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Does the one-leg rise test reflect quadriceps strength in individuals following ACL reconstruction

Brief summary, from the abstract

In people recovering from ACL reconstruction, how many repetitions you can do on the one-leg rise test does track with quadriceps strength, making it a useful no-equipment way to gauge strength recovery. The link is non-linear, with the test telling you less at high repetition counts.

  • Cross-sectional study of 100 participants (50 female, 50 male), aged 18 to 40 years, tested 9 to 36 months after ACL reconstruction.
  • One-leg rise repetitions showed an increasing but non-linear association with quadriceps strength, with diminishing returns at higher repetition counts.
  • On the reconstructed limb the relationship was modest to moderate (per-repetition slope beta = 0.15, 95% CI 0.10 to 0.20; adjusted r-squared = 0.51); on the other limb beta = 0.14 (95% CI 0.08 to 0.19; r-squared = 0.42).
  • This is a single cross-sectional study, and the authors note that other factors such as motivation and endurance likely influence performance at higher repetition counts.
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