The influence of altered lower-limb muscle strength on dynamic
plantar pressure distribution in participants who underwent
anterior cruciate ligament reconstruction

J 2025

The influence of altered lower-limb muscle strength on dynamic plantar pressure distribution in participants who underwent anterior cruciate ligament reconstruction

MATOV, Karolína; Michal BOZDĚCH; Marta GIMUNOVÁ; Martin KOMZÁK; Marek DOSTÁL et al.

Základní údaje

Originální název

The influence of altered lower-limb muscle strength on dynamic plantar pressure distribution in participants who underwent anterior cruciate ligament reconstruction

Autoři

MATOV, Karolína; Michal BOZDĚCH ; Marta GIMUNOVÁ; Martin KOMZÁK; Marek DOSTÁL; Miloslav MARŠÁLEK; Tomáš VESPALEC; Milan MOJŽÍŠ a Tomáš VODIČKA

Vydání

Frontiers in Sports and Active Living, FRONTIERS MEDIA SA, 2025, 2624-9367

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30306 Sport and fitness sciences

Stát vydavatele

Švýcarsko

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Impakt faktor

Impact factor: 2.600 v roce 2024

Organizační jednotka

Fakulta sportovních studií

DOI

https://doi.org/10.3389/fspor.2025.1569129

UT WoS

001562287500001

EID Scopus

2-s2.0-105014809644

Klíčová slova česky

anterior cruciate ligament reconstruction; plantar pressure; muscle strength; isokinetic dynamometry; return-to-the-sport criteria; asymmetries; injury

Klíčová slova anglicky

anterior cruciate ligament reconstruction; plantar pressure; muscle strength; isokinetic dynamometry; return to the sport criteria; asymmetries; injury

Změněno: 15. 9. 2025 09:43, Mgr. Pavlína Roučová, DiS.

Anotace

V originále

Introduction: Deficits in lower-limb muscle strength and altered gait mechanics are common after anterior cruciate ligament reconstruction (ACL). While isokinetic strength testing is widely accepted in return-to-sport assessment, the role of plantar pressure analysis in detecting compensatory gait strategies remains underexplored. Methods: This study included 10 male patients (30.27 ± 5.59 years; 178.37 ± 6.30 cm; 84.85 ± 10.74 kg) who underwent ACL reconstruction using bone–patellar tendon–bone autografts. Assessments were performed preoperatively and at 3 and 6 months postoperatively, evaluating isokinetic knee strength and plantar pressure distribution during barefoot level walking. Non-parametric Friedman tests with Kendall's W assessed temporal differences, followed by Conover post hoc tests with Bonferroni correction. Spearman's rank correlation examined associations between muscle strength and plantar pressure. Results: Significant deficits in extensor strength were found at both postoperative time points compared to preoperative levels (both p < .001), with improvement at six months vs. three (p < .001). Flexor strength showed a similar but less pronounced recovery (p = .005). Plantar pressure analysis revealed changes relative to baseline: reduced hindfoot contact area at six months (p = .035), decreased midfoot maximum force at three (p = .047) and six months (p = .026), and lower peak pressure under the fifth metatarsal head at six months (p = .035). No significant correlations emerged between muscle strength and plantar pressure parameters. Discussion: These findings suggest plantar pressure analysis may complement return-to-sport evaluation by revealing hindfoot asymmetries persisting despite strength recovery. However, as dynamic plantar pressure parameters do not reflect quadriceps or hamstring status reliably, they cannot replace standard tests like isokinetic dynamometry. Combining plantar pressure metrics with conventional strength and functional assessments may better identify residual gait deficits and guide targeted rehabilitation to lower reinjury risk.

Návaznosti

MUNI/A/1670/2020, interní kód MU

Název: Analýza funkčních biomechanických faktorů ovlivňujících rehabilitaci po plastice předního zkříženého vazu kolenního kloubu (Akronym: ACL)

Investor: Masarykova univerzita, Analýza funkčních biomechanických faktorů ovlivňujících rehabilitaci po plastice předního zkříženého vazu kolenního kloubu

Přiložené soubory

fspor-1-1569129.pdf

Požádat o autorskou verzi souboru

Citovat

MATOV, Karolína; Michal BOZDĚCH; Marta GIMUNOVÁ; Martin KOMZÁK; Marek DOSTÁL; Miloslav MARŠÁLEK; Tomáš VESPALEC; Milan MOJŽÍŠ a Tomáš VODIČKA. The influence of altered lower-limb muscle strength on dynamic plantar pressure distribution in participants who underwent anterior cruciate ligament reconstruction. Frontiers in Sports and Active Living. FRONTIERS MEDIA SA, 2025, roč. 7, č. 2025, s. 1-8. ISSN 2624-9367. Dostupné z: https://doi.org/10.3389/fspor.2025.1569129.

@article{2514979,
   author = {Matov, Karolína and Bozděch, Michal and Gimunová, Marta and Komzák, Martin and Dostál, Marek and Maršálek, Miloslav and Vespalec, Tomáš and Mojžíš, Milan and Vodička, Tomáš},
   article_number = {2025},
   doi = {https://doi.org/10.3389/fspor.2025.1569129},
   keywords = {anterior cruciate ligament reconstruction; plantar pressure; muscle strength; isokinetic dynamometry; return to the sport criteria; asymmetries; injury},
   language = {eng},
   issn = {2624-9367},
   journal = {Frontiers in Sports and Active Living},
   title = {The influence of altered lower-limb muscle strength on dynamic plantar pressure distribution in participants who underwent anterior cruciate ligament reconstruction},
   url = {https://www.frontiersin.org/journals/sports-and-active-living/articles/10.3389/fspor.2025.1569129/full},
   volume = {7},
   year = {2025}
}

TY  - JOUR
ID  - 2514979
AU  - Matov, Karolína - Bozděch, Michal - Gimunová, Marta - Komzák, Martin - Dostál, Marek - Maršálek, Miloslav - Vespalec, Tomáš - Mojžíš, Milan - Vodička, Tomáš
PY  - 2025
TI  - The influence of altered lower-limb muscle strength on dynamic plantar pressure distribution in participants who underwent anterior cruciate ligament reconstruction
JF  - Frontiers in Sports and Active Living
VL  - 7
IS  - 2025
SP  - 1-8
EP  - 1-8
PB  - FRONTIERS MEDIA SA
SN  - 26249367
KW  - anterior cruciate ligament reconstruction
KW  - plantar pressure
KW  - muscle strength
KW  - isokinetic dynamometry
KW  - return to the sport criteria
KW  - asymmetries
KW  - injury
UR  - https://www.frontiersin.org/journals/sports-and-active-living/articles/10.3389/fspor.2025.1569129/full
N2  - Introduction: Deficits in lower-limb muscle strength and altered gait mechanics are common after anterior cruciate ligament reconstruction (ACL). While isokinetic strength testing is widely accepted in return-to-sport assessment, the role of plantar pressure analysis in detecting compensatory gait strategies remains underexplored. Methods: This study included 10 male patients (30.27 ± 5.59 years; 178.37 ± 6.30 cm; 84.85 ± 10.74 kg) who underwent ACL reconstruction using bone–patellar tendon–bone autografts. Assessments were performed preoperatively and at 3 and 6 months postoperatively, evaluating isokinetic knee strength and plantar pressure distribution during barefoot level walking. Non-parametric Friedman tests with Kendall's W assessed temporal differences, followed by Conover post hoc tests with Bonferroni correction. Spearman's rank correlation examined associations between muscle strength and plantar pressure. Results: Significant deficits in extensor strength were found at both postoperative time points compared to preoperative levels (both p < .001), with improvement at six months vs. three (p < .001). Flexor strength showed a similar but less pronounced recovery (p = .005). Plantar pressure analysis revealed changes relative to baseline: reduced hindfoot contact area at six months (p = .035), decreased midfoot maximum force at three (p = .047) and six months (p = .026), and lower peak pressure under the fifth metatarsal head at six months (p = .035). No significant correlations emerged between muscle strength and plantar pressure parameters. Discussion: These findings suggest plantar pressure analysis may complement return-to-sport evaluation by revealing hindfoot asymmetries persisting despite strength recovery. However, as dynamic plantar pressure parameters do not reflect quadriceps or hamstring status reliably, they cannot replace standard tests like isokinetic dynamometry. Combining plantar pressure metrics with conventional strength and functional assessments may better identify residual gait deficits and guide targeted rehabilitation to lower reinjury risk.
ER  -

MATOV, Karolína; Michal BOZDĚCH; Marta GIMUNOVÁ; Martin KOMZÁK; Marek DOSTÁL; Miloslav MARŠÁLEK; Tomáš VESPALEC; Milan MOJŽÍŠ a Tomáš VODIČKA. The influence of altered lower-limb muscle strength on dynamic plantar pressure distribution in participants who underwent anterior cruciate ligament reconstruction. \textit{Frontiers in Sports and Active Living}. FRONTIERS MEDIA SA, 2025, roč.~7, č.~2025, s.~1-8. ISSN~2624-9367. Dostupné z: https://doi.org/10.3389/fspor.2025.1569129.

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