Gait adaptation in chronic anterior cruciate ligament-deficient patients: Pivot-shift avoidance gait

Anterior cruciate ligament deficiency reduces walking economy in “copers” and “non-copers”

“…Patients with chronic ACL deficiency demonstrate a greater knee flexion angle and smaller internal rotation of the knee than healthy controls (pivot shift avoidance gait) [18]. Furthermore, ACL-deficient knees exhibit a significantly less extension during walking [19], a parameter (stride angle) that may also affect gait economy [39].…”

Prehabilitation: The Void in the Management of Anterior Cruciate Ligament Injuries—A Clinical Review

“…There is also evidence that ACL-deficient patients walk with a significantly lower internal rotation knee joint moment during the terminal stance phase of the gait cycle [48][49][50]. Like the adaptation in the early stance phase of gait, this phenomenon is also likely adopted to prevent rotational instability.…”

The KneeKG system: a review of the literature

“…Fuentes et al [4] used the KneeKG TM system to evaluate gait adaptation undertaken by chronically ACLdeficient patients to avoid anterolateral rotatory knee instability. They hypothesized that during the terminal stance phase of the gait cycle, ACL-deficient patients would exhibit reduced tibial internal rotation moments and higher knee flexion angles.…”