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Samband mellan anterior knälaxitet och funktion vad sport- och fritidsaktiviteter samt knärelaterad livskvalitet efter främre korsbandsrekonstruktion: en jämförelse mellan män och kvinnor
Swedish School of Sport and Health Sciences, GIH, Department of Sport and Health Sciences.
2013 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
Correlations between anterior knee laxity, function in sport and recreation activities and knee-related quality of life after anterior cruciate ligament reconstruction : a comparison between men and women (English)
Abstract [sv]

Syfte

Syftet med denna studie var att klarlägga om det finns något samband mellan anterior knälaxitet, mätt med KT-1000, och "funktion i sport och fritid" respektive "knärelaterad livskvalitet", enligt Knee injury and Osteoarthrits Outcome Score (KOOS), 6-8 månader efter en främre korsbandsrekonstruktion. Ett annat syfte var att studera om det föreligger någon könsskillnad avseende dessa parametrar.

Metod

Denna undersökning är baserad på ett prospektivt insamlat registermaterial från Svenska korsbandsregistret samt från Capio Artro Clinic´s IT-register avseende patienter som genomgått främre korsbandsrekonstruktion med hamstringsgraft.

Urvalet av patienterna (18-35 år) gjordes konsekutivt under åren 2010-2011 bland de ortopedkirurger som gjort flest antal operationer under denna period, vilket kom att omfatta 427 patienter. Baserat på inklusions- och exklusionskriterier kvarstod 100 patienter. En powerberäkning visade på behov av 58 patienter, 29 män och 29 kvinnor. En jämn fördelning, mellan män och kvinnor gjordes genom lottning. Anterior knälaxitet utvärderades med KT-1000 och "funktion i sport och fritid" samt "knärelaterad livskvalitet" med KOOS, 6-8 månader efter operation.

Resultat

Resultaten visade att anterior knälaxitet minskade i det opererade knäet samt att KOOS delskalor, "funktion i sport- och fritid" samt "knärelaterad livskvalitet" förbättrades. Inget samband kunde påvisas mellan anterior knälaxitet "funktion i sport- och fritid" och "knärelaterad livskvalitet", oavsett kön.

Slutsats

Vid utvärdering 6-8 månader efter främre korsbandsrekonstruktion påvisades inga signifikanta könsskillnader, varken gällande minskad knälaxitet eller förbättrad "funktion i idrott och fritid" respektive "knärelaterad livskvalitet".

Inget samband förelåg mellan anterior knälaxitet och "funktion i sport- och fritid" samt "knärelaterad livskvalitet" enligt KOOS.

Abstract [en]

Aim

The purpose of the present study was to find out whether there were any correlations between anterior knee laxity, measured with KT-1000 arthrometer, and the subscales "function in sport and recreation" and "quality of life" according to Knee injury and Osteoarthritis Outcome Score (KOOS) after an anterior cruciate ligament (ACL) reconstruction. Another purpose was to study whether there was a gender difference with respect to these parameters.

Method

This study was based on prospectively collected data from the Swedish ACL-register and the Capio Artro Clinic IT-register of patients who have undergone ACL reconstruction with hamstrings graft. The patients (18-35 years) who were operated on by those orthopedic surgeons who had performed the highest number of ACL reconstructions during 2010 and 2011 were consecutively selected. This material was represented by 427 patients. After the inclusion-and exclusion criteria 100 patients finally remained as participants of the study. A power analysis showed a need for a total of 58 patients, 29 men and 29 women. An even distribution between men and women was randomly performed by lottery draw. The patients were evaluated with the KT-1000 as well as with KOOS subscales "function in sports and recreation" and "quality of life" 6-8 months after surgery.

Results

The results showed that anterior knee laxity, measured with KT-1000, was reduced in the operated knee and "function in sports and recreation" as well as "quality of life" according to KOOS was improved 6-8 months post-operatively. No significant differences were noted between men and women concerning all studied parameters. No correlations were shown between anterior knee laxity and "function in sports and recreation" as well as "quality of life".

Conclusion

No significant differences in terms of gender were found in any of the studied parameters 6-8 months after ACL reconstruction. No correlations were shown between anterior knee laxity and "function in sports and recreation" and "quality of life" according to KOOS.

Place, publisher, year, edition, pages
2013.
Series
Examensarbete, 2013:53
National Category
Sport and Fitness Sciences Physiotherapy
Identifiers
URN: urn:nbn:se:gih:diva-3080OAI: oai:DiVA.org:gih-3080DiVA: diva2:667760
Educational program
Magisterprogrammet i idrottsvetenskap med inriktning mot idrottsmedicin
Presentation
2013-05-30, Gymnastik och Idrottshögskolan, Stockholm, 15:31 (Swedish)
Supervisors
Examiners
Available from: 2013-12-03 Created: 2013-11-27 Last updated: 2013-12-03Bibliographically approved

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Samband mellan anterior knälaxitet och funktion vid sport- och fritidsaktiviteter samt knärelaterad livskvalitet efter främre korsbandsrekonstruktion.(877 kB)342 downloads
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Citation style
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