Sagittal plane knee joint moments following anterior cruciate ligament injury and reconstruction: A systematic review

作者: Joseph M Hart , Jia-Wei Kevin Ko , Tim Konold , Brian Pietrosimione , None

DOI: 10.1016/J.CLINBIOMECH.2009.12.004

关键词: Stair climbingAnterior cruciate ligamentSagittal planeGaitKnee JointPhysical medicine and rehabilitationMedicineAcl deficientControl subjectsGait analysisBiophysicsOrthopedics and Sports Medicine

摘要: Abstract Background Gait adaptations in persons with anterior cruciate ligament (ACL) injuries have been debated. Many studies examine high speed, 3-dimensional video gait analysis to compare knee joint torques during simulated activities of daily living. Methods We performed a systematic review the literature for published clinical papers that reported sagittal plane kinetics ACL deficient or reconstructed individuals. calculated weighted effect sizes (Cohen’s d) evaluate magnitude differences between injured limb and contralateral healthy, uninjured limbs control subjects. Findings Ten kinetic data subjects while walking comparisons side (weighted average d =  −0.83, range: −3.21, 1.07), healthy knees  = −1.0, −3.36, 0.17); four jogging compared  = −0.94, −4.15, 0.17), controls  = −1.42, −3.83,−0.2). Four ACL-reconstructed patients −0.4, −1.77)  = −1.18). Interpretation Effect comparing moments vs. appear be slightly higher than walking, ACL-deficient reconstructions. However, magnitudes are all large. Few report stair climbing. Consequently, it is difficult make inferences confidence these tasks.

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