Kinematic analyses including finite helical axes of drop jump landings demonstrate decreased knee control long after anterior cruciate ligament injury
Autoři:
Helena Grip aff001; Eva Tengman aff002; Dario G. Liebermann aff003; Charlotte K. Häger aff002
Působiště autorů:
Department of Radiation Sciences, Biomedical Engineering, Umeå University, Umeå, Sweden
aff001; Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå University, Umeå, Sweden
aff002; Department of Physiotherapy, Stanley Steyer School of Health Professions, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
aff003
Vyšlo v časopise:
PLoS ONE 14(10)
Kategorie:
Research Article
prolekare.web.journal.doi_sk:
https://doi.org/10.1371/journal.pone.0224261
Souhrn
The purpose was to evaluate the dynamic knee control during a drop jump test following injury of the anterior cruciate ligament injury (ACL) using finite helical axes. Persons injured 17–28 years ago, treated with either physiotherapy (ACLPT, n = 23) or reconstruction and physiotherapy (ACLR, n = 28) and asymptomatic controls (CTRL, n = 22) performed a drop jump test, while kinematics were registered by motion capture. We analysed the Preparation phase (from maximal knee extension during flight until 50 ms post-touchdown) followed by an Action phase (until maximal knee flexion post-touchdown). Range of knee motion (RoM), and the length of each phase (Duration) were computed. The finite knee helical axis was analysed for momentary intervals of ~15° of knee motion by its intersection (ΔAP position) and inclination (ΔAP Inclination) with the knee’s Anterior-Posterior (AP) axis. Static knee laxity (KT100) and self-reported knee function (Lysholm score) were also assessed. The results showed that both phases were shorter for the ACL groups compared to controls (CTRL-ACLR: Duration 35±8 ms, p = 0.000, CTRL-ACLPT: 33±9 ms, p = 0.000) and involved less knee flexion (CTRL-ACLR: RoM 6.6±1.9°, p = 0.002, CTRL-ACLR: 7.5 ±2.0°, p = 0.001). Low RoM and Duration correlated significantly with worse knee function according to Lysholm and higher knee laxity according to KT-1000. Three finite helical axes were analysed. The ΔAP position for the first axis was most anterior in ACLPT compared to ACLR (ΔAP position -1, ACLPT-ACLR: 13±3 mm, p = 0.004), with correlations to KT-1000 (rho 0.316, p = 0.008), while the ΔAP inclination for the third axis was smaller in the ACLPT group compared to controls (ΔAP inclination -3 ACLPT-CTRL: -13±5°, p = 0.004) and showed a significant side difference in ACL injured groups during Action (Injured-Non-injured: 8±2.7°, p = 0.006). Small ΔAP inclination -3 correlated with low Lysholm (rho 0.391, p = 0.002) and high KT-1000 (rho -0.450, p = 0.001).
Conclusions Compensatory movement strategies seem to be used to protect the injured knee during landing. A decreased ΔAP inclination in injured knees during Action suggests that the dynamic knee control may remain compromised even long after injury.
Klíčová slova:
Principal component analysis – Musculoskeletal system – Knee joints – Legs – Kinematics – Knees – Physiotherapy – Anterior cruciate ligament reconstruction
Zdroje
1. Bates NA, Nesbitt RJ, Shearn JT, Myer GD, Hewett TE. Relative strain in the anterior cruciate ligament and medial collateral ligament during simulated jump landing and sidestep cutting tasks: implications for injury risk. Am J Sports Med. 2015;43(9):2259–69. doi: 10.1177/0363546515589165 26150588.
2. Ageberg E. Consequences of a ligament injury on neuromuscular function and relevance to rehabilitation—using the anterior cruciate ligament-injured knee as model. J Electromyogr Kinesiol. 2002;12(3):205–12. Epub 2002/06/28. 12086815.
3. Kessler MA, Behrend H, Henz S, Stutz G, Rukavina A, Kuster MS. Function, osteoarthritis and activity after ACL-rupture: 11 years follow-up results of conservative versus reconstructive treatment. Knee Surg Sports Traumatol Arthrosc. 2008;16(5):442–8. Epub 2008/02/23. doi: 10.1007/s00167-008-0498-x 18292988.
4. Mihelic R, Jurdana H, Jotanovic Z, Madjarevic T, Tudor A. Long-term results of anterior cruciate ligament reconstruction: a comparison with non-operative treatment with a follow-up of 17–20 years. Int Orthop. 2011;35(7):1093–7. Epub 2011/02/03. doi: 10.1007/s00264-011-1206-x 21287172; PubMed Central PMCID: PMC3167409.
5. Webster KE, Hewett TE. Meta-analysis of meta-analyses of anterior cruciate ligament injury reduction training programs. J Orthop Res. 2018;36(10):2696–708. Epub 2018/05/08. doi: 10.1002/jor.24043 29737024.
6. Wolf A. Instantaneous screws of weight-bearing knee: what can the screws tell us about the knee motion. J Biomech Eng. 2014;136(7). doi: 10.1115/1.4027055 24599550.
7. Grip H, Tengman E, Hager CK. Dynamic knee stability estimated by finite helical axis methods during functional performance approximately twenty years after anterior cruciate ligament injury. J Biomech. 2015;48(10):1906–14. Epub 2015/05/04. doi: 10.1016/j.jbiomech.2015.04.016 25935685.
8. Hebert-Losier K, Schelin L, Tengman E, Strong A, Hager CK. Curve analyses reveal altered knee, hip, and trunk kinematics during drop-jumps long after anterior cruciate ligament rupture. Knee. 2018;25(2):226–39. Epub 2018/03/12. doi: 10.1016/j.knee.2017.12.005 29525548.
9. Nilstad A, Andersen TE, Kristianslund E, Bahr R, Myklebust G, Steffen K, et al. Physiotherapists can identify female football players with high knee valgus angles during vertical drop jumps using real-time observational screening. J Orthop Sports Phys Ther. 2014;44(5):358–65. doi: 10.2519/jospt.2014.4969 24730435.
10. Krosshaug T, Steffen K, Kristianslund E, Nilstad A, Mok KM, Myklebust G, et al. The Vertical Drop Jump Is a Poor Screening Test for ACL Injuries in Female Elite Soccer and Handball Players: A Prospective Cohort Study of 710 Athletes. Am J Sports Med. 2016;44(4):874–83. doi: 10.1177/0363546515625048 26867936.
11. Meyer CAG, Gette P, Mouton C, Seil R, Theisen D. Side-to-side asymmetries in landing mechanics from a drop vertical jump test are not related to asymmetries in knee joint laxity following anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc. 2018;26(2):381–90. Epub 2017/07/18. doi: 10.1007/s00167-017-4651-2 28712025; PubMed Central PMCID: PMC5794826.
12. Gagnon SS, Birmingham TB, Chesworth BM, Bryant D, Werstine M, Giffin JR. Development of a Clinician-Rated Drop Vertical Jump Scale for Patients Undergoing Rehabilitation After Anterior Cruciate Ligament Reconstruction: A Delphi Approach. J Orthop Sports Phys Ther. 2017;47(8):557–64. Epub 2017/07/07. doi: 10.2519/jospt.2017.7183 28683233.
13. Markstrom JL, Tengman E, Hager CK. ACL-reconstructed and ACL-deficient individuals show differentiated trunk, hip, and knee kinematics during vertical hops more than 20 years post-injury. Knee Surg Sports Traumatol Arthrosc. 2018;26(2):358–67. doi: 10.1007/s00167-017-4528-4 28337590; PubMed Central PMCID: PMC5794830.
14. Lysholm J, Gillquist J. Evaluation of knee ligament surgery results with special emphasis on use of a scoring scale. Am J Sports Med. 1982;10(3):150–4. Epub 1982/05/01. doi: 10.1177/036354658201000306 6896798.
15. Highgenboten CL, Jackson AW, Jansson KA, Meske NB. KT-1000 arthrometer: conscious and unconscious test results using 15, 20, and 30 pounds of force. Am J Sports Med. 1992;20(4):450–4. doi: 10.1177/036354659202000415 1415889.
16. Cole GK, Nigg BM, Ronsky JL, Yeadon MR. Application of the joint coordinate system to three-dimensional joint attitude and movement representation: a standardization proposal. J Biomech Eng. 1993;115(4A):344–9. doi: 10.1115/1.2895496 8309227.
17. Grip H, Hager C. A new approach to measure functional stability of the knee based on changes in knee axis orientation. J Biomech. 2013;46(5):855–62. Epub 2013/02/05. doi: 10.1016/j.jbiomech.2012.12.015 23374277.
18. Dyhre-Poulsen P, Simonsen EB, Voigt M. Dynamic control of muscle stiffness and H reflex modulation during hopping and jumping in man. The Journal of physiology. 1991;437:287–304. doi: 10.1113/jphysiol.1991.sp018596 1890636; PubMed Central PMCID: PMC1180048.
19. Myers CA, Torry MR, Peterson DS, Shelburne KB, Giphart JE, Krong JP, et al. Measurements of tibiofemoral kinematics during soft and stiff drop landings using biplane fluoroscopy. Am J Sports Med. 2011;39(8):1714–22. doi: 10.1177/0363546511404922 21602566; PubMed Central PMCID: PMC4167636.
20. Kvist J, Good L, Tagesson S. Changes in knee motion pattern after anterior cruciate ligament injury—case report. Clin Biomech (Bristol, Avon). 2007;22(5):551–6. Epub 2007/02/27. doi: 10.1016/j.clinbiomech.2007.01.003 17321020.
21. Kvist J. Sagittal tibial translation during exercises in the anterior cruciate ligament-deficient knee. Scand J Med Sci Sports. 2005;15(3):148–58. Epub 2005/05/12. doi: 10.1111/j.1600-0838.2004.401.x 15885035.
22. Hofbauer M, Thorhauer ED, Abebe E, Bey M, Tashman S. Altered tibiofemoral kinematics in the affected knee and compensatory changes in the contralateral knee after anterior cruciate ligament reconstruction. Am J Sports Med. 2014;42(11):2715–21. Epub 2014/09/18. doi: 10.1177/0363546514549444 25227945.
23. Tengman E, Brax Olofsson L, Nilsson KG, Tegner Y, Lundgren L, Hager CK. Anterior cruciate ligament injury after more than 20 years: I. Physical activity level and knee function. Scand J Med Sci Sports. 2014;24(6):e491–500. Epub 2014/03/29. doi: 10.1111/sms.12212 24673102.
24. van Melick N, van Cingel RE, Brooijmans F, Neeter C, van Tienen T, Hullegie W, et al. Evidence-based clinical practice update: practice guidelines for anterior cruciate ligament rehabilitation based on a systematic review and multidisciplinary consensus. Br J Sports Med. 2016;50(24):1506–15. doi: 10.1136/bjsports-2015-095898 27539507.
25. Zhang SN, Bates BT, Dufek JS. Contributions of lower extremity joints to energy dissipation during landings. Med Sci Sports Exerc. 2000;32(4):812–9. doi: 10.1097/00005768-200004000-00014 10776901.
26. Collins TD, Ghoussayni SN, Ewins DJ, Kent JA. A six degrees-of-freedom marker set for gait analysis: repeatability and comparison with a modified Helen Hayes set. Gait Posture. 2009;30(2):173–80. Epub 2009/05/29. S0966-6362(09)00110-6 [pii] doi: 10.1016/j.gaitpost.2009.04.004 19473844.
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