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

Yoshifumi Kono; Masataka Deie; Naoto Fujita; Kazuhiko Hirata; Noboru Shimada; Naoya Orita; Daisuke Iwaki; Makoto Asaeda; Chiaki Terai; Hiroaki Kimura; Nobuo Adachi

doi:10.1055/a-0809-5366

International Journal of Sports Medicine, Table of Contents

Int J Sports Med 2019; 40(07): 477-483
DOI: 10.1055/a-0809-5366

Orthopedics & Biomechanics

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

Yoshifumi Kono

¹Division of Rehabilitation, Department of Clinical Practice and Support, Hiroshima University Hospital, Hiroshima, Japan

,

Masataka Deie

²Department of Orthopaedic Surgery, Aichi Medical University, Aichi-gun, Japan

,

Naoto Fujita

³Department of Musculoskeletal Functional Research and Regeneration, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan

,

Kazuhiko Hirata

¹Division of Rehabilitation, Department of Clinical Practice and Support, Hiroshima University Hospital, Hiroshima, Japan

,

Noboru Shimada

¹Division of Rehabilitation, Department of Clinical Practice and Support, Hiroshima University Hospital, Hiroshima, Japan

,

Naoya Orita

¹Division of Rehabilitation, Department of Clinical Practice and Support, Hiroshima University Hospital, Hiroshima, Japan

,

Daisuke Iwaki

¹Division of Rehabilitation, Department of Clinical Practice and Support, Hiroshima University Hospital, Hiroshima, Japan

,

Makoto Asaeda

¹Division of Rehabilitation, Department of Clinical Practice and Support, Hiroshima University Hospital, Hiroshima, Japan

,

Chiaki Terai

⁴Department of Rehabilitation, Nagoya University Hospital, Nagoya, Japan

,

Hiroaki Kimura

⁵Department of Rehabilitation, Hiroshima University Hospital, Hiroshima, Japan

,

Nobuo Adachi

⁶Department of Orthopaedic Surgery, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan

› Author Affiliations

Abstract

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.

Key words

anterior cruciate ligament injury - walking - running - clinical assessment

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References

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