Assessing the predictive value of preoperative knee function tests and self-report scores in anterior cruciate ligament injury recovery

Loureiro-Nuno, Sérgio Miguel; Romero-Morales, Carlos; López-López, Daniel; Losa-Iglesias, Marta Elena; Becerro-de-Bengoa-Vallejo, Ricardo; Gómez-Salgado, Juan; Guerra, João; Saavedra-García, Miguel Ángel

http://hdl.handle.net/10400.21/21733

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Authors

Loureiro-Nuno, Sérgio Miguel

Romero-Morales, Carlos

López-López, Daniel

Losa-Iglesias, Marta Elena

Becerro-de-Bengoa-Vallejo, Ricardo

Gómez-Salgado, Juan

Guerra, João

Saavedra-García, Miguel Ángel

Abstract(s)

Background: The ability to identify patients with long-term poor outcomes using clinical and functional information is limited. Identifying prognostic factors to improve long-term outcomes after anterior cruciate ligament (ACL) injury can influence and inform targeted interventions for this population. Hypothesis: Preoperative functional tests and patient-reported outcome measures predict postoperative functional recovery and satisfaction in patients undergoing first-time ACL repair, second-time ACL repair on the same knee, and bilateral ACL repair. Study design: Quasi-experimental prospective study. Level of evidence: Level 3. Methods: A total of 88 patients with ACL reconstruction were included. Subjective knee scoring systems and functional performance tests were evaluated and analyzed for correlation with results. Results: The first-time ACL injury group had lower scores in the various self-report scales: Knee injury and Osteoarthritis Outcome Score (KOOS), Lysholm Rating Scale, International Knee Documentation Committee (IKDC), and Lower Extremity Functional Scale (LEFS). Conclusion: Reduction in self-reported knee function and Y balance test performance after ACL injury are predictive factors for recovery. Estimates exceeded clinically important thresholds. Those who had already undergone surgery had clinically better thresholds, highlighting the assessment of these measures when designing presurgical rehabilitation programs.

Keywords

Anterior cruciate ligament Functional outcome scores Knee Patient-reportes outcome measures Preoperative procedures

URI

http://hdl.handle.net/10400.21/21733

Citation

Loureiro-Nuno SM, Romero-Morales C, López-López D, Losa-Iglesias ME, Becerro-de-Bengoa-Vallejo R, Gómez-Salgado J, et al. Assessing the predictive value of preoperative knee function tests and self-report scores in anterior cruciate ligament injury recovery. Sports Health. 2025 Mar 27:19417381251326602. Epub ahead of print.