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Early Gait Biomechanics Linked to Daily Steps After Anterior Cruciate Ligament Reconstruction.

作者信息

Büttner Christin, Lisee Caroline, Buck Ashley, Bjornsen Elizabeth, Thoma Louise, Spang Jeffrey, Blackburn Troy, Pietrosimone Brian

机构信息

Department of Exercise and Sport Science.

Institute of Human Movement Science and Health, Chemnitz University of Technology, Germany.

出版信息

J Athl Train. 2025 Feb 1;60(2):92-102. doi: 10.4085/1062-6050-0464.23.


DOI:10.4085/1062-6050-0464.23
PMID:38291796
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11866786/
Abstract

CONTEXT: Gait biomechanics and daily steps are important aspects of knee-joint loading that change after anterior cruciate ligament reconstruction (ACLR). Understanding their relationship during the first 6 months post-ACLR could help clinicians develop comprehensive rehabilitation interventions that promote optimal joint loading after injury, thereby improving long-term knee-joint health. OBJECTIVES: To compare biomechanical gait waveforms throughout stance at early time points post-ACLR in individuals with different daily step behaviors at 6 months post-ACLR and to examine how these gait waveforms compare with those of uninjured controls. DESIGN: Case-control study. SETTING: Laboratory. PATIENTS OR OTHER PARTICIPANTS: A total of 32 individuals with primary ACLR assigned to the low-step group (LSG; n = 13) or the high-step group (HSG; n = 19) based on their average daily steps at 6 months post-ACLR and 32 uninjured matched controls. MAIN OUTCOME MEASURE(S): Gait biomechanics were collected at 2, 4, and 6 months post-ACLR for the ACLR groups and at a single session for the control group. Knee-adduction moment, knee-extension moment (KEM), and knee-flexion angle (KFA) waveforms were calculated during gait stance and then compared via functional waveform analyses. Mean differences and corresponding 95% CIs between groups were reported. RESULTS: Primary results demonstrated less KFA (1%-45% versus 79%-92% of stance) and greater KEM (65%-93% of stance) at 2 months and greater knee-adduction moment (14%-20% versus 68%-92% of stance) at 4 months post-ACLR for the HSG compared with the LSG. Knee-adduction moment, KEM, and KFA waveforms differed across various proportions of stance at all time points between the step and control groups. CONCLUSIONS: Differences in gait biomechanics were present at 2 and 4 months post-ACLR between step groups, with the LSG demonstrating an overall more flexed knee and more profound stepwise underloading throughout stance than the HSG. The results indicate a relation between early gait biomechanics and later daily step behaviors post-ACLR.

摘要

相似文献

[1]
Early Gait Biomechanics Linked to Daily Steps After Anterior Cruciate Ligament Reconstruction.

J Athl Train. 2025-2-1

[2]
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[3]
Lower Extremity Mechanical Energetics During Walking 6 Months Following Anterior Cruciate Ligament Reconstruction.

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[4]
Knee kinematics and joint moments during gait following anterior cruciate ligament reconstruction: a systematic review and meta-analysis.

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[5]
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[6]
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[7]
Bilateral waveform analysis of gait biomechanics presurgery to 12 months following ACL reconstruction compared to controls.

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[8]
Improved hamstring strength and knee position sense are associated with enhanced landing mechanics after anterior cruciate ligament reconstruction.

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[9]
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[10]
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引用本文的文献

[1]
Body Composition, Not Body Mass Index, Is Associated with Clinical Outcomes Following ACL Reconstruction.

Med Sci Sports Exerc. 2025-7-1

[2]
Bilateral waveform analysis of gait biomechanics presurgery to 12 months following ACL reconstruction compared to controls.

J Orthop Res. 2025-2

[3]
The association between patella alignment and morphology and knee osteoarthritis.

J Orthop Surg Res. 2024-8-27

本文引用的文献

[1]
Acutely Normalizing Walking Speed Does Not Normalize Gait Biomechanics Post-Anterior Cruciate Ligament Reconstruction.

Med Sci Sports Exerc. 2024-3-1

[2]
Differences in Gait Biomechanics Between Adolescents and Young Adults With Anterior Cruciate Ligament Reconstruction.

J Athl Train. 2022-9-1

[3]
Worse Tibiofemoral Cartilage Composition Is Associated with Insufficient Gait Kinetics After ACL Reconstruction.

Med Sci Sports Exerc. 2022-10-1

[4]
Associations of Strength and Spatiotemporal Gait Variables With Knee Loading During Gait After Anterior Cruciate Ligament Reconstruction.

J Athl Train. 2022-2-1

[5]
Loading during Midstance of Gait Is Associated with Magnetic Resonance Imaging of Cartilage Composition Following Anterior Cruciate Ligament Reconstruction.

Cartilage. 2022

[6]
Linking Gait Biomechanics and Daily Steps After ACL Reconstruction.

Med Sci Sports Exerc. 2022-5-1

[7]
Fewer daily steps are associated with greater cartilage oligomeric matrix protein response to loading post-ACL reconstruction.

J Orthop Res. 2022-10

[8]
Feasibility of a Wearable-Based Physical Activity Goal-Setting Intervention Among Individuals With Anterior Cruciate Ligament Reconstruction.

J Athl Train. 2021-6-1

[9]
Cueing Changes in Peak Vertical Ground Reaction Force to Improve Coordination Dynamics in Walking.

J Mot Behav. 2022

[10]
Knee joint unloading and daily physical activity associate with cartilage T2 relaxation times 1 month after ACL injury.

J Orthop Res. 2022-1

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