Autoregressive Modeling as Diagnostic Tool to Identify Postanterior Cruciate Ligament Reconstruction Limb Asymmetry.

Abstract:

:Between-limb deficits in vertical ground reaction force (vGRF) production continue to remain years after anterior cruciate ligament rehabilitation, resulting in altered dynamic stability. However, the challenge is in identifying ways to assess this between-limb stability. This study implemented second-order autoregressive [AR(2)] modeling and its stationarity triangle to both quantitatively and visually delineate differences in dynamic stability from peak vGRF data in controls and post-anterior cruciate ligament reconstruction (ACLR) individuals during running. It was hypothesized that post-ACLR individuals would exhibit less dynamic stability than the controls, and that they would reside in a different location on the stationarity triangle, thus denoting differences in stability. The results presented supported the hypothesis that post-ACLR individuals exhibited significantly less dynamic stability than their control counterparts based on their model coefficients (AR1 P < .01; AR2 P = .02). These findings suggested that the post-ACLR individuals adopted a similar running pattern, possibly due to muscle weakness asymmetry, which was less dynamically stable and potentially places them at greater risk for injury. The ability of this approach to both quantitatively and visually delineate differences between these 2 groups indicates its potential as a return-to-sport decision tool.

journal_name

J Appl Biomech

authors

Morgan KD

doi

10.1123/jab.2018-0414

subject

Has Abstract

pub_date

2019-10-18 00:00:00

pages

1-5

eissn

1065-8483

issn

1543-2688

pii

jab.2018-0414

pub_type

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