to keep ground contact time to a minimum, which may have pushed them to jump lower in order to land faster, so the reactive strength values may partly reflect the instruction rather than their physical capacity.
Declared interests
The text provided contains no funding statement and no conflict-of-interest declaration, so it is not possible to say who paid for the study or whether the authors had competing interests.
The easy way to misread this
Do not conclude that reactive strength testing can replace isokinetic strength testing because of the strong correlations at five and seven months. This was an association in twelve patients at a single hospital, with no power calculation, and the relationship had disappeared by eight months.
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