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Knee Surgery, Sports Traumatology, Arthroscopy
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 2/2018

01-02-2018 | Knee

Poor knee function after ACL reconstruction is associated with attenuated landing force and knee flexion moment during running

Authors: Luke G. Perraton, Michelle Hall, Ross A. Clark, Kay M. Crossley, Yong-Hao Pua, Tim S. Whitehead, Hayden G. Morris, Adam G. Culvenor, Adam L. Bryant

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 2/2018

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Abstract

Purpose

Poor knee function after anterior cruciate ligament reconstruction (ACLR) may increase the risk of future knee symptoms and knee osteoarthritis via abnormal knee joint loading patterns, particularly during high-impact activity. This study aimed to assess the relationship between poor self-reported or clinically measured knee function and knee moments/vertical ground reaction force (vGRF) in individuals following ACLR.

Methods

61 participants (mean 16.5 ± 3 months following ACLR, 23 women) completed a patient-reported knee function questionnaire and three hop tests (% of uninvolved limb). Participants were divided into satisfactory and poor knee function groups (poor < 85% patient-reported knee function and/or < 85% hop test symmetry). The knee biomechanics of both groups were assessed with three-dimensional motion analysis during the stance phase of overland running at self-selected speeds, and the association between knee function and knee moments was assessed using analysis of covariance with running speed as a covariate.

Results

Participants with poor knee function (n = 30) ran with significantly smaller peak knee flexion moments (moderate effect size 0.7, p = 0.03) and significantly smaller peak vGRFs (large effect size 1.0, p = 0.002) compared to those with satisfactory knee function (n = 31). No significant differences were observed for knee adduction and knee external rotation moments or knee kinematics.

Conclusion

Individuals following ACLR with poor self-reported knee function and/or hop test performance demonstrate knee moments during running that may be associated with lower knee joint contact forces. These findings provide greater understanding of the relationship between knee biomechanics during running and clinical assessments of knee function.

Level of evidence

III. Cross-sectional study.
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Metadata
Title
Poor knee function after ACL reconstruction is associated with attenuated landing force and knee flexion moment during running
Authors
Luke G. Perraton
Michelle Hall
Ross A. Clark
Kay M. Crossley
Yong-Hao Pua
Tim S. Whitehead
Hayden G. Morris
Adam G. Culvenor
Adam L. Bryant
Publication date
01-02-2018
Publisher
Springer Berlin Heidelberg
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 2/2018
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-017-4810-5

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