ORIGINAL ARTICLE

DOI: 10.15562/bmj.v9i3.2023

Patient characteristics of non-operative anterior cruciate ligament injury associated with poor knee functions on activities of daily living: a cross-sectional study

I Putu Gde Surya Adhitya , Ida Bagus Amertha Putra Manuaba, Lalu Suprawesta, Yosika Septi Mauludina, Siti Ainun Marufa

I Putu Gde Surya Adhitya
Graduate Institute of Injury Prevention and Control, College of Public Health, Taipei Medical University; Department of Physical Therapy, Faculty of Medicine, Universitas Udayana, Bali Indonesia. Email: [email protected]

Ida Bagus Amertha Putra Manuaba
PhD Candidate, Department of Education and Humanities in Medicine, International Program in Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan; Medical and Health Education Development, Faculty of Medicine, Universitas Udayana, Bali-Indonesia

Lalu Suprawesta
Graduate Institute of Injury Prevention and Control, College of Public Health, Taipei Medical University; Department of Sport and Health Education, Faculty of Sport Science and Public Health, Universitas Pendidikan Mandalika, West Nusa Tenggara-Indonesia

Yosika Septi Mauludina
Graduate Institute of Injury Prevention and Control, College of Public Health, Taipei Medical University

Siti Ainun Marufa
Department of Physical Therapy, Faculty of Health Science, Universitas Muhammadiyah Malang, East Java, Indonesia
Online First: November 03, 2020 | Cite this Article
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Adhitya, I., Manuaba, I., Suprawesta, L., Mauludina, Y., Marufa, S. 2020. Patient characteristics of non-operative anterior cruciate ligament injury associated with poor knee functions on activities of daily living: a cross-sectional study. Bali Medical Journal 9(3): 710-715. DOI:10.15562/bmj.v9i3.2023


Introduction: The ACL injury has commonly occurred in a greater number of athletes, less publication is about poor knee function and ACL injury in the patient with non-operative treatment. This study aimed to describe the characteristics of patients with ACL injury non-operative, which are associated with poor knee function on daily living activities.

Methods: We included patients with ACL injury that has been diagnosed for ACL injury by an orthopedic surgeon or physiotherapist in a hospital or private clinic. All participants were recruited from February 2019 to April 2019. The inclusion criteria were patients who at least 18 years old. We used the KOOS ADL function cut-off score ≤80 to dichotomous the patient with knee problems, and score >80 have no statistical analysis problem. We calculated using binary logistic regression on the KOOS ADL function for each variable.

Results: The mean score of KOOS daily living was 72.8 points, of which 66 participants had poor scores, and 37 were acceptable. Women were 9.2 times more likely to had poor KOOS daily living scores than men in non-operative ACL injury patients (p=0.044), and non-elite athletes had a higher possibility by 8.5 times higher than those who were participated in sports only for leisure or recreation (p=0.002).

Conclusion: This study confirmed that patients who did not undergo the ACL reconstruction had a poor knee function in daily living. It was associated with women and non-elite athlete participants, yet the concomitant injuries were possibly confounder for the association.

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