Gait Analysis and Knee Kinematics in Patients with Anterior Cruciate Ligament Rupture: Before and After Reconstruction
The objective of the study was to evaluate the clinical, functional, and biomechanical symptoms in patients with anterior cruciate ligament (ACL) rupture before and after ACL reconstruction. The study enrolled 20 patients and 20 healthy subjects as controls. Walking biomechanics was assessed at thre...
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MDPI AG
2020-05-01
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| Online Access: | https://www.mdpi.com/2076-3417/10/10/3378 |
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| author | Dmitry Skvortsov Sergey Kaurkin Alexander Akhpashev Aljona Altukhova Alexander Troitskiy Nikolay Zagorodniy |
| author_facet | Dmitry Skvortsov Sergey Kaurkin Alexander Akhpashev Aljona Altukhova Alexander Troitskiy Nikolay Zagorodniy |
| author_sort | Dmitry Skvortsov |
| collection | DOAJ |
| description | The objective of the study was to evaluate the clinical, functional, and biomechanical symptoms in patients with anterior cruciate ligament (ACL) rupture before and after ACL reconstruction. The study enrolled 20 patients and 20 healthy subjects as controls. Walking biomechanics was assessed at three time points: before surgery and three months and a year or more after surgical reconstruction. Impact loads on both sides differed significantly from the respective values before surgery (p<0.05). Walking cycle duration decreased with time after surgery. On both sides (affected and unaffected), hip movement amplitudes were significantly smaller than in control (p<0.05). They remained so in the follow-up periods after the reconstruction. Before ACL reconstruction, the amplitude of the main flexion of the knee was significantly reduced both on the affected and unaffected sides. The amplitude gradually increased after the reconstruction, and a year post-surgery, it reached, on the operated side, the same values as in the control group. Complete functional recovery of the knee joint was not achieved within a year after the ACL surgical reconstruction. The remaining changes, however, were not clinically pronounced and could only be detected by instrumental gait analysis. The compensatory processes developed bilaterally, in both the hip and knee joints. |
| first_indexed | 2024-03-10T19:51:10Z |
| format | Article |
| id | doaj.art-08da455e6e20445c9043a14af3cb8a66 |
| institution | Directory Open Access Journal |
| issn | 2076-3417 |
| language | English |
| last_indexed | 2024-03-10T19:51:10Z |
| publishDate | 2020-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Applied Sciences |
| spelling | doaj.art-08da455e6e20445c9043a14af3cb8a662023-11-20T00:19:57ZengMDPI AGApplied Sciences2076-34172020-05-011010337810.3390/app10103378Gait Analysis and Knee Kinematics in Patients with Anterior Cruciate Ligament Rupture: Before and After ReconstructionDmitry Skvortsov0Sergey Kaurkin1Alexander Akhpashev2Aljona Altukhova3Alexander Troitskiy4Nikolay Zagorodniy5Rehabilitology and Sport medicine Department, Pirogov Russian National Research Medical University (RNRMU), ul. Ostrovitianova, 1, Moscow 117513, RussiaRehabilitology and Sport medicine Department, Pirogov Russian National Research Medical University (RNRMU), ul. Ostrovitianova, 1, Moscow 117513, RussiaFederal Research and Clinical Centre of Russia’s Federal Medical-Biological Agency (FNKC FMBA), Orekhoviy bulvar, 28, Moscow 115682, RussiaFederal Research and Clinical Centre of Russia’s Federal Medical-Biological Agency (FNKC FMBA), Orekhoviy bulvar, 28, Moscow 115682, RussiaFederal Research and Clinical Centre of Russia’s Federal Medical-Biological Agency (FNKC FMBA), Orekhoviy bulvar, 28, Moscow 115682, RussiaNational Medical Research Center of Traumatology and Orthopedics N.N. Priorova, Volga research medical University; pl. Minin and Pozharsky, 10/1, Nizhny Novgorod 603005, RussiaThe objective of the study was to evaluate the clinical, functional, and biomechanical symptoms in patients with anterior cruciate ligament (ACL) rupture before and after ACL reconstruction. The study enrolled 20 patients and 20 healthy subjects as controls. Walking biomechanics was assessed at three time points: before surgery and three months and a year or more after surgical reconstruction. Impact loads on both sides differed significantly from the respective values before surgery (p<0.05). Walking cycle duration decreased with time after surgery. On both sides (affected and unaffected), hip movement amplitudes were significantly smaller than in control (p<0.05). They remained so in the follow-up periods after the reconstruction. Before ACL reconstruction, the amplitude of the main flexion of the knee was significantly reduced both on the affected and unaffected sides. The amplitude gradually increased after the reconstruction, and a year post-surgery, it reached, on the operated side, the same values as in the control group. Complete functional recovery of the knee joint was not achieved within a year after the ACL surgical reconstruction. The remaining changes, however, were not clinically pronounced and could only be detected by instrumental gait analysis. The compensatory processes developed bilaterally, in both the hip and knee joints.https://www.mdpi.com/2076-3417/10/10/3378anterior cruciate ligamentbiomechanics of walkingrehabilitation |
| spellingShingle | Dmitry Skvortsov Sergey Kaurkin Alexander Akhpashev Aljona Altukhova Alexander Troitskiy Nikolay Zagorodniy Gait Analysis and Knee Kinematics in Patients with Anterior Cruciate Ligament Rupture: Before and After Reconstruction Applied Sciences anterior cruciate ligament biomechanics of walking rehabilitation |
| title | Gait Analysis and Knee Kinematics in Patients with Anterior Cruciate Ligament Rupture: Before and After Reconstruction |
| title_full | Gait Analysis and Knee Kinematics in Patients with Anterior Cruciate Ligament Rupture: Before and After Reconstruction |
| title_fullStr | Gait Analysis and Knee Kinematics in Patients with Anterior Cruciate Ligament Rupture: Before and After Reconstruction |
| title_full_unstemmed | Gait Analysis and Knee Kinematics in Patients with Anterior Cruciate Ligament Rupture: Before and After Reconstruction |
| title_short | Gait Analysis and Knee Kinematics in Patients with Anterior Cruciate Ligament Rupture: Before and After Reconstruction |
| title_sort | gait analysis and knee kinematics in patients with anterior cruciate ligament rupture before and after reconstruction |
| topic | anterior cruciate ligament biomechanics of walking rehabilitation |
| url | https://www.mdpi.com/2076-3417/10/10/3378 |
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