Dynamic stability in the anterior cruciate ligament deficient knee
Some individuals can stabilize their knees following anterior cruciate ligament rupture even during activities involving cutting and pivoting (copers), others have instability with daily activities (non‐copers). Movement and muscle activation patterns of 11 copers, ten non‐copers and ten uninjured s...
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| Published in | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA Vol. 9; no. 2; pp. 62 - 71 |
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| Main Authors | , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Germany
John Wiley & Sons, Inc
01.03.2001
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| Subjects | |
| Online Access | Get full text |
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| Abstract | Some individuals can stabilize their knees following anterior cruciate ligament rupture even during activities involving cutting and pivoting (copers), others have instability with daily activities (non‐copers). Movement and muscle activation patterns of 11 copers, ten non‐copers and ten uninjured subjects were studied during walking and jogging. Results indicate that distinct gait adaptations appeared primarily in the non‐copers. Copers used joint ranges of motion, moments and muscle activation patterns similar to uninjured subjects. Non‐copers reduced their knee motion, and external knee flexion moments that correlated well with quadriceps strength. Non‐copers also achieved peak hamstring activity later in the weight acceptance phase and used a strategy involving more generalized co‐contraction. Both copers and non‐copers had high levels of quadriceps femoris muscle activity. The reduced knee moment in the involved limbs of the non‐copers did not represent “quadriceps avoidance” but rather represented a strategy of general co‐contraction with a greater relative contribution from the hamstring muscles. |
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| AbstractList | Some individuals can stabilize their knees following anterior cruciate ligament rupture even during activities involving cutting and pivoting (copers), others have instability with daily activities (non-copers). Movement and muscle activation patterns of 11 copers, ten non-copers and ten uninjured subjects were studied during walking and jogging. Results indicate that distinct gait adaptations appeared primarily in the non-copers. Copers used joint ranges of motion, moments and muscle activation patterns similar to uninjured subjects. Non-copers reduced their knee motion, and external knee flexion moments that correlated well with quadriceps strength. Non-copers also achieved peak hamstring activity later in the weight acceptance phase and used a strategy involving more generalized co-contraction. Both copers and non-copers had high levels of quadriceps femoris muscle activity. The reduced knee moment in the involved limbs of the non-copers did not represent "quadriceps avoidance" but rather represented a strategy of general co-contraction with a greater relative contribution from the hamstring muscles.Some individuals can stabilize their knees following anterior cruciate ligament rupture even during activities involving cutting and pivoting (copers), others have instability with daily activities (non-copers). Movement and muscle activation patterns of 11 copers, ten non-copers and ten uninjured subjects were studied during walking and jogging. Results indicate that distinct gait adaptations appeared primarily in the non-copers. Copers used joint ranges of motion, moments and muscle activation patterns similar to uninjured subjects. Non-copers reduced their knee motion, and external knee flexion moments that correlated well with quadriceps strength. Non-copers also achieved peak hamstring activity later in the weight acceptance phase and used a strategy involving more generalized co-contraction. Both copers and non-copers had high levels of quadriceps femoris muscle activity. The reduced knee moment in the involved limbs of the non-copers did not represent "quadriceps avoidance" but rather represented a strategy of general co-contraction with a greater relative contribution from the hamstring muscles. Some individuals can stabilize their knees following anterior cruciate ligament rupture even during activities involving cutting and pivoting (copers), others have instability with daily activities (non-copers). Movement and muscle activation patterns of 11 copers, ten non-copers and ten uninjured subjects were studied during walking and jogging. Results indicate that distinct gait adaptations appeared primarily in the non-copers. Copers used joint ranges of motion, moments and muscle activation patterns similar to uninjured subjects. Non-copers reduced their knee motion, and external knee flexion moments that correlated well with quadriceps strength. Non-copers also achieved peak hamstring activity later in the weight acceptance phase and used a strategy involving more generalized co-contraction. Both copers and non-copers had high levels of quadriceps femoris muscle activity. The reduced knee moment in the involved limbs of the non-copers did not represent "quadriceps avoidance" but rather represented a strategy of general co-contraction with a greater relative contribution from the hamstring muscles.[PUBLICATION ABSTRACT] Some individuals can stabilize their knees following anterior cruciate ligament rupture even during activities involving cutting and pivoting (copers), others have instability with daily activities (non‐copers). Movement and muscle activation patterns of 11 copers, ten non‐copers and ten uninjured subjects were studied during walking and jogging. Results indicate that distinct gait adaptations appeared primarily in the non‐copers. Copers used joint ranges of motion, moments and muscle activation patterns similar to uninjured subjects. Non‐copers reduced their knee motion, and external knee flexion moments that correlated well with quadriceps strength. Non‐copers also achieved peak hamstring activity later in the weight acceptance phase and used a strategy involving more generalized co‐contraction. Both copers and non‐copers had high levels of quadriceps femoris muscle activity. The reduced knee moment in the involved limbs of the non‐copers did not represent “quadriceps avoidance” but rather represented a strategy of general co‐contraction with a greater relative contribution from the hamstring muscles. |
| Author | Snyder‐Mackler, Lynn Scholz, John P. Buchanan, Thomas S. Rudolph, Katherine S. Axe, Michael J. |
| Author_xml | – sequence: 1 givenname: Katherine S. surname: Rudolph fullname: Rudolph, Katherine S. organization: <!--1--> Department of Physical Therapy University of Delaware 303 McKinly Laboratory Newark DE 19716 USA, <!--2--> Graduate Program in Biomechanics and Movement Sciences University of Delaware Newark DE 19716 USA – sequence: 2 givenname: Michael J. surname: Axe fullname: Axe, Michael J. organization: <!--1--> Department of Physical Therapy University of Delaware 303 McKinly Laboratory Newark DE 19716 USA, <!--3--> First State Orthopaedics Newark DE 19711 USA – sequence: 3 givenname: Thomas S. surname: Buchanan fullname: Buchanan, Thomas S. organization: <!--2--> Graduate Program in Biomechanics and Movement Sciences University of Delaware Newark DE 19716 USA, <!--4--> Department of Mechanical Engineering, 126 Spencer Laboratory University of Delaware 315 McKinly Laboratory Newark DE 19716 USA – sequence: 4 givenname: John P. surname: Scholz fullname: Scholz, John P. organization: <!--1--> Department of Physical Therapy University of Delaware 303 McKinly Laboratory Newark DE 19716 USA – sequence: 5 givenname: Lynn surname: Snyder‐Mackler fullname: Snyder‐Mackler, Lynn organization: <!--1--> Department of Physical Therapy University of Delaware 303 McKinly Laboratory Newark DE 19716 USA |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/11354855$$D View this record in MEDLINE/PubMed |
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| ContentType | Journal Article |
| Copyright | Springer-Verlag 2001 |
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| DOI | 10.1007/s001670000166 |
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| PublicationTitle | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA |
| PublicationTitleAlternate | Knee Surg Sports Traumatol Arthrosc |
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| Snippet | Some individuals can stabilize their knees following anterior cruciate ligament rupture even during activities involving cutting and pivoting (copers), others... |
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| SubjectTerms | Activities Activities of daily living Adult Anterior Cruciate Ligament Injuries Electromyography Female Humans Joint Instability - physiopathology Kinematics Kinetics Knee Knee Injuries - physiopathology Knee Joint - physiopathology Knees Ligaments Male Movement Movement - physiology Muscle function Muscle strength Muscle, Skeletal - physiopathology Muscles (activity) Range of motion Range of Motion, Articular Rupture Strategy Surgery Thigh - physiology Walking Weight |
| Title | Dynamic stability in the anterior cruciate ligament deficient knee |
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