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Table 6 Knee flexor strength for patients sustaining second ACL injuries

From: Restoring Knee Flexor Strength Symmetry Requires 2 Years After ACL Reconstruction, But Does It Matter for Second ACL Injuries? A Systematic Review and Meta-analysis

Studies

Ipsilateral/contralateral injury, n

Timepoint of assessment (months)

Time at RTS (months)

Time of injury after ACL reconstruction (months)

Group

Knee flexor strength, LSI (%)

Absolute knee flexor strength values (Nm)

HQ-strength ratio, mean ± SD

Blucher et al. 2022 [28]

19/0

12

12 (70%)

23 (13–36)

Second ACL injury, n = 19

93.6% ± 9.4% (60°/s)

92.2% ± 16.0% (180°/s)

No Second ACL injury, n = 191

90.1% ± 19.4% (60°/s)

91.4% ± 16.2% (180°/s)

Severyns et al. 2022 [78]

11/0

6

61

11.5 (7–19)

Second ACL injury, n = 11

71.6% ± 10.9% (60°/s)

88.4% ± 15.5% (180°/s)

66.1 ± 26.2

61.2 ± 24.2

No second ACL injury, n = 93

95.0% ± 17.5% (60°/s)

92.1% ± 20.7% (180°/s)

94.1 ± 32.4

72.6 ± 28.4

Tanaka et al. 2010 [83]

6/0

6

9.8

11.7 (8.0–15.7)

Second ACL injury, n = 6

90.9% ± 13.7%

63.7 ± 25.5

51.8% ± 8.0%

No second ACL injury, n = 58

87.0% ± 17.5%

55.8 ± 15.7

53.2% ± 15.5%

Yamanashi et al. 2019 A [89] 2

27/9

3

6–121

Missing

Second ACL injury, n = 14

81.7 ± 16.4

43.0% ± 8.0%

No second ACL injury, n = 131

77.2 ± 64.2

48.6% ± 11.6%

Yamanashi et al. 2019 B [89] 2

27/9

6

6–121

Missing

Second ACL injury, n = 12

81.6 ± 18.9

40.3% ± 7.0%

No second ACL injury, n = 115

88.3 ± 22.1

50.8% ± 11.4%

  1. Bold numbers indicates significantly lower for reinjury group, p < 0.05
  2. 1 Numbers relate to when the patients were permitted to return to sports
  3. 2 Knee flexor strength is only presented for those who sustained an ipsilateral injury
  4. ACL, anterior cruciate ligament; HQ, hamstring-to-quadriceps; LSI, limb symmetry index; n, numbers; NA, not applicable; Nm, Newton meters; RTS, return to sport; SD, standard deviation. Yamanashi et al. [89] A refers to the 3-month values while B refers to the 6-month values