The Relationship between Knee Biomechanics and Clinical Assessments in ACl Deficient Patients

• Published in: International journal of sports medicine Vol. 40; no. 7; p. 477
• Main Authors: Kono, Yoshifumi, Deie, Masataka, Fujita, Naoto, Hirata, Kazuhiko, Shimada, Noboru, Orita, Naoya, Iwaki, Daisuke, Asaeda, Makoto, Terai, Chiaki, Kimura, Hiroaki, Adachi, Nobuo
• Format: Journal Article
• Language: English
• Published: Germany 01.07.2019
• Subjects: Anterior Cruciate Ligament Injuries - physiopathology; Athletic Injuries - physiopathology; Biomechanical Phenomena; Case-Control Studies; Humans; Joint Instability - physiopathology; Kinetics; Knee Joint - physiopathology; Muscle Strength; Range of Motion, Articular; Running - physiology; Time and Motion Studies; Walking - physiology
• ISSN: 1439-3964
• DOI: 10.1055/a-0809-5366

The purpose of this study was to clarify the relationship between knee biomechanics and clinical assessments in ACL deficient patients. Subjects included 22 patients with unilateral ACL rupture and 22 healthy controls. Knee kinematics and kinetics during walking and running were examined using a 3-dimensional motion analysis system. The passive knee joint laxity, range of motion of knee joint, and knee muscle strength were also measured. Correlations between the knee kinematic and kinetic data and clinical assessments were evaluated. In the ACL deficient patients, there were no significant relationships between tibial translation during walking and running and passive knee joint laxity. The correlations between knee kinematics and kinetics and range of motion of knee joint were also not significant. Additionally, there were no significant correlations between knee kinematics during walking and knee muscle strength. However, there were several significant correlations between knee kinematics during running and knee muscle strength. The results demonstrate the importance of knee muscle strength for knee kinematics and kinetics during running in ACL deficient patients. Patients with stronger knee muscle strength may demonstrate more nearly normal knee joint movement during dynamic activities such as running.