{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T10:30:36Z","timestamp":1789468236825,"version":"build-2803163510"},"reference-count":59,"publisher":"MDPI AG","issue":"20","license":[{"start":{"date-parts":[[2022,10,17]],"date-time":"2022-10-17T00:00:00Z","timestamp":1665964800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Background and objectives: Muscle knee strength is a major parameter that allows return to running. Isokinetic strength parameters may predict return to running 4 months after ACLR using the bone\u2013patellar\u2013tendon\u2013bone procedure. Materials and methods: The isokinetic knee strength of 216 patients (24.5 \u00b1 5 years) was measured 4 months after surgery, and progressive return to running was allowed. The effectiveness of return to running was reported at 6 months. Return to running prediction was established using multivariate logistic regression. Predictive parameters were presented with a ROC curve area to define the best cut-off, with sensibility (Se) and specificity (Sp). Results: A model was established, including the limb symmetry index (LSI), and 103 patients (47.6%) were able to run between the fourth and the sixth month after surgery. These patients presented significantly fewer knee complications, a better Lysholm score, a better Quadriceps and Hamstring LSI and better quadriceps strength reported for body weight on the operated limb. The best model was established including the Quadriceps and Hamstring LSI at 60\u00b0\/s and the Lysholm score. The cut-off for Quadriceps LSI was 60% (ROC curve area: 0.847; Se: 77.5%; Sp: 77%), for Hamstring LSI 90% (ROC curve area: 0.716; Se: 65.7%; Sp: 60.2%) and for Lyshom score 97 points (ROC curve area: 0.691; Se: 65%; Sp: 66%). Conclusion: Four months after ACLR using a bone\u2013patellar\u2013tendon\u2013bone procedure, the Quadriceps and Hamstring LSI associated to the Lysholm score could help make the decision to allow return to running.<\/jats:p>","DOI":"10.3390\/ijerph192013396","type":"journal-article","created":{"date-parts":[[2022,10,17]],"date-time":"2022-10-17T21:11:51Z","timestamp":1666041111000},"page":"13396","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Knee Strength Assessment and Clinical Evaluation Could Predict Return to Running after Anterior Cruciate Ligament Reconstruction Using Patellar Tendon Procedure"],"prefix":"10.3390","volume":"19","author":[{"given":"Marc","family":"Dauty","sequence":"first","affiliation":[{"name":"Service de M\u00e9decine Physique et R\u00e9adapatation Locomotrice et Respiratoire, CHU Nantes, Nantes Universit\u00e9, 44093 Nantes, France"},{"name":"Service de M\u00e9decine du Sport, CHU Nantes, Nantes Universit\u00e9, 44093 Nantes, France"},{"name":"IRMS, Institut R\u00e9gional de M\u00e9decine du Sport, 44093 Nantes, France"},{"name":"Inserm UMR 1229, Regenerative Medicine and Skeleton, RMeS, Nantes Universit\u00e9, 44042 Nantes, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierre","family":"Menu","sequence":"additional","affiliation":[{"name":"Service de M\u00e9decine Physique et R\u00e9adapatation Locomotrice et Respiratoire, CHU Nantes, Nantes Universit\u00e9, 44093 Nantes, France"},{"name":"Service de M\u00e9decine du Sport, CHU Nantes, Nantes Universit\u00e9, 44093 Nantes, France"},{"name":"IRMS, Institut R\u00e9gional de M\u00e9decine du Sport, 44093 Nantes, France"},{"name":"Inserm UMR 1229, Regenerative Medicine and Skeleton, RMeS, Nantes Universit\u00e9, 44042 Nantes, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9125-051X","authenticated-orcid":false,"given":"Pauline","family":"Daley","sequence":"additional","affiliation":[{"name":"Service de M\u00e9decine Physique et R\u00e9adapatation Locomotrice et Respiratoire, CHU Nantes, Nantes Universit\u00e9, 44093 Nantes, France"},{"name":"Service de M\u00e9decine du Sport, CHU Nantes, Nantes Universit\u00e9, 44093 Nantes, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00e9r\u00f4me","family":"Grondin","sequence":"additional","affiliation":[{"name":"Service de M\u00e9decine Physique et R\u00e9adapatation Locomotrice et Respiratoire, CHU Nantes, Nantes Universit\u00e9, 44093 Nantes, France"},{"name":"Service de M\u00e9decine du Sport, CHU Nantes, Nantes Universit\u00e9, 44093 Nantes, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yonis","family":"Quinette","sequence":"additional","affiliation":[{"name":"Clinique Chirurgicale Orthop\u00e9dique et Traumatologique, CHU Nantes, Nantes Universit\u00e9, 44000 Nantes, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6563-8895","authenticated-orcid":false,"given":"Vincent","family":"Crenn","sequence":"additional","affiliation":[{"name":"Clinique Chirurgicale Orthop\u00e9dique et Traumatologique, CHU Nantes, Nantes Universit\u00e9, 44000 Nantes, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8139-814X","authenticated-orcid":false,"given":"Alban","family":"Fouasson-Chailloux","sequence":"additional","affiliation":[{"name":"Service de M\u00e9decine Physique et R\u00e9adapatation Locomotrice et Respiratoire, CHU Nantes, Nantes Universit\u00e9, 44093 Nantes, France"},{"name":"Service de M\u00e9decine du Sport, CHU Nantes, Nantes Universit\u00e9, 44093 Nantes, France"},{"name":"IRMS, Institut R\u00e9gional de M\u00e9decine du Sport, 44093 Nantes, France"},{"name":"Inserm UMR 1229, Regenerative Medicine and Skeleton, RMeS, Nantes Universit\u00e9, 44042 Nantes, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,10,17]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1502","DOI":"10.1177\/0363546516629944","article-title":"Incidence of Anterior Cruciate Ligament Tears and Reconstruction: A 21-Year Population-Based Study","volume":"44","author":"Sanders","year":"2016","journal-title":"Am. 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