TITLE

Evaluation of gait kinematics and symmetry during the first two stages of physiotherapy after anterior cruciate ligament reconstruction

AUTHOR(S)
WINIARSKI, SLAWOMIR; CZAMARA, ANDRZEJ
PUB. DATE
June 2012
SOURCE
Acta of Bioengineering & Biomechanics;2012, Vol. 14 Issue 2, p91
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
One of the primary goals of physiotherapy after anterior cruciate ligament (ACL) reconstruction is to restore of the patient's normal gait patterns. However, to date, only a limited number of studies have examined gait during physiotherapeutic procedures following ACL reconstruction. Thus, the objective of the present study was to evaluate gait kinematics and symmetry in male patients after ACL reconstruction during the first two stages of their physiotherapy programme. Ninety-seven males, including 53 patients after primary ACL reconstruction in one limb and 44 healthy controls, participated in the study. The patients were examined using a movement analysis system during their physiotherapeutic programme (from the 2nd to the 12th week following reconstruction). Some selected parameters of gait kinematics, a dynamic range of movement in the knee joint and gait asymmetry coefficients were evaluated. During the 12th week of physiotherapy, a mean gait velocity increased by more than 0.97 m/s compared to that obtained during the 2nd week of physiotherapy. A statistically significant increase in the relative length of stance phase was observed in the involved extremity, from 36.1% to 62.7% (P = 0.01); the range of movement significantly improved from 25.8 degrees during the 2nd week to 63.7 degrees during the 12th week of physiotherapy. At the same time, the stance time asymmetry coefficient decreased from 68.5% to -0.4%. We observed a significant improvement in most of the gait parameters from the 2nd to the 12th week of physiotherapy after reconstruction and also in comparison to the results obtained for the control group.
ACCESSION #
83432691

 

Related Articles

  • Compliant surface after ACL reconstruction and its effects on gait. Lisboa Tellini, Tamires; Oliveira Lima, Karina; Regina Alouche, Sandra; Bernardi Bagesteiro, Leia // Acta Scientiarum: Health Sciences;Jul-Dec2013, Vol. 35 Issue 2, p237 

    Previous studies of gait analysis in patients following reconstructive anterior cruciate ligament (ACL) surgery have shown changes in kinematics, kinetics and energy patterns in the lower limb. Usually these patients perform complaint surface training during clinical treatment. The purpose of...

  • Kinematics of Rotation in Joints of the Lower Limbs and Pelvis during Gait: Early Results–SB ACLR Approach versus DB ACLR Approach. Czamara, Andrzej; Markowska, Iga; Królikowska, Aleksandra; Szopa, Andrzej; Domagalska Szopa, Małgorzata // BioMed Research International;4/1/2015, Vol. 2015, p1 

    It is difficult to find publications comparing rotation kinematics in large joints of the lower limbs and pelvis during gait in patients after single-bundle (SB) reconstruction of the anterior cruciate ligament (ACLR) with double-bundle (DB) ACLR of the knee. The aim of this study was to compare...

  • PO-RR-147-S.  // Physical Therapy;May1997, Vol. 77 Issue 5, pS48 

    Presents an abstract of a paper entitled `Knee Extensor Strength Two to Four Years Following ACL Reconstruction,' by G.R. Strauss, J.J. Boyle et al, presented at the Physical Therapy `97: Scientific Meeting and Exposition of the American Physical Therapy Association.

  • Should you brace a bum knee? Bloomquist, Michele // Shape;Apr2002, Vol. 21 Issue 8, p52 

    Examines the effect of wearing a brace after having an anterior cruciate ligament (ACL) surgery in the U.S. Assessment on ACL studies; Explanation on knees' function; Recommendation for a specialized physical therapy.

  • Double-bundle versus single-bundle ACL reconstruction using the horizontal femoral position: a prospective, randomized study. Sastre, Sergi; Popescu, Dragos; Pomes, Jaume; Tomas, Xavier; Peidro, Lluis; Núñez, Montserrat // Knee Surgery, Sports Traumatology, Arthroscopy;Jan2010, Vol. 18 Issue 1, p32 

    The aim of this study was to evaluate whether anterior cruciate ligament (ACL) reconstruction using the double bundle technique (DB) improves stability in the knee compared with the single bundle technique (SB) with the femoral tunnel in a more horizontal position (2 or 10 o’clock). We...

  • Abstracts. Thompson, Clint // Journal of Athletic Training (National Athletic Trainers' Associ;Apr-Jun99, Vol. 34 Issue 2, p210 

    Reprints the abstract of the study `The Effects of Removal and Reconstruction of the Anterior Cruciate Ligament on Patellofemoral Kinematics,' by Y. Hsieh, L.F. Draganich, et al published in the 1998 issue of the `American Journal of Sports Medicine.'

  • Hamstring tendon anterior cruciate ligament reconstruction: does gracilis tendon harvest matter? Barenius, Björn; Webster, Webster; McClelland, Jodie; Feller, Julian // International Orthopaedics;Feb2013, Vol. 37 Issue 2, p207 

    Purpose: Hamstring tendon grafts are a popular choice for anterior cruciate ligament (ACL) reconstruction. Typical morbidity reported after hamstring tendon harvest is muscle weakness in flexion, and whilst still a matter for debate, this morbidity may be greater if the gracilis tendon is...

  • The effect of anterior cruciate ligament reconstruction on lower extremity relative phase dynamics during walking and running. Kurz, Max; Stergiou, Nicholas; Buzzi, Ugo H.; Georgoulis, Anastasios D.; Kurz, Max J // Knee Surgery, Sports Traumatology, Arthroscopy;Mar2005, Vol. 13 Issue 2, p107 

    The purpose of this investigation was to use relative phase dynamics to evaluate gait in individuals with a reconstructed anterior cruciate ligament (ACL) during walking and running. Relative phase dynamics can describe the coordination strategies between the interacting segments at the lower...

  • Greater magnitude tibiofemoral contact forces are associated with reduced prevalence of osteochondral pathologies 2-3 years following anterior cruciate ligament reconstruction. Saxby, David John; Bryant, Adam L.; Van Ginckel, Ans; Wang, Yuanyuan; Wang, Xinyang; Modenese, Luca; Gerus, Pauline; Konrath, Jason M.; Fortin, Karine; Wrigley, Tim V.; Bennell, Kim L.; Cicuttini, Flavia M.; Vertullo, Christopher; Feller, Julian A.; Whitehead, Tim; Gallie, Price; Lloyd, David G. // Knee Surgery, Sports Traumatology, Arthroscopy;Mar2019, Vol. 27 Issue 3, p707 

    Purpose: External loading of osteoarthritic and healthy knees correlates with current and future osteochondral tissue state. These relationships have not been examined following anterior cruciate ligament reconstruction. We hypothesised greater magnitude tibiofemoral contact forces...

Share

Read the Article

Courtesy of

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics