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Reflex inhibition of the quadriceps femoris muscle after injury or reconstruction of the anterior cruciate ligament

The Journal of Bone & Joint Surgery.  1994; 76:555-560 
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Abstract

A burst-superimposition technique was used to assess the strength of the quadriceps femoris muscle in three groups of patients. Group 1 comprised twenty patients who had had a torn anterior cruciate ligament of the knee and had a reconstruction of the ligament one to six months after the injury. Group 2 comprised twelve patients who had had a torn anterior cruciate ligament for an average of three months (a subacute tear). Group 3 comprised eight patients who had had a torn anterior cruciate ligament for an average of two years (a chronic tear). The patients in Groups 2 and 3 had not had an operation for the torn ligament. The patients in Groups 1 and 3 had no evidence of failure of activation of the involved quadriceps, but nine of the twelve patients in Group 2 had reflex inhibition of contraction of the muscle.

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    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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