A deficient anterior cruciate ligament does not lead to quadriceps avoidance gait.

Abstract:

:Without an intact anterior cruciate ligament (ACL) to resist anterior tibial translation, it is commonly believed that ACL-deficient patients employ alterations in walking. Although there is no consensus in the literature about the specific kinematic and kinetic adaptations in these patients with ACL tears, the gait adaptation of quadriceps avoidance is perhaps the one most popularized. The purpose of our study was to determine whether quadriceps avoidance is common in patients with ACL-deficiency. We used a video-based motion analysis system and surface electromyography (EMG) to study 18 patients with ACL-deficiency. All patients demonstrated an internal knee extension moment during early mid-stance (similar to normal subjects). Quadriceps EMG activity was noted throughout most of stance. No patients demonstrated an internal knee flexion moment, a decreased internal knee extension moment or a decreased duration of quadriceps EMG activity during stance. The findings of this study would suggest that quadriceps avoidance as a gait adaptation in ACL-deficient patients may be less common than previously reported.

journal_name

Gait Posture

journal_title

Gait & posture

authors

Roberts CS,Rash GS,Honaker JT,Wachowiak MP,Shaw JC

doi

10.1016/s0966-6362(99)00038-7

subject

Has Abstract

pub_date

1999-12-01 00:00:00

pages

189-99

issue

3

eissn

0966-6362

issn

1879-2219

pii

S0966636299000387

journal_volume

10

pub_type

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