TY - JOUR
T1 - Kinematic motion of the anterior cruciate ligament deficient knee during functionally high and low demanding tasks
AU - Takeda, Kentaro
AU - Hasegawa, Takayuki
AU - Kiriyama, Yoshimori
AU - Matsumoto, Hideo
AU - Otani, Toshiro
AU - Toyama, Yoshiaki
AU - Nagura, Takeo
PY - 2014/7/18
Y1 - 2014/7/18
N2 - The purpose of this study was to determine whether mechanical adaptations were present in patients with anterior cruciate ligament (ACL)-deficient knees during high-demand activities. Twenty-two subjects with unilateral ACL deficiency (11 males and 11 females, 19.6. months after injury) performed five different activities at a comfortable speed (level walking, ascending and descending steps, jogging, jogging to a 90-degree side cutting toward the opposite direction of the tested side). Three-dimensional knee kinematics for the ACL-deficient knees and uninjured contralateral knees were evaluated using the Point Cluster Technique. There was no significant difference in knee flexion angle, but an offset toward the knee in less valgus and more external tibial rotation was observed in the ACL-deficient knee. The tendency was more obvious in high demand motions, and a significant difference was clearly observed in the side cutting motions. These motion patterns, with the knee in less valgus and more external tibial rotation, are proposed to be an adaptive movement to avoid pivot shift dynamically, and reveal evidence in support of a dynamic adaptive motion occurring in ACL-deficient knees.
AB - The purpose of this study was to determine whether mechanical adaptations were present in patients with anterior cruciate ligament (ACL)-deficient knees during high-demand activities. Twenty-two subjects with unilateral ACL deficiency (11 males and 11 females, 19.6. months after injury) performed five different activities at a comfortable speed (level walking, ascending and descending steps, jogging, jogging to a 90-degree side cutting toward the opposite direction of the tested side). Three-dimensional knee kinematics for the ACL-deficient knees and uninjured contralateral knees were evaluated using the Point Cluster Technique. There was no significant difference in knee flexion angle, but an offset toward the knee in less valgus and more external tibial rotation was observed in the ACL-deficient knee. The tendency was more obvious in high demand motions, and a significant difference was clearly observed in the side cutting motions. These motion patterns, with the knee in less valgus and more external tibial rotation, are proposed to be an adaptive movement to avoid pivot shift dynamically, and reveal evidence in support of a dynamic adaptive motion occurring in ACL-deficient knees.
KW - Adaptation
KW - Anterior cruciate ligament
KW - Knee kinematics
KW - Motion analysis
KW - Pivot shift
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U2 - 10.1016/j.jbiomech.2014.03.027
DO - 10.1016/j.jbiomech.2014.03.027
M3 - Article
C2 - 24837218
AN - SCOPUS:84902183787
VL - 47
SP - 2526
EP - 2530
JO - Journal of Biomechanics
JF - Journal of Biomechanics
SN - 0021-9290
IS - 10
ER -