Peak knee biomechanics and limb symmetry following unilateral anterior cruciate ligament reconstruction: Associations of walking gait and jump-landing outcomes

Pfeiffer, Steven J.; Blackburn, J. Troy; Luc-Harkey, Brittney A.; Harkey, Matthew S.; Stanley, Laura E.; Frank, Barnett S.; Padua, Darin A.; Marshall, Stephen W.; Spang, Jeffrey T.; Pietrosimone, Brian

doi:10.1016/j.clinbiomech.2018.01.020

Cited by 23 publications

(20 citation statements)

References 51 publications

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“…However, similar hip and knee kinematics of failed- and passed-RTS groups in our study is contrary to the finding of Di Stasi et al (2013) who found different hip and knee kinematics in the passed- and failed-RTS groups during treadmill walking [5]. This controversy may be due to the differences in the task evaluated, as it has been shown that the kinematics of gait and landing tasks are not associated [38].…”

Section: Discussioncontrasting

confidence: 98%

Lower extremity kinematic analysis in male athletes with unilateral anterior cruciate reconstruction in a jump-landing task and its association with return to sport criteria

Norouzi

Esfandiarpour

Mehdizadeh

et al. 2019

BMC Musculoskelet Disord

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BackgroundReturn to sport (RTS) criteria are widely being used to identify anterior cruciate ligament reconstructed (ACLR) athletes ready to return to sportive activity and reduce risk of ACL re-injury. However, studies show a high rate of ACL re-injury in athletes who passed RTS criteria. This indicates that the current RTS criteria might not be sufficient to determine return to sport time in ACLR athletes. Previous studies have reported a close association between altered lower limb kinematics and ACL re-injury. However, it is not clear how lower extremity kinematics differs between ACLR athletes who passed the RTS-criteria and who failed. This study compared lower extremity kinematics in a jump-landing task between ACLR athletes who passed the RTS criteria (Limb symmetry in hop tests, quadriceps strength and questionnaires) to those who failed and to the healthy individuals.MethodsParticipants were 27 male football players with unilateral ACLR including 14 who passed -RTS criteria and 13 failed, and 15 healthy football players. A 3D motion capture system recorded participants’ lower extremity motion while performing 10 trials of a bilateral jump-landing task. Hip, knee and ankle angular motion were examined at initial contact. Two-way mixed analysis of variances (2 limbs × 3 groups) and Bonferroni post-hoc tests were performed to compare the joint angles between the limbs and groups.Resultslower hip abduction angle was found in the failed (involved limb 4.1 ° ± 4.2) and passed RTS (involved limb 6.8° ± 3.3) groups compared to the healthy group (non-dominant limb 10.7° ± 3.7). Ankle inversion in the failed RTS (0.4° ± 4.9) group was significantly lower than both passed RTS (4.8° ± 4.8, p = 0.05) and healthy (8.2° ± 8.1, p < 0.001) groups. There were no significant differences between the groups in knee kinematics.ConclusionsOur findings indicate reduced hip abduction during initial contact phase of landing in athletes returned to sport. Reduced hip abduction during the complex multiplanar movement of jump-landing is a risk factor for ACL re-injury. Current RTS criteria may not be sufficient to identify ACLR athletes at high risk of re-injury. The kinematic analysis in conjunction with current RTS criteria can provide additional insight into the return to sport decision making.

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Section: Discussioncontrasting

confidence: 98%

Lower extremity kinematic analysis in male athletes with unilateral anterior cruciate reconstruction in a jump-landing task and its association with return to sport criteria

Norouzi

Esfandiarpour

Mehdizadeh

et al. 2019

BMC Musculoskelet Disord

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“…Additionally, our kinetics and kinematics are similar to previous studies reporting these outcomes in individuals with ACLR. 6,22-25 Previous work has demonstrated that additional sagittal plane kinematics during walking gait, beyond the outcomes we assessed in our study, are associated with knee pain and kinesiophobia in individuals with lateral tibiofemoral compartment post-traumatic knee osteoarthritis following ACLR. 13 Specifically, individuals with higher kinesiophobia demonstrate greater peak trunk flexion during the stance phase of walking compared to those with lower kinesiophobia.…”

Section: Discussionmentioning

confidence: 77%

Association between kinesiophobia and walking gait characteristics in physically active individuals with anterior cruciate ligament reconstruction

et al. 2018

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“…The vertical ground reaction force was analyzed for 5 s after ground contact and was defined as a vertical component of >5 N. The locus length of the center of pressure (COP) normalized by foot length (% foot length) was calculated to quantify the magnitude of postural sway and the maximum vertical ground reaction force normalized by body weight (VGRFmax) (% body weight, BW); time to peak (ms) and loading rate (% BW/ms) were similarly estimated to quantify force attenuation during landing. The loading rate was defined as the peak of the first derivative of the force–time curve [ 19 ]. The average of the values obtained in three successful trials was used for the additional analysis.…”

Section: Methodsmentioning

confidence: 99%

Contribution of Plantar Fascia and Intrinsic Foot Muscles in a Single-Leg Drop Landing and Repetitive Rebound Jumps: An Ultrasound-Based Study

Morikawa

Maeda

Komiya

et al. 2021

IJERPH

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The plantar fascia and intrinsic foot muscles (IFM) modulate foot stiffness. However, it is unclear whether the corresponding ultrasonography findings reflect it. This study aimed to examine the effect of the plantar fascia and IFM morphologies on force attenuation during landing and reactivity when jumping in healthy adults (n=21; age, 21–27 years). Thickness, cross-sectional area (CSA), and hardness of the plantar fascia, abductor hallucis (AbH), and flexor hallucis brevis (FHB) muscles were measured using ultrasonography. Single-leg drop landing and repetitive rebound jumping tests assessed the ground reaction force (GRF) and reactive jump index (RJI), respectively. The CSA of FHB was negatively correlated with maximum vertical GRF (r = −0.472, p=0.031) in the single-leg drop landing test. The CSA of AbH was negatively correlated with contact time (r = −0.478, p = 0.028), and the plantar fascia thickness was positively correlated with jump height (r = 0.615, p = 0.003) and RJI (r = 0.645, p = 0.002) in the repetitive bound jump test. In multivariate regression analysis, only the plantar fascia thickness was associated with RJI (β = 0.152, 95% confidence interval: 7.219-38.743, p = 0.007). The CSA of FHB may contribute to force attenuation during landing. The thickness of the plantar fascia and CSA of AbH may facilitate jumping high with minimal contact time.

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Peak knee biomechanics and limb symmetry following unilateral anterior cruciate ligament reconstruction: Associations of walking gait and jump-landing outcomes

Cited by 23 publications

References 51 publications

Lower extremity kinematic analysis in male athletes with unilateral anterior cruciate reconstruction in a jump-landing task and its association with return to sport criteria

Lower extremity kinematic analysis in male athletes with unilateral anterior cruciate reconstruction in a jump-landing task and its association with return to sport criteria

Association between kinesiophobia and walking gait characteristics in physically active individuals with anterior cruciate ligament reconstruction

Contribution of Plantar Fascia and Intrinsic Foot Muscles in a Single-Leg Drop Landing and Repetitive Rebound Jumps: An Ultrasound-Based Study

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