Gait patterns after anterior cruciate ligament reconstruction

被引:120
作者
Bulgheroni P. [1 ]
Bulgheroni M.V. [1 ]
Andrini L. [1 ]
Guffanti P. [1 ]
Giughello A. [1 ]
机构
[1] Clin. Ortopedica Traumatologica M., Univ. degli Studi di Pavia - Varese, Ospedale F. del Ponte, I-21100 Varese, Via F. Del Ponte
关键词
3D kinematics; Anterior cruciate ligament reconstruction; Electromyography; Gait analysis; Kinetics;
D O I
10.1007/s001670050018
中图分类号
学科分类号
摘要
The aim of this study is to analyse the changes in select gait parameters following anterior cruciate ligament (ACL) reconstruction. The study was performed on 15 subjects who underwent ACL reconstruction by the bone-patellar tendon-bone technique. Gait analysis was performed using the Elite three-dimensional (3D) optoelectronic system (BTS), a Kistler force platform and the Telemg telemetric electromyograph (BTS). Kinematic data were recorded for the principal lower limb joints (hip, knee and ankle). The examined muscles include vastus lateralis, rectus femoris, biceps femoris and semitendinosus. The results obtained from the operated subjects were compared with those of 10 untreated subjects and 5 subjects without ACL damage. In the operated subjects the knee joint angular values regained a normal flexion pattern for the injured limb during the stance phase. The analysis of joint moments shows: (a) sagittal plane: recovery of the knee flexion moment at loading response and during preswing; (b) frontal plane: recovery of the normal patterns for both hip and knee adduction-abduction moments during the entire stance phase. The examination of ground reaction forces reveals the recovery of frontal component features. The EMG traces show the normal biphasic pattern for the operated subjects as compared to the untreated subjects. The results suggest that the gait parameters shift towards normal value patterns.
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页码:14 / 21
页数:7
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