Lower Limb Kinematics and Dynamic Postural Stability in Anterior Cruciate Ligament-Reconstructed Female Athletes

Delahunt, Eamonn; Chawke, Mark; Kelleher, Judy; Murphy, Keefe; Prendiville, Anna; Sweeny, Larissa; Patterson, M.R.

doi:10.4085/1062-6050-48.2.05

Cited by 62 publications

(62 citation statements)

References 69 publications

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“…They found altered hip frontal, transverse, and sagittal plane mechanics, as well as altered knee joint sagittal plane kinematics in the injured population as compared with the controls [25]. Supporting our results, findings were similar between the current investigation and Delahunt et al's [25] female control group in hip frontal and transverse plane kinematics during the mSEBT.…”

Section: Discussionsupporting

confidence: 82%

“…Unfortunately, reach distances alone do not examine potential altered kinematic reach strategies of the stance limb. It has been suggested in previous studies that limitations in sagittal plane ANT reach distance may be compensated by ipsilateral hip adduction [25,27]. This is believed to be accomplished by creating a Tren- Flex -flexion, Ext -extension, Ir -internal rotation, Er -external rotation * statistically significant difference between sexes, p < 0.05 delenburg position of the ipsilateral leg, thus increasing the length of the contralateral limb and ANT reach distance [25].…”

Section: Discussionmentioning

confidence: 99%

“…This is further supported by Clagg et al [22], with the findings that alterations in postural stability and neuromuscular control are a potential predictor of second ACL injuries. Finally, Delahunt et al [25] recently examined kinematic reach strategies of the hip and knee in the frontal and sagittal plane, comparing a control and ACL reconstructed groups during the mSEBT. They found altered hip frontal, transverse, and sagittal plane mechanics, as well as altered knee joint sagittal plane kinematics in the injured population as compared with the controls [25].…”

Section: Discussionmentioning

confidence: 99%

“…Finally, Delahunt et al [25] recently examined kinematic reach strategies of the hip and knee in the frontal and sagittal plane, comparing a control and ACL reconstructed groups during the mSEBT. They found altered hip frontal, transverse, and sagittal plane mechanics, as well as altered knee joint sagittal plane kinematics in the injured population as compared with the controls [25]. Supporting our results, findings were similar between the current investigation and Delahunt et al's [25] female control group in hip frontal and transverse plane kinematics during the mSEBT.…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies comparing the sagittal, frontal, and transverse plane kinematics during the mSEBT between sexes were primarily devoted to fatigued or injured populations only [18,[24][25][26][27][28]. Although investigators have performed kinematic analysis on healthy, non-fatigued individuals during the mSEBT, they limited their analysis to lower extremity sagittal plane angles [27].…”

Section: Introductionmentioning

confidence: 99%

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Sex differences in frontal and transverse plane hip and knee kinematics during the modified Star Excursion Balance Test

Willis¹,

Razu²,

Baggett³

et al. 2018

Hum Mov.

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Purpose. The modified Star Excursion Balance Test (mSEBT) assesses dynamic neuromuscular control, with predictive ability regarding lower extremity injury risk. Previous kinematic mSEBT analyses are limited to sex differences between injured or fatigued populations or non-fatigued groups in the sagittal plane only. We hypothesize that sex differences exist in the frontal and transverse plane kinematics of the hip and knee in healthy, non-fatigued subjects during the mSEBT. Methods. The descriptive laboratory study involved 38 healthy subjects: 20 males (aged 24.8 ± 2.7 years) and 18 females (24.1 ± 3.7 years). Peak kinematics, obtained by a VICON TM motion system, of the hip and knee in the sagittal, frontal, and transverse plane were compared during the anterior, posteromedial, and posterolateral reach of the mSEBT. Wilcoxon rank test with significant differences at p < 0.05 was used. Results. Kinematic differences existed between the groups in the frontal and transverse plane of the hip and knee in all reach directions (p < 0.05). No differences were found in the sagittal plane of the hip or knee between the groups. Conclusions. Sex differences exist in frontal and transverse plane kinematics of the hip and knee during the mSEBT. The mSEBT may be enhanced as an injury prediction tool, if frontal and transverse plane kinematics were included during risk assessment screening.

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Section: Discussionsupporting

confidence: 82%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Sex differences in frontal and transverse plane hip and knee kinematics during the modified Star Excursion Balance Test

Willis¹,

Razu²,

Baggett³

et al. 2018

Hum Mov.

View full text Add to dashboard Cite

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Virtual reality‐based therapy after anterior cruciate ligament injury effectively reduces pain and improves knee function, movement patterns, and dynamic balance: A systematic review and meta‐analysis

Cortés‐Pérez,

Desdentado‐Guillem,

Camacho‐Delgado

et al. 2024

Knee surg. sports traumatol. arthrosc.

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PurposeVirtual reality‐based therapy (VRBT) may be an effective physical therapy complement employed in the rehabilitation of patients with anterior cruciate ligament (ACL) injury. This study aims to assess the effectiveness of VRBT in improving pain, knee function, strength, proprioception, flexion range of motion (ROM), and dynamic balance after ACL injury.MethodsWe conducted this systematic review with meta‐analysis following PRISMA criteria. Since inception to June 2024, we searched in PubMed Medline, WOS, SCOPUS, CINAHL and PEDro without publication date and language restrictions. Randomised controlled trials (RCTs), comprising only patients with ACL injury, that assess the effectiveness of VRBT compared to classical interventions on the outcomes of interest were included. PEDro scale was employed to analyze the methodological quality of the RCTs included. Cohen's standardised mean difference (SMD) and its 95% confidence interval (95% CI) was used to calculate the pooled effect in meta‐analyses.ResultsNine RCTs, providing data from 330 participants (26.96 ± 3.11 years, 85% males) were included. The RCTs included showed good methodological quality (PEDro scale = 6.88 points), being, performance and detection biases, the most common biases reported. Meta‐analyses showed that VRBT was more effective than classical interventions in reducing pain (SMD = −1.15; 95% CI −1.85 to −0.45; p = 0.001; I2 = 0%), and increasing knee function (SMD = 1.71; 95% CI 0.93 to 2.5; p < 0.001; I2 = 0%), strength (SMD = 0.82; 95% CI 0.4–1.23; p < 0.001; I2 = 0%) and flexion ROM (SMD = 0.7; 95% CI 0.37–1.01; p < 0.001; I2 = 0%). Additionally, VRBT improved postero‐medial (SMD = 0.46; 95% CI 0.01–0.9; p = 0.045; I2 = 15.1%) and postero‐lateral CoP excursion (SMD = 0.75; 95% CI 0.3–1.21; p = 0.001; I2 = 0%), being effective in improving dynamic balance.ConclusionVRBT is an effective physical therapy complement to be included in the ACL's rehabilitation programmes due to reduces pain and increases knee function, strength, ROM and dynamic balance after ACL injury.Level of evidenceLevel II evidence.

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Proprioception and Anterior Cruciate Ligament Reconstruction

Feller¹,

Webster²

2018

The Anterior Cruciate Ligament

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Lower Limb Kinematics and Dynamic Postural Stability in Anterior Cruciate Ligament-Reconstructed Female Athletes

Abstract: Deficits in dynamic postural stability and concomitant altered hip- and knee-joint kinematics are present after ACL reconstruction and return to competitive activity. The extent to which these deficits influence potential future injury is worthy of investigation.

Cited by 62 publications

References 69 publications

Sex differences in frontal and transverse plane hip and knee kinematics during the modified Star Excursion Balance Test

Sex differences in frontal and transverse plane hip and knee kinematics during the modified Star Excursion Balance Test

Virtual reality‐based therapy after anterior cruciate ligament injury effectively reduces pain and improves knee function, movement patterns, and dynamic balance: A systematic review and meta‐analysis

Proprioception and Anterior Cruciate Ligament Reconstruction

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