Gait analysis at patients with anterior cruciate ligament rupture before and after surgical treatment
- Authors: Akhpashev A.A.1, Zagorodny N.V.2, Kaurkin S.N.1, Skvortsov D.V.1
-
Affiliations:
- Federal Scientific and Clinical Center for Specialized Types of Medical Care and Medical Technologies FMBA
- Peoples' Friendship University of Russia
- Issue: Vol 6, No 4 (2015)
- Pages: 30-38
- Section: Articles
- URL: https://journals.rcsi.science/clinpractice/article/view/83231
- DOI: https://doi.org/10.17816/clinpract83231
- ID: 83231
Cite item
Full Text
Abstract
The anterior cruciate ligament (ACL) is most often structures to be damaged. In this research investigated biomechanics of walking at the timing, kinematics and dynamics parameters for 34 patients which had verified rupture of ACL. The 11 patients were investigated before surgical treatment and 23 after it. Investigations of patients of the first group were made at the time of 1 week to 6 years after trauma of the knee joint (the average meaning is 18 months). The second group was investigated at the time from 1,5 month to 5,5 years (the average meaning is 13 months).
At the current research we did not find any specific for rupture of ACL functional disturbances during level walking compare to normal data and healthy limp. However, we assume some tendency to increase of flection-extention movement at the damaged knee joint after surgery.
This result could give us some basis for revision the term of instability, because we did not get definite symptoms at our study.
Full Text
##article.viewOnOriginalSite##About the authors
Alexander A. Akhpashev
Federal Scientific and Clinical Center for Specialized Types of Medical Care and Medical Technologies FMBA
Author for correspondence.
Email: akhpashev@yandex.ru
Doctor of Medical Sciences, Head. laboratory of clinical analysis of movements (biomechanics), professor of the Department of Rehabilitation and Sports Medicine of the Russian National Research Medical University named after N.I. Pirogov
Russian Federation, MoscowN. V. Zagorodny
Peoples' Friendship University of Russia
Email: akhpashev@yandex.ru
Head of the Department of Traumatology and Orthopedics of the RUDN University, Doctor of Medical Sciences, Professor, Laureate of the RF Government Prize in Science and Technology, Honored Scientist of the Russian Federation, Department of Orthopedics and Traumatology
Russian Federation, MoscowSergey N. Kaurkin
Federal Scientific and Clinical Center for Specialized Types of Medical Care and Medical Technologies FMBA
Email: akhpashev@yandex.ru
Researcher, Laboratory of Clinical Analysis of Movement (Biomechanics)
Russian Federation, MoscowDmitry V. Skvortsov
Federal Scientific and Clinical Center for Specialized Types of Medical Care and Medical Technologies FMBA
Email: akhpashev@yandex.ru
Doctor of Medical Sciences, Head. laboratory of clinical analysis of movements (biomechanics), professor of the Department of Rehabilitation and Sports Medicine of the Russian National Research Medical University named after N.I. Pirogov.
Russian Federation, MoscowReferences
- Котельников Г.П., Чернов А.П., Измалков С.Н. Нестабильность коленного сустава. Самара. 2001. 229 с.
- Скворцов Д.В. Диагностика двигательной патологии инструментальными методами: анализ походки, стабилометрия. Т.М. Андреева, М.: 2007. - 640 с.: ил.
- Joseph A.M., Collins C.L., Henke N.M., Yard E.E., Fields S.K., Comstock R.D. A Multisport Epidemiologic Comparison of Anterior Cruciate Ligament Injuries in High School Athletics.// Journal of Athletic Training 2013;48(6):810-817.
- Andriacchi T.P., Dyrby C.O. Interactions between kinematics and loading during walking for the normal and ACL deficient knee. J Biomech. 2005 Feb;38(2):293-8.
- Astephen J.L., Deluzio K.J., Caldwell G.E., Dunbar M.J. Biomechanical changes at the hip, knee, and ankle joints during gait are associated with knee osteoarthritis severity. J.OrthopRes. 2008 Mar; 26(3): 332-41.
- Bytyqi D., Shabani B., Lustig S., Cheze L., KarahodaGjurgjeala N., Neyret P. Gait knee kinematic alterations in medial osteoarthritis: three dimensional assessment. IntOrthop. 2014 Jun; 38(6):1191-8.
- Cross M.J. Clinical Terminology for Describing Knee Instability. // Sports Medicine and Arthroscopy Reviews 1996 ;4:313-18.
- DeVita P., Hortobagyi T., Barrier J. Gait biomechanics are not normal after anterior cruciate ligament reconstruction and accelerated rehabilitation.Med- SciSportsExerc. 1998 Oct;30(10):1481-8.
- Gao B., Zheng N.N. Alterations in three-dimensional joint kinematics of anterior cruciate ligamentdeficient and -reconstructed knees during walking. Clin Biomech (Bristol, Avon). 2010 Mar;25(3):222-9.
- Hall M., Stevermer C.A., Gillette J.C. Gait analysis post anterior cruciate ligament reconstruction: knee osteoarthritis perspective. GaitPosture. 2012 May;36(1):56-60.
- Hart H.F., Collins N.J., Ackland D.C., Cowan S.M., Crossley K.M. Gait Characteristics of People With Lateral Knee OA After ACL Reconstruction. Med Sci Sports Exerc. 2015 Nov;47(11):2406-15.
- Heide B. Evaluation and characterization of knee joint instability in ACL deficient patients. Ph.D. Dissertation, Berlin University, 2013.
- Lewek M., Rudolph K., Axe M., Snyder-Mack- ler L. The effect of insufficient quadriceps strength on gait after anterior cruciate ligament reconstruction. ClinBiomech (Bristol, Avon). 2002 Jan;17(1):56-63.
- Shabani B., Bytyqi D., Lustig S., Cheze L., By- tyqi C., Neyret P. Gait knee kinematics after ACL reconstruction: 3D assessment. IntOrthop. 2015 Jun; 39(6):1187-93.
- Yim J.H., Seon J.K., Kim Y.K., Jung S.T., Shin C.S., Yang D.H., Rhym I.S., Song E.K. Anterior translation and rotational stability of anterior cruciate ligament-deficient knees during walking: speed and turning direction. JOrthopSci. 2015 Jan;20(1):155-62.