{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T07:51:06Z","timestamp":1777881066271,"version":"3.51.4"},"reference-count":43,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Journal of Sports Medicine"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Prognostic indicators of lack of strength progression or poor self-reported function may alter rehabilitation decision-making following anterior cruciate ligament reconstruction (ACLR). The torque-velocity relationship is a noninvasive measure of muscle function that is altered following ACLR, but its prognostic value has not been explored.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To compare the torque-velocity relationship of knee extensors (quadriceps) and flexors (hamstrings) between the ACLR and uninvolved limbs and to determine whether the torque-velocity relationship was prognostic of subsequent achievement of satisfactory strength.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Cohort study; Level of evidence, 3.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Participants following ACLR with bone\u2013patellar tendon\u2013bone or hamstring autografts completed isokinetic knee extension and flexion at 90\u00b0\/s and 180\u00b0\/s bilaterally, the International Knee Documentation Committee (IKDC) form, and Knee injury and Osteoarthritis Outcome Score (KOOS) at approximately 5.5 and 8.3 months post-ACLR. The torque-velocity relationship was defined as the difference in torque production across velocities, and relationships were analyzed using 2 \u00d7 2 analyses of variance. Binomial logistic regressions were used to determine the association between the torque-velocity relationship, age, sex, and time postsurgery with satisfactory knee extension strength, IKDC, and KOOS at visit 2.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      This study included 189 participants (22.4 \u00b1 9.3 years; 55.0% female). There were significant increases in the quadriceps torque-velocity relationship from visit 1 (0.22 Nm\/kg) to visit 2 (0.34 Nm\/kg,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001) but no differences in the uninvolved limb (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .46) or for the hamstrings (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .20). When controlling for sex, age, and graft type, higher visit 1 quadriceps torque-velocity relationships were predictive of a higher likelihood of achieving satisfactory knee extension strength (\u22651.23 Nm\/kg; odds ratio [OR], 1.05;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .04). The model was associated with an acceptable IKDC score (\u226575.9,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .01), but the only significant individual predictor was age (OR, 0.94;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .01). The model was not associated with KOOS Sport score at visit 2 (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .24).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Quadriceps torque-velocity relationships of the ACLR limbs increased across time but remained less than uninvolved limbs. Hamstrings torque-velocity relationships remained similar between limbs and across time. These findings indicate that the torque-velocity relationship of the quadriceps changed over time and was predictive of future satisfactory strength.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance:<\/jats:title>\n                    <jats:p>Clinicians may use a greater quadriceps torque-velocity relationship as a positive indication of a patient's ability to achieve satisfactory strength later in rehabilitation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23259671251400776","type":"journal-article","created":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T10:06:32Z","timestamp":1767866792000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The Clinical Utility of Strength Measures in Predicting Patient Progression Following ACLR"],"prefix":"10.1177","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3228-3706","authenticated-orcid":false,"given":"Xavier D.","family":"Thompson","sequence":"first","affiliation":[{"name":"Louisiana State University, Baton Rouge, Louisiana, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amelia S.","family":"Bruce Leicht","sequence":"additional","affiliation":[{"name":"University of Kentucky, Lexington, Kentucky, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacob E.","family":"Resch","sequence":"additional","affiliation":[{"name":"University of Virginia, Charlottesville, Virginia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9184-4636","authenticated-orcid":false,"given":"Chris","family":"Kuenze","sequence":"additional","affiliation":[{"name":"University of Virginia, Charlottesville, Virginia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen F.","family":"Brockmeier","sequence":"additional","affiliation":[{"name":"University of Virginia, Charlottesville, Virginia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David R.","family":"Diduch","sequence":"additional","affiliation":[{"name":"University of Virginia, Charlottesville, Virginia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark D.","family":"Miller","sequence":"additional","affiliation":[{"name":"University of Virginia, Charlottesville, Virginia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F. Winston","family":"Gwathmey","sequence":"additional","affiliation":[{"name":"University of Virginia, Charlottesville, Virginia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7956-2123","authenticated-orcid":false,"given":"Brian C.","family":"Werner","sequence":"additional","affiliation":[{"name":"University of Virginia, Charlottesville, Virginia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joe M.","family":"Hart","sequence":"additional","affiliation":[{"name":"University of North Carolina, Chapel Hill, North Carolina, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,1,8]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1152\/japplphysiol.00091.2005"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/2325967117719041"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ptsp.2020.11.025"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/sms.13394"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/19417381241285859"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516688665"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1002\/wics.1460"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinph.2006.07.131"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2016.03.010"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465231192983"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1123\/ijspp.2023-0108"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2022-105626"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1152\/jappl.1985.59.2.309"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.humov.2020.102678"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-003-0432-1"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1177\/23259671231150938"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1152\/jappl.1979.47.2.388"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbspin.2007.01.036"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1080\/00913847.2018.1526627"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1080\/02640414.2019.1636523"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0166865"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1123\/jsr.2013-0110"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00421-001-0530-z"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.1177\/1941738120944256"},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2014.4852"},{"key":"e_1_3_2_27_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465241298917"},{"key":"e_1_3_2_28_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516652888"},{"key":"e_1_3_2_29_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2021-104861"},{"key":"e_1_3_2_30_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465221116313"},{"key":"e_1_3_2_31_2","doi-asserted-by":"publisher","DOI":"10.4085\/425-20"},{"key":"e_1_3_2_32_2","doi-asserted-by":"publisher","DOI":"10.3390\/sports9090127"},{"key":"e_1_3_2_33_2","doi-asserted-by":"publisher","DOI":"10.1002\/j.1939-4640.2001.tb02212.x"},{"key":"e_1_3_2_34_2","volume-title":"Stata Statistical Software: Release 18","author":"StataCorp","year":"2023","unstructured":"StataCorp. 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