Dataset Information

The Complex Relationship Between In Vivo ACL Elongation and Knee Kinematics During Walking and Running.

ABSTRACT: In vivo anterior cruciate ligament (ACL) bundle (anteromedial bundle [AMB] and posterolateral bundle [PLB]) relative elongation during walking and running remain unknown. In this study, we aimed to investigate in vivo ACL relative elongation over the full gait cycle during walking and running. Ten healthy volunteers walked and ran at a self-selected pace on an instrumented treadmill while biplane radiographs of the knee were acquired at 100?Hz (walking) and 150?Hz (running). Tibiofemoral kinematics were determined using a validated model-based tracking process. The boundaries of ACL insertions were identified using high-resolution magnetic resonance imaging (MRI). The AMB and PLB centroid-to-centroid distances were calculated from the tracked bone motions, and these bundle lengths were normalized to their respective lengths on MRI to calculate relative elongation. Maximum AMB relative elongation during running (6.7?±?2.1%) was significantly greater than walking (5.0?±?1.7%, p?=?0.043), whereas the maximum PLB relative elongation during running (1.1?±?2.1%) was significantly smaller than walking (3.4?±?2.3%, p?=?0.014). During running, the maximum AMB relative elongation was significantly greater than the maximum PLB relative elongation (p?

SUBMITTER: Nagai K

PROVIDER: S-EPMC6719793 | biostudies-literature | 2019 Sep

REPOSITORIES: biostudies-literature

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The Complex Relationship Between In Vivo ACL Elongation and Knee Kinematics During Walking and Running.

Nagai Kanto K Gale Tom T Chiba Daisuke D Su Favian F Fu FreddieH F Anderst William W

Journal of orthopaedic research : official publication of the Orthopaedic Research Society 20190520 9

In vivo anterior cruciate ligament (ACL) bundle (anteromedial bundle [AMB] and posterolateral bundle [PLB]) relative elongation during walking and running remain unknown. In this study, we aimed to investigate in vivo ACL relative elongation over the full gait cycle during walking and running. Ten healthy volunteers walked and ran at a self-selected pace on an instrumented treadmill while biplane radiographs of the knee were acquired at 100 Hz (walking) and 150 Hz (running). Tibiofemoral kinemat ...[more]

PMID: 31042309

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Project description:Traditionally, motion analysis in clinical laboratories using optoelectronic systems (MOCAP) is performed in acquisition volumes of limited size. Given the complexity and cost of MOCAP in larger volumes, action sports cameras (ASC) represent an alternative approach in which the cameras move along with the subject during the movement task. Thus, this study aims to compare ASC against a traditional MOCAP in the perspective of reconstructing walking and running movements in large spatial volumes, which extend over the common laboratory setup. The two systems, consisting of four cameras each, were closely mounted on a custom carrying structure endowed with wheels. Two different acquisition setups, namely steady and moving conditions, were taken into account. A devoted calibration procedure, using the same protocol for the two systems, enabled the reconstruction of surface markers, placed on voluntary subjects, during the two acquisition setups. The comparison was quantitatively expressed in terms of three-dimensional (3D) marker reconstruction and kinematic computation quality. The quality of the marker reconstruction quality was quantified by means of the mean absolute error (MAE) of inter-marker distance and two-stick angle. The kinematic computation quality was quantified by means of the measure of the knee angle reconstruction during walking and running trials. In order to evaluate the camera system and moving camera effects, we used a Wilcoxon rank sum test and a Kruskal Wallis test (post-hoc Tukey), respectively. The Spearman correlation coefficient (?) and the Wilcoxon rank sum test were applied to compare the kinematic data obtained by the two camera systems. We found small ASC MAE values (< 2.6mm and 1.3°), but they were significantly bigger than the MOCAP (< 0.7mm and 0.6°). However, for the human movement no significant differences were found between kinematic variables in walking and running acquisitions (p>0.05), and the motion patterns of the right-left knee angles between both systems were very similar (?>0.90, p<0.05). These results highlighted the promising results of a system that uses ASC based on the procedure of mobile cameras to follow the movement of the subject, allowing a less constrained movement in the direction in which the structure moves, compared to the traditional laboratory setup.

Project description:BackgroundKnee joint kinematics and kinetics during running recover at 12 months, not 6 months, following anterior cruciate ligament (ACL) reconstruction surgery. Knee muscle strength is a criterion used to assess an individual's readiness to return-to-sports (RTS); however, the relationship between knee muscle strength and knee biomechanics is unclear. This study investigated the relationship between knee muscle strength and dynamic knee biomechanics during running at 6 and 12 months after ACL reconstruction surgery.MethodsKnee joint kinematics and kinetics during running were analyzed in 21 patients (10 males, 11 females) who underwent ACL reconstruction for a unilateral ACL deficiency. Kinematics and Kinetics were measured by three-dimensional motion analysis system, and Knee flexion angle was calculated using Point cluster technique and internal extension moment was calculated by the inverse dynamics method. Patients were compared to a control group matched by age, height and weight. Isokinetic knee extension and flexion strength in ACL-reconstructed patients were measured at 6 and 12 months postsurgery, by separated gender.ResultsKnee flexion angle was significantly lower in ACL patients at 6 months postsurgery compared to the control group (F (2, 62)=5.78, P=0.014). There were significant lower peak knee flexion angles in male groups than female (F (1, 62)=6.33, P<0.01). Knee extension moments were significantly lower in both male and female ACL patients compared to the control group at 6 and 12 months postsurgery (F (2, 62)=12.05, P<0.01(6 months), P=0.034(12 months)), and there were significant correlations with knee extension moments and maximum torque of knee extension/flexion (P<0.05). At 12 months after surgery, knee joint kinematics in ACL patients were restored. Both peak knee angle and knee extension moment were significantly associated with maximum knee extension/flexion torque values in female patients at 12 months postsurgery.ConclusionsDynamic knee biomechanics during running were not restored 6 and 12 months after ACL reconstruction both male and female. It is necessary to strengthen knee extension and flexion muscles to restore knee kinetics during running, especially female patients.

Project description:Background:Some studies have suggested that altered tibiofemoral cartilage contact behavior (arthrokinematics) may contribute to long-term cartilage degeneration, potentially leading to tibiofemoral osteoarthritis. However, few studies have assessed normal tibiofemoral arthrokinematics during dynamic activities. Purpose:To characterize tibiofemoral arthrokinematics during the impact phase of level walking and downhill running. Study Design:Descriptive laboratory study. Methods:Arthrokinematic data were collected on uninjured knees of 44 participants (mean age, 20.7 ± 6.6 years). Using a dynamic stereoradiographic imaging system with superimposed 3-dimensional bone models from computed tomography and magnetic resonance imaging of participant-specific tibiofemoral joints, arthrokinematics were assessed during the first 15% of the gait cycle during level walking and the first 10% of the gait cycle during downhill running. Results:During level walking and downhill running, the medial compartment had a greater cartilage contact area versus the lateral compartment. Both compartments had a significantly less cartilage contact area during running versus walking (medial compartment gait cycle affected: 8%-10%; lateral compartment gait cycle affected: 5%-10%). Further, medial and lateral compartment tibiofemoral contact paths were significantly more posterior and longer during downhill running. Conclusion:There was a decreased tibiofemoral cartilage contact area during downhill running compared with level walking, suggesting that underlying bone morphology may play a key role in determining the size of cartilage contact regions. Clinical Relevance:This study provides the first data characterizing tibiofemoral cartilage contact patterns during level walking and downhill running. These results provide evidence in support of performing biomechanical assessments during both level walking and downhill running to obtain a comprehensive picture of tibiofemoral cartilage behavior after clinical interventions.

Dataset Information

The Complex Relationship Between In Vivo ACL Elongation and Knee Kinematics During Walking and Running.

Publications

The Complex Relationship Between In Vivo ACL Elongation and Knee Kinematics During Walking and Running.

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