Gait analysis of national athletes after anterior cruciate ligament reconstruction following three stages of rehabilitation program: symmetrical perspective

This study aimed to objectively evaluate changes in gait kinematics, kinetics and symmetry among anterior cruciate ligament (ACL) reconstructed athletes during rehabilitation. Twenty-two national athletes with ACL reconstruction and 15 healthy athletes were recruited for the study. Gait data were co...

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Main Authors: Hadizadeh, Maryam, Amri, Saidon, Mohafez, Hamidreza, Syed Waseem Ahmad, Sharifah Roohi, Mokhtar, Abdul Halim
Format: Article
Language:English
Published: Elsevier 2016
Subjects:
Online Access:http://psasir.upm.edu.my/id/eprint/54363/
http://psasir.upm.edu.my/id/eprint/54363/1/Gait%20analysis%20of%20national%20athletes%20after%20anterior%20cruciate%20ligament%20reconstruction%20.pdf
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author Hadizadeh, Maryam
Amri, Saidon
Mohafez, Hamidreza
Syed Waseem Ahmad, Sharifah Roohi
Mokhtar, Abdul Halim
author_facet Hadizadeh, Maryam
Amri, Saidon
Mohafez, Hamidreza
Syed Waseem Ahmad, Sharifah Roohi
Mokhtar, Abdul Halim
author_sort Hadizadeh, Maryam
building UPM Institutional Repository
collection Online Access
description This study aimed to objectively evaluate changes in gait kinematics, kinetics and symmetry among anterior cruciate ligament (ACL) reconstructed athletes during rehabilitation. Twenty-two national athletes with ACL reconstruction and 15 healthy athletes were recruited for the study. Gait data were collected between the weeks 4–5, 8–9, and 12–13 post-operation using three-dimensional motion analysis system. Five separate components, including knee range of motion (ROM), vertical ground reaction force (VGRF), their symmetries and knee extension moment were evaluated. One way and repeated measure multivariate analysis of variance (MANOVA) were used to analyze the knee ROMs. The VGRF and extension moment were tested using repeated measure ANOVA and independent sample t-test. Findings indicated significant alterations in all measured components between patients’ Test 1 and control group. Repeated measure analysis revealed significant effect for time in components of knee angular and VGRF (P < 0.001), their symmetry index (P = 0.03) and knee extension moment (P = 0.045). Univariate outcomes demonstrated significant improvement in the injured limb's stance and swing (P < 0.001), and single-stance (P = 0.005) ROMs over time. Symmetry indexes of stance and swing ROM, and VGRF reduced significantly by 26.3% (P = 0.001), 17.9% (P < 0.001), and 31.9% (P = 0.03) respectively. After three months, symmetry indexes of single-stance ROM and VGRF along with operated knee extension moment were the only variables which showed significant differences with control group. The rehabilitation program allowed national athletes to restore the operated limb's gait parameters except knee extension moment by 12–13 weeks post-reconstruction; however, more time is required to normalize single-stance ROM and VGRF asymmetries.
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spelling upm-543632018-03-14T05:24:51Z http://psasir.upm.edu.my/id/eprint/54363/ Gait analysis of national athletes after anterior cruciate ligament reconstruction following three stages of rehabilitation program: symmetrical perspective Hadizadeh, Maryam Amri, Saidon Mohafez, Hamidreza Syed Waseem Ahmad, Sharifah Roohi Mokhtar, Abdul Halim This study aimed to objectively evaluate changes in gait kinematics, kinetics and symmetry among anterior cruciate ligament (ACL) reconstructed athletes during rehabilitation. Twenty-two national athletes with ACL reconstruction and 15 healthy athletes were recruited for the study. Gait data were collected between the weeks 4–5, 8–9, and 12–13 post-operation using three-dimensional motion analysis system. Five separate components, including knee range of motion (ROM), vertical ground reaction force (VGRF), their symmetries and knee extension moment were evaluated. One way and repeated measure multivariate analysis of variance (MANOVA) were used to analyze the knee ROMs. The VGRF and extension moment were tested using repeated measure ANOVA and independent sample t-test. Findings indicated significant alterations in all measured components between patients’ Test 1 and control group. Repeated measure analysis revealed significant effect for time in components of knee angular and VGRF (P < 0.001), their symmetry index (P = 0.03) and knee extension moment (P = 0.045). Univariate outcomes demonstrated significant improvement in the injured limb's stance and swing (P < 0.001), and single-stance (P = 0.005) ROMs over time. Symmetry indexes of stance and swing ROM, and VGRF reduced significantly by 26.3% (P = 0.001), 17.9% (P < 0.001), and 31.9% (P = 0.03) respectively. After three months, symmetry indexes of single-stance ROM and VGRF along with operated knee extension moment were the only variables which showed significant differences with control group. The rehabilitation program allowed national athletes to restore the operated limb's gait parameters except knee extension moment by 12–13 weeks post-reconstruction; however, more time is required to normalize single-stance ROM and VGRF asymmetries. Elsevier 2016-07 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/54363/1/Gait%20analysis%20of%20national%20athletes%20after%20anterior%20cruciate%20ligament%20reconstruction%20.pdf Hadizadeh, Maryam and Amri, Saidon and Mohafez, Hamidreza and Syed Waseem Ahmad, Sharifah Roohi and Mokhtar, Abdul Halim (2016) Gait analysis of national athletes after anterior cruciate ligament reconstruction following three stages of rehabilitation program: symmetrical perspective. Gait & Posture, 48. pp. 152-158. ISSN 0966-6362; ESSN: 1879-2219 https://www.sciencedirect.com/science/article/pii/S0966636216300522?via%3Dihub Gait analysis; Symmetry; Anterior cruciate ligament reconstruction; Knee range of motion; Ground reaction force; Knee extension moment 10.1016/j.gaitpost.2016.05.002
spellingShingle Gait analysis; Symmetry; Anterior cruciate ligament reconstruction; Knee range of motion; Ground reaction force; Knee extension moment
Hadizadeh, Maryam
Amri, Saidon
Mohafez, Hamidreza
Syed Waseem Ahmad, Sharifah Roohi
Mokhtar, Abdul Halim
Gait analysis of national athletes after anterior cruciate ligament reconstruction following three stages of rehabilitation program: symmetrical perspective
title Gait analysis of national athletes after anterior cruciate ligament reconstruction following three stages of rehabilitation program: symmetrical perspective
title_full Gait analysis of national athletes after anterior cruciate ligament reconstruction following three stages of rehabilitation program: symmetrical perspective
title_fullStr Gait analysis of national athletes after anterior cruciate ligament reconstruction following three stages of rehabilitation program: symmetrical perspective
title_full_unstemmed Gait analysis of national athletes after anterior cruciate ligament reconstruction following three stages of rehabilitation program: symmetrical perspective
title_short Gait analysis of national athletes after anterior cruciate ligament reconstruction following three stages of rehabilitation program: symmetrical perspective
title_sort gait analysis of national athletes after anterior cruciate ligament reconstruction following three stages of rehabilitation program: symmetrical perspective
topic Gait analysis; Symmetry; Anterior cruciate ligament reconstruction; Knee range of motion; Ground reaction force; Knee extension moment
url http://psasir.upm.edu.my/id/eprint/54363/
http://psasir.upm.edu.my/id/eprint/54363/
http://psasir.upm.edu.my/id/eprint/54363/
http://psasir.upm.edu.my/id/eprint/54363/1/Gait%20analysis%20of%20national%20athletes%20after%20anterior%20cruciate%20ligament%20reconstruction%20.pdf