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Dynamic and static tibial translation in patients with anterior cruciate ligament deficiency initially treated with a structured rehabilitation protocol
Linköping University, Department of Medical and Health Sciences, Division of Physiotherapy. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Center for Surgery, Orthopaedics and Cancer Treatment, Department of Orthopaedics in Linköping.ORCID iD: 0000-0002-1929-0605
Linköping University, Department of Medical and Health Sciences, Division of Physiotherapy. Linköping University, Faculty of Medicine and Health Sciences.ORCID iD: 0000-0003-3527-5488
2017 (English)In: Knee Surgery, Sports Traumatology, Arthroscopy, ISSN 0942-2056, E-ISSN 1433-7347, Vol. 25, no 8, 2337-2346 p.Article in journal (Refereed) Published
Abstract [en]

PURPOSE:

To compare dynamic and static tibial translation, in patients with anterior cruciate ligament deficiency, at 2- to 5-year follow-up, with the tibial translation after 4 months of rehabilitation initiated early after the injury. Secondarily, to compare tibial translation in the injured knee and non-injured knee and explore correlations between dynamic and static tibial translation.

METHODS:

Twelve patients with ACL rupture were assessed at 3-8 weeks after ACL injury, after 4 months of structured rehabilitation, and 2-5 years after ACL injury. Sagittal tibial translation was measured during the Lachman test (static translation) and during gait (dynamic translation) using a CA-4000 electrogoniometer.

RESULTS:

Static tibial translation was increased bilateral 2-5 years after ACL injury, whereas the dynamic tibial translation was unchanged. Tibial translation was greater in the injured knee compared with the non-injured knee (Lachman test 134 N 9.1 ± 1.0 vs. 7.0 ± 1.7 mm, P = 0.001, gait 5.6 ± 2.1 vs. 4.7 ± 1.8 mm, P = 0.011). There were no correlations between dynamic and static tibial translation.

CONCLUSION:

Dynamic tibial translation was unchanged in spite of increased static tibial translation in the ACL-deficient knee at 2- to 5-year follow-up compared to directly after rehabilitation. Dynamic tibial translation did not correlate with the static tibial translation. A more normal gait kinematics may be maintained from completion of a rehabilitation programme to mid-term follow-up in patients with ACL deficiency treated with rehabilitation only.

Place, publisher, year, edition, pages
Springer, 2017. Vol. 25, no 8, 2337-2346 p.
Keyword [en]
ACL; Knee laxity; Knee kinematics; Functional joint stability
National Category
Physiotherapy
Identifiers
URN: urn:nbn:se:liu:diva-123482DOI: 10.1007/s00167-015-3714-5ISI: 000406189500005PubMedID: 26210960OAI: oai:DiVA.org:liu-123482DiVA: diva2:885372
Note

Funding agencies: Faculty of Health Sciences at Linkoping University; Swedish Centre for Research in Sports

Available from: 2015-12-18 Created: 2015-12-18 Last updated: 2017-08-17

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Sonesson, SofiKvist, Joanna

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Division of PhysiotherapyFaculty of Medicine and Health SciencesDepartment of Orthopaedics in Linköping
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