Oh, My Quad: A Clinical Commentary And Evidence-Based Framework for the Rehabilitation of Quadriceps Size and Strength after Anterior Cruciate Ligament Reconstruction.

Quadriceps weakness after anterior cruciate ligament reconstruction (ACLR) is a well-known phenomenon, with more persistent quadriceps weakness observed after ACLR with a bone-patellar tendon-bone or quadriceps tendon autograft than with a hamstring tendon autograft. Longstanding quadriceps weakness...

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Main Authors: Braidy Solie, Mitchell Carlson, Christopher Doney, Michael Kiely, Robert LaPrade
Format: Article
Language:English
Published: North American Sports Medicine Institute 2024-12-01
Series:International Journal of Sports Physical Therapy
Online Access:https://doi.org/10.26603/001c.126191
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author Braidy Solie
Mitchell Carlson
Christopher Doney
Michael Kiely
Robert LaPrade
author_facet Braidy Solie
Mitchell Carlson
Christopher Doney
Michael Kiely
Robert LaPrade
author_sort Braidy Solie
collection DOAJ
description Quadriceps weakness after anterior cruciate ligament reconstruction (ACLR) is a well-known phenomenon, with more persistent quadriceps weakness observed after ACLR with a bone-patellar tendon-bone or quadriceps tendon autograft than with a hamstring tendon autograft. Longstanding quadriceps weakness after ACLR has been associated with suboptimal postoperative outcomes and the progression of radiographic knee osteoarthritis, making the recovery of quadriceps size and strength a key component of ACLR rehabilitation. However, few articles have been written for the specific purpose of optimizing quadriceps size and strength after ACLR. Therefore, the purpose of this review article is to integrate the existing quadriceps muscle basic science and strength training literature into a best-evidence synthesis of exercise methodologies for restoring quadriceps size and strength after ACLR, as well as outline an evidence-informed quadriceps load-progression for recovering the knee’s capacity to manage the force-profiles associated with high-demand physical activity. Level of Evidence: 5
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institution Kabale University
issn 2159-2896
language English
publishDate 2024-12-01
publisher North American Sports Medicine Institute
record_format Article
series International Journal of Sports Physical Therapy
spelling doaj-art-61941050490c424eb8d843f7898d68ed2025-02-11T20:27:19ZengNorth American Sports Medicine InstituteInternational Journal of Sports Physical Therapy2159-28962024-12-011912Oh, My Quad: A Clinical Commentary And Evidence-Based Framework for the Rehabilitation of Quadriceps Size and Strength after Anterior Cruciate Ligament Reconstruction.Braidy SolieMitchell CarlsonChristopher DoneyMichael KielyRobert LaPradeQuadriceps weakness after anterior cruciate ligament reconstruction (ACLR) is a well-known phenomenon, with more persistent quadriceps weakness observed after ACLR with a bone-patellar tendon-bone or quadriceps tendon autograft than with a hamstring tendon autograft. Longstanding quadriceps weakness after ACLR has been associated with suboptimal postoperative outcomes and the progression of radiographic knee osteoarthritis, making the recovery of quadriceps size and strength a key component of ACLR rehabilitation. However, few articles have been written for the specific purpose of optimizing quadriceps size and strength after ACLR. Therefore, the purpose of this review article is to integrate the existing quadriceps muscle basic science and strength training literature into a best-evidence synthesis of exercise methodologies for restoring quadriceps size and strength after ACLR, as well as outline an evidence-informed quadriceps load-progression for recovering the knee’s capacity to manage the force-profiles associated with high-demand physical activity. Level of Evidence: 5https://doi.org/10.26603/001c.126191
spellingShingle Braidy Solie
Mitchell Carlson
Christopher Doney
Michael Kiely
Robert LaPrade
Oh, My Quad: A Clinical Commentary And Evidence-Based Framework for the Rehabilitation of Quadriceps Size and Strength after Anterior Cruciate Ligament Reconstruction.
International Journal of Sports Physical Therapy
title Oh, My Quad: A Clinical Commentary And Evidence-Based Framework for the Rehabilitation of Quadriceps Size and Strength after Anterior Cruciate Ligament Reconstruction.
title_full Oh, My Quad: A Clinical Commentary And Evidence-Based Framework for the Rehabilitation of Quadriceps Size and Strength after Anterior Cruciate Ligament Reconstruction.
title_fullStr Oh, My Quad: A Clinical Commentary And Evidence-Based Framework for the Rehabilitation of Quadriceps Size and Strength after Anterior Cruciate Ligament Reconstruction.
title_full_unstemmed Oh, My Quad: A Clinical Commentary And Evidence-Based Framework for the Rehabilitation of Quadriceps Size and Strength after Anterior Cruciate Ligament Reconstruction.
title_short Oh, My Quad: A Clinical Commentary And Evidence-Based Framework for the Rehabilitation of Quadriceps Size and Strength after Anterior Cruciate Ligament Reconstruction.
title_sort oh my quad a clinical commentary and evidence based framework for the rehabilitation of quadriceps size and strength after anterior cruciate ligament reconstruction
url https://doi.org/10.26603/001c.126191
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