Quadriceps Strength and Hamstring-to-Quadriceps Ratios in Pediatric Patients After ACL Reconstruction: Revisiting Norms from Adult Data

At 9 months after ACLR, pediatric patients demonstrated a faster rate of recovery for quadriceps strength and hop function compared with adults. Both groups exhibited similar hamstring strength deficits. The lower H:Q ratio observed in pediatric patients may indicate a higher risk of reinjury, highlighting the need for targeted rehabilitation strategies to address hamstring deficits in this population.