Return of normal gait patterns after anterior cruciate ligament reconstruction

1993 ◽  
Vol 21 (6) ◽  
pp. 887-889 ◽  
Author(s):  
James M. Timoney ◽  
Wayne S. Inman ◽  
Peter M. Quesada ◽  
Peter F. Sharkey ◽  
Robert L. Barrack ◽  
...  
2019 ◽  
Vol 9 (16) ◽  
pp. 3306 ◽  
Author(s):  
Hamzah Sakeran ◽  
Noor Azuan Abu Osman ◽  
Mohd Shukry Abdul Majid

In this paper, a gait patterns classification system is proposed, which is based on Mahalanobis–Taguchi System (MTS). The classification of gait patterns is necessary in order to ascertain the rehab outcome among anterior cruciate ligament reconstruction (ACLR) patients. (1) Background: One of the most critical discussion about when ACLR patients should return to work (RTW). The objective was to use Mahalanobis distance (MD) to classify between the gait patterns of the control and ACLR groups, while the Taguchi Method (TM) was employed to choose the useful features. Moreover, MD was also utilised to ascertain whether the ACLR group approaching RTW. The combination of these two methods is called as Mahalanobis-Taguchi System (MTS). (2) Methods: This study compared the gait of 15 control subjects to a group of 10 subjects with laboratory. Later, the data were analysed using MTS. The analysis was based on 11 spatiotemporal parameters. (3) Results: The results showed that gait deviations can be identified successfully, while the ACLR can be classified with higher precision by MTS. The MDs of the healthy group ranged from 0.560 to 1.180, while the MDs of the ACLR group ranged from 2.308 to 1509.811. Out of the 11 spatiotemporal parameters analysed, only eight parameters were considered as useful features. (4) Conclusions: These results indicate that MTS can effectively detect the ACLR recovery progress with reduced number of useful features. MTS enabled doctors or physiotherapists to provide a clinical assessment of their patients with more objective way.


2020 ◽  
Vol 11 (SPL4) ◽  
pp. 2819-2824
Author(s):  
Bhavna Gandhi ◽  
Lynn Fernandes ◽  
Akhila Puranik ◽  
Vaishnavi Siroya ◽  
Tamanna Nurai ◽  
...  

Anterior Cruciate Ligament injuries are one of the commonest injuries related to the knee joint. They can either be a ligament tear or a ligament sprain. They usually occur due to landing from a jump incorrectly, rapidly changing the direction of motion, sports injuries (direct collisions), and stopping suddenly. This type of injury requires conservative treatment and/or Anterior Cruciate Ligament Reconstruction (ACLR) surgery. In both cases, physiotherapy has been proven to be useful in the treatment and rehabilitation of the condition. Physiotherapy treatment aids in relieving the symptoms, strengthening, endurance and gait training. The patient came to the hospital with the complaints of there being a difficulty in walking without support. The pain was present as the patient tried to bend his right knee, the swelling was also present on the right knee and there was a restricted range of motion. All these complaints were present for 15 days. The patient was a post-operative case of ACLR. An X-ray and MRI scan showed these results. Physiotherapy interventions included educating the patient, reducing the swelling, reducing the pain using electrotherapy modalities, Range of Motion exercises for the right knee, strengthening and endurance exercises, and teaching normal gait pattern. The patient eventually gained an improved range of right knee movement, decreased pain, swelling and tenderness, and learned to walk with a normal gait pattern. The questionnaires and tests carried out pre and post-treatment showed a positive result. 


2021 ◽  
Vol 13 (8) ◽  
pp. 1415-1423
Author(s):  
Meifang Zhou ◽  
Bo Han

Nanomaterials have now become a hotspot and frontier in the medical world, with broad application prospects and industrial development space. This study explored the effects of knee-related training on knee-related activities and knee-related activities during arthroscopic anterior cruciate ligament reconstruction. In this study, 100 cases of anterior cruciate ligament reconstruction under arthroscopy were used as the research object. They were divided into an observation group and a control group by random number table method, with 50 cases in each group. The observation group was given preoperative care and rehabilitation guidance, and the control group was given routine care. The normal walking recovery rate and total knee mobility of the two groups were compared. Two months after surgery, the normal gait, normal knee joint mobility, and knee joint mobility of the observation group were higher than those of the control group (P < 0.05). The number of normal gait in the observation group was 41, accounting for 82% of the total number of observation groups; the number of knees with full angle or more in the observation group was 43, accounting for 86% of the total number of observation groups; normal gait in the control group The number was 23, which accounted for 46% of the total number of observation groups; the number of full-angle knees in the control group was 20, which accounted for 40% of the total number of observation groups. The results show that the guidelines and related nursing for knee training before arthroscopic osteotomy reduction can be improved, and the operation can strengthen the knee function.


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