PMID- 10513063 OWN - NLM STAT- MEDLINE DCOM- 19991229 LR - 20191103 IS - 0041-8781 (Print) IS - 0041-8781 (Linking) VI - 54 IP - 2 DP - 1999 Mar-Apr TI - Isokinetic assessment of the flexor-extensor balance of the knee in athletes with total rupture of the anterior cruciate ligament. PG - 35-8 AB - The purpose of this study was to assess the flexor-extensor group of muscles of the knee in young athletes diagnosed with a total rupture of the anterior cruciate ligament (ACL). Eighteen knees of 18 athletes (14 men and 4 women) with an average age of 21.6 years (range 16-32 years) were assessed with a Cybex 6000 model isokinetic apparatus. The average internal between occurrence of the injury and assessment was 10.2 months (range 2-48 months). There was an associated meniscal injury in eight of the knees. Athletes with any other kind of associated injury, limitation, or blockage of the movement of the joint, significant pain during the exam, or interval between injury and exam of less than two months were excluded from the study. The parameters studied were the peak torque-velocity and flexor-extensor relationships at the constant angular velocities of 60 degrees/sec and 240 degrees/sec. Previous warming-up was done by means of an ergometric bicycle and adaptation with 3 submaximal repetitions. The contra-lateral side, which presented no injury, was used as control. Peak torque (PT) at the constant velocity of 60 degrees/sec was greater than that at 240 degrees/sec for knees with and without injuries. However, there was no significant difference between the injured and uninjured sides at 60 degrees/sec or at 240 degrees/sec. The average value for the flexor-extensor relationship at 60 degrees/sec on the injured was 60% ((6), compared to 57% ((10) on the contra-lateral side. At 240 degrees/sec, the average value was 75% ((10) on the injured side, and 65% ((12) on the contra-lateral side. In conclusion, despite the complete rupture of the ACL of one knee, the average values for the flexor-extensor relationship were similar on the injured and uninjured sides at the velocity of 60 degrees/sec. As the velocity increased, an increase in the values for the flexor-extensor relationship of the knee also occurred, indicating a tendency of the performance of the flexor muscle group to approach that of the extensor muscle group, and this tendency was more pronounced on the side of the injury. FAU - Terreri, A S AU - Terreri AS AD - Departamento de Ortopedia e traumatologia da Faculdade de Medicina da Universidade de Sao Paulo. FAU - Ambrosio, M A AU - Ambrosio MA FAU - Pedrinelli, A AU - Pedrinelli A FAU - Albuquerque, R F AU - Albuquerque RF FAU - Andrusaitis, F AU - Andrusaitis F FAU - Greve, J M AU - Greve JM FAU - Carazzato, J G AU - Carazzato JG FAU - Amatuzzi, M M AU - Amatuzzi MM LA - eng PT - Journal Article PL - Brazil TA - Rev Hosp Clin Fac Med Sao Paulo JT - Revista do Hospital das Clinicas JID - 0415246 SB - IM MH - Adolescent MH - Adult MH - Anterior Cruciate Ligament/*physiopathology MH - *Anterior Cruciate Ligament Injuries MH - Athletic Injuries/*physiopathology MH - Female MH - Humans MH - Knee Joint/physiopathology MH - Male MH - *Range of Motion, Articular EDAT- 1999/10/08 00:00 MHDA- 1999/10/08 00:01 CRDT- 1999/10/08 00:00 PHST- 1999/10/08 00:00 [pubmed] PHST- 1999/10/08 00:01 [medline] PHST- 1999/10/08 00:00 [entrez] AID - 10.1590/s0041-87811999000200001 [doi] PST - ppublish SO - Rev Hosp Clin Fac Med Sao Paulo. 1999 Mar-Apr;54(2):35-8. doi: 10.1590/s0041-87811999000200001.