Impact of anterior cruciate ligament injury on functional capacity and pain: an analysis differentiated by age and gender

Anterior cruciate ligament (ACL) injuries significantly impact knee function, particularly in active populations. This study explores functional capacity and pain post-ACL reconstruction in relation to age, gender, and physical activity. A total of 41 participants who underwent ACL reconstruction were analyzed. Data were collected on age, sex, physical activity level, and pain frequency/intensity. The sample included 56.10% women (n=23) with an average age of 30.27 ± 10.18 years. Among the participants, 19.51% engaged in light activity, 26.83% in moderate, 7.32% in vigorous, 24.39% in very vigorous, and 21.95% were unable to perform any activity. Significant age differences were observed in moderate activity (p = 0.017), with older women more likely to engage in moderate activity. Logistic regression revealed age as a key factor affecting activity level (p < 0.05), and sex had marginal significance (p ≈ 0.054), suggesting men may perform more intense activities. Pain frequency and intensity showed weak correlations with age (p > 0.05), but women reported higher pain levels than men. The average functional ability dropped from 8.73 before the injury to 5.80 post-surgery. Men reported more pain than women, although t-tests showed no statistically significant differences between genders in functional capacity before or after surgery. ACL reconstruction reduces knee function across genders, with men reporting higher pain intensity. Age significantly impacts activity level, emphasizing the need for targeted rehabilitation strategies. Post-surgical recovery programs should consider individual differences in age and sex to optimize outcomes and enhance recovery.