Authors :
Chatrajeet Das; Dev Anand; Deepmala Thakur
Volume/Issue :
Volume 9 - 2024, Issue 10 - October
Google Scholar :
https://tinyurl.com/yc3zv9pw
Scribd :
https://shorturl.at/xG42M
DOI :
https://doi.org/10.38124/ijisrt/IJISRT24OCT1691
Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.
Abstract :
Background and Purpose of the Study:
The anterior cruciate ligament reconstruction
(ACLR) subject’s exhibit altered hip moment pattern
during early stance suggesting that the hip doesn’t re-
establish normal joint moment characteristics at 3
months post-surgery. Weak hip extensors and
quadriceps of the injured leg could lead to reduced hip
extension and therefore a reduced hip displacement
angle (HDA), and step length.
Method:
An observational correlative study was conducted
at HOSMAT Hospital physiotherapy OPD with a
Sample size of 30. Outcome measures used were Hip
extension (HE), Hip extensor strength (HES) and Hip
Displacement Angle (HDA).
Results:
30 subjects with a Mean (SD) age of 28.27 (±5.85)
yrs. 1 female and 29 males were included. There was
statistical significant difference in all 3 outcome
measures (HE, HES and HDA) in affected side compared
to un-affected side, using paired “t” test. Correlations
among the normalized outcome measures were done
using pearson’s correlation co-efficient. re =0.450
(p=0.013) for HE and HES, rs = 0.346 (p=0.061) for HES
and HDA, ra = 0.328 (p=0.077) for HDA and HE. This
study showed a weak correlation among the outcome
measures.
Conclusion:
In this study significant difference was appreciated
in all the 3 outcome measures between affected and
unaffected side. HE and HES was decreased in affected
side compare to unaffected side after 3 weeks of ACLR
and increase in HDA in the affected side. Statistical
correlation among the outcome measures showed very
weak correlation among them.
Keywords :
Anterior Cruciate Ligament Reconstruction, Hip Extension, Hip Extensor Strength, Hip Displacement Angle, Gait.
References :
- Kate Button, Robert van Deursen, Patricia Price, Recovery in functional non- copers following anterior cruciate ligament rupture as detected by gait kinematics. Physical Therapy in Sport 9 (2008) 97–104.
- Hiemstra LA, Webber S, MacDonald PB, Kriellaars DJ. Knee strength deficits after hamstring tendon and patellar tendon anterior cruciate ligament reconstruction. Med Sci Sports Exerc. 2000;32:1472–1479.
- Bulgheroni P, Bulgheroni MV, Andrini L, Guffanti P, Giughello A. Gait patterns after anterior cruciate ligament reconstruction. Knee Surg Sport Traum Arthr 1997;5:14-21.
- Bush-Joseph CA, Hurwitz DE, Patel RR, Bahrani Y, Garretson R, Bach BR, et al. Dynamic function after anterior cruciate ligament reconstruction with autologous patellar tendon. Am J Sports Med 2001;29(1):36–41.
- Devita P, Hortobagyi T, Barrier J. Gait adaptations before and after anterior cruciate ligament reconstruction surgery. Med Sci Sports Exerc 1997;29:853– 9.
- Timoney JM, Inman WS, Quesada PM, Sharkey PF, Barrack RL, Skinner HB, et al. Return of normal gait patterns after anterior cruciate ligament reconstruction. Am J Sports Med 1993;21(6):887–9.
- Allison S. Arnold , Frank C. Anderson, Marcus G. Pandy, Scott L. Delp,
- Muscular contributions to hip and knee extension during the single limb stance phase of normal gait: a framework for investigating the causes of crouch gait. J Biomech 2005; 38 2181–2189.
- Neptune, R.R., Zajac, F.E., Kautz, S.A.,. Muscle force redistributes segmental power for body progression during walking. Gait Posture 2004;19, 194–205.
- Laurie A. Hiemstra, MD, PhD, FRCS(C),Wade T. Gofton, MD, and Dean J.
- Kriellaars, PhD, Hip Strength Following Hamstring Tendon Anterior Cruciate Ligament Reconstruction. Clin J Sport Med, Volume 15, Number 3, May 2005.
- Massimo Bacchini, Carola Cademartiri, Giovanni Soncini Gait analysis in patients undergoing ACL reconstruction according to Kenneth Jones’technique. ACTA BIOMED 2009; 80: 140-149.
- Michael D. Ross, The relationship between functional levels and fear- avoidance beliefs following anterior cruciate ligament reconstruction. J Orthopaed Traumatol (2010) 11:237–243.
- Judith M. Burnfield, PT, Karen R. Josephson, MPH, Christopher M. Powers, PhD, PT,Laurence Z. Rubenstein, MD, MPH, The Influence of Lower Extremity Joint Torque on Gait Characteristics in Elderly Men. Arch Phys Med Rehabil Vol 81, September 2000.
Background and Purpose of the Study:
The anterior cruciate ligament reconstruction
(ACLR) subject’s exhibit altered hip moment pattern
during early stance suggesting that the hip doesn’t re-
establish normal joint moment characteristics at 3
months post-surgery. Weak hip extensors and
quadriceps of the injured leg could lead to reduced hip
extension and therefore a reduced hip displacement
angle (HDA), and step length.
Method:
An observational correlative study was conducted
at HOSMAT Hospital physiotherapy OPD with a
Sample size of 30. Outcome measures used were Hip
extension (HE), Hip extensor strength (HES) and Hip
Displacement Angle (HDA).
Results:
30 subjects with a Mean (SD) age of 28.27 (±5.85)
yrs. 1 female and 29 males were included. There was
statistical significant difference in all 3 outcome
measures (HE, HES and HDA) in affected side compared
to un-affected side, using paired “t” test. Correlations
among the normalized outcome measures were done
using pearson’s correlation co-efficient. re =0.450
(p=0.013) for HE and HES, rs = 0.346 (p=0.061) for HES
and HDA, ra = 0.328 (p=0.077) for HDA and HE. This
study showed a weak correlation among the outcome
measures.
Conclusion:
In this study significant difference was appreciated
in all the 3 outcome measures between affected and
unaffected side. HE and HES was decreased in affected
side compare to unaffected side after 3 weeks of ACLR
and increase in HDA in the affected side. Statistical
correlation among the outcome measures showed very
weak correlation among them.
Keywords :
Anterior Cruciate Ligament Reconstruction, Hip Extension, Hip Extensor Strength, Hip Displacement Angle, Gait.