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A Biomechanical Analysis According to Passage of Rehabilitation Training Program of ACL Patients

전방십자인대 수술자의 재활트레이닝 경과에 따른 운동역학적 분석

  • Jin, Young-Wan (Department of Prescription and Rehabilitation, College of Exercise Science, Dong-Eui University)
  • 진영완 (동의대학교 체육과학대학 운동처방재활학과)
  • Received : 2013.08.06
  • Accepted : 2013.09.20
  • Published : 2013.09.30

Abstract

The purpose of this study was to analyse scientific according to period of rehabilitation training of ACL patients. ACL patients seven subjects participated in this study. Gait (1.58 m/sec) analysis was performed by using a 3-D Cinematography, a Zebris system and a electromyograph system. The data were analyzed by paired t-test. The joint angles were recorded from the ankle, knee, hip joints. Peak max dorsi-flexion and peak max plantar-flexion identified significant differences (p<0.05). Another angles were no significant difference. Vertical force (Fz) and max pressure variables improved 6 month RTP better than 3 month RTP. EMG were collected from 4 muscles (rectus femoris, biceps femoris, gastrocnemius, tibialis anterior) with surface electrides in gait system. EMG signals were rectified and smoothed data. EMG signas were no significant difference but they also improved 6 month RTP better than 3 month RTP. More research is necessary to determine exactly what constitutes optimal rehabilitation training period for ACL patients.

Keywords

References

  1. Andriacchi, T. P. (1993). Functional analysis of pre and post knee surgery: total knee arthroplastic and ACL reconstruction. Journal of Biomechanical Engineering, 115(4B), 575-581. https://doi.org/10.1115/1.2895543
  2. Barrack, R. L., Bruckner, J. D., Kneisl, J., Inman, W. S., & Alexander, A. H. (1990). The outcome of non-operatively treated complete tears of the anterior cruciate ligament in active young adults. Clinical Orthopedics and Related Research, 259, 192-199.
  3. Berchuck, M., Andriacchi, T. P., & Bach, B. R., & Reider, B. (1990). Gait adaptations by patients who have deficient anterior cruciate ligament. The Journal of Bone and Joint Surgery, American Volume, 72(6), 871-877. https://doi.org/10.2106/00004623-199072060-00012
  4. Bulgheroni, P., Bulgheroni, M. V., Andrini, L., Guffanti, P., & Castelli, C. (1997). Walking in anterior cruciate ligament injuries. The knee, 4(3), 159-165. https://doi.org/10.1016/S0968-0160(97)00259-7
  5. Branch T. P., Hunter R., & Donath M. (1989). Dynamic EMG analysis of anterior cruciate deficient legs with and without bracing during cutting. American Journal of Sports Medicine, 17(1), 35-41. https://doi.org/10.1177/036354658901700106
  6. Cavanagh, P. R. (1980). The shoe-ground interface in running. American Academy of Orthopedic Surgeons Symposium, Colorado.
  7. Ciccotti, M. G., Kerlan R. K., Perry, J., & Pink, M. (1994). An electromyographic analysis of the knee during functional activities. I. The normal profile. American Journal of Sports Medicine, 22(5), 645-650. https://doi.org/10.1177/036354659402200512
  8. Gary, N. G. (1997). Running injuries. A Division of Harcourt Brace & Company, Ohiladelphia, Saunders Company.
  9. Hamill, J., & Knutzen, K. M. (2003). Biomechanical Basis of human movement, Lippincott Williams & Wilkins, Philadelphia, 381-425.
  10. Houck, J. R., Wilding, G. E., Gupta, R., De Haven, K. E., & Maloney, M. (2006). Analysis of EMG patterns of control subjects and subjects with ACL deficiency during an unanticipated walking cut task. Gait & Posture, 25(4), 628-638.
  11. Rudolph, K. S., Snyder-Mackler L. (2004). Effect of dynamic stability on a step task in ACL deficient individuals. Journal of Electromyography and Kinesiology, 14(5), 565-575. https://doi.org/10.1016/j.jelekin.2004.03.002
  12. Lass, P., Kaalund, S., & LeFevre, S. (1991). Muscle coordination following rupture of the anterior cruciate ligament. Electromyographic studies of 14 patients.. Acta Orthopaedita Scandinavica, 62(1), 9-14. https://doi.org/10.3109/17453679108993083
  13. Noyes F. R. Matthews D. S., & Mooar P. A. (1983). The symptomatic anterior cruciate deficient knee. Part II: the results of rehabilitation, activity modification, and counseling on functional disability. The Journal of Bone and Joint Surgery. American Volume, 65(2), 163-174. https://doi.org/10.2106/00004623-198365020-00004
  14. Guidetti, L., Rivellini, G., & Figura, F. (1996). EMG patterns during running: intra- and inter-individual variability. Journal of Electromyography and Kinesiology, 6(1), 37-48. https://doi.org/10.1016/1050-6411(95)00015-1
  15. Gazendam M. G., & Hof, A. L. (2007). Averaged EMG profiles in jogging and running at different speeds. Gait & Posture, 25(4), 604-614. https://doi.org/10.1016/j.gaitpost.2006.06.013
  16. Nigg, B. N. Bahlsen, H. A., Luethi S. M., & Stoke, S. (1987). The influence of running velocity and midsole hardness of external ompact forces in heel-toe running. Journal of Biomechanics, 20(10), 951-959 https://doi.org/10.1016/0021-9290(87)90324-1
  17. Robert, C., John, P. H., & Charles, R. N. (1992). Human anatomy & physiology 2nd edition. Library of Congress Cataloging-inpublication Dat, new york.: Mc Graw Hill. Inc.
  18. Susan, J. H. (2003). Basic biomechanics. 4th edition. Quebecor World Dubuque, IA: Mc Graw Hill. Inc.
  19. Timothy D., & Noakes. (2003). Lore of running. 4th edition, Oxford University Press, New Jersey, Human Kinetics.

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