Beyond weakness: Exploring intramuscular fat and quadriceps atrophy in ACLR recovery.

Details

Serval ID
serval:BIB_D38E632BF3AA
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Beyond weakness: Exploring intramuscular fat and quadriceps atrophy in ACLR recovery.
Journal
Journal of orthopaedic research
Author(s)
White M.S., Ogier A.C., Chenevert T.L., Zucker E., Stoneback L., Michel C.P., Palmieri-Smith R.M., Lepley L.K.
ISSN
1554-527X (Electronic)
ISSN-L
0736-0266
Publication state
Published
Issued date
11/2024
Peer-reviewed
Oui
Volume
42
Number
11
Pages
2485-2494
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Muscle weakness following anterior cruciate ligament reconstruction (ACLR) increases the risk of posttraumatic osteoarthritis (OA). However, focusing solely on muscle weakness overlooks other aspects like muscle composition, which could hinder strength recovery. Intramuscular fat is a non-contractile element linked to joint degeneration in idiopathic OA, but its role post-ACLR has not been thoroughly investigated. To bridge this gap, we aimed to characterize quadriceps volume and intramuscular fat in participants with ACLR (male/female = 15/9, age = 22.8 ± 3.6 years, body mass index [BMI] = 23.2 ± 1.9, time since surgery = 3.3 ± 0.9 years) and in controls (male/female = 14/10, age = 22.0 ± 3.1 years, BMI = 23.3 ± 2.6) while also exploring the associations between intramuscular fat and muscle volume with isometric strength. Linear mixed effects models assessed (I) muscle volume, (II) intramuscular fat, and (III) strength between limbs (ACLR vs. contralateral vs. control). Regression analyses were run to determine if intramuscular fat or volume were associated with quadriceps strength. The ACLR limb was 8%-11% smaller than the contralateral limb (p < 0.05). No between-limb differences in intramuscular fat were observed (p = 0.091-0.997). Muscle volume but not intramuscular fat was associated with strength in the ACLR and control limbs (p < 0.001-0.002). We demonstrate that intramuscular fat does not appear to be an additional source of quadriceps dysfunction following ACLR and that muscle size only explains some of the variance in muscle strength.
Keywords
Humans, Male, Quadriceps Muscle/pathology, Quadriceps Muscle/physiopathology, Female, Adult, Young Adult, Muscular Atrophy/etiology, Muscular Atrophy/physiopathology, Anterior Cruciate Ligament Reconstruction/adverse effects, Adipose Tissue, Muscle Weakness/etiology, Muscle Weakness/physiopathology, Case-Control Studies, Muscle Strength, Adolescent, ACL, knee, ligament, muscle, rehabilitation
Pubmed
Web of science
Create date
14/06/2024 8:59
Last modification date
25/10/2024 14:56
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