title: Effect of Anterior Tibiofemoral Glides on Knee Extension during Gait in Patients with Decreased Range of Motion after Anterior Cruciate Ligament Reconstruction.
abstract: OBJECTIVE
  The purpose of this preliminary investigation was to evaluate the effect of anterior tibiofemoral glides on maximal knee extension and selected spatiotemporal characteristics during gait in patients with knee extension deficits after anterior cruciate ligament (ACL) reconstruction.
  
  
  METHODS
  Twelve patients with knee-extension deficits after recent ACL reconstructions underwent quantitative gait analyses immediately before and after 10 minutes of repeated anterior tibiofemoral glides on the operative limb, and again after a 10-minute seated rest period.
  
  
  RESULTS
  Maximum knee extension during stance phase of the operative limb significantly increased immediately after the treatment (mean increase: 2.0°±4.1°, 95% CI: 0.6°-3.3°). Maximum knee extension decreased after the 10-minute rest period (mean decrease: 0.9°±1.8°, 95% CI: -0.1°-1.8°), although the decrease was not statistically significant. Small increases in operative limb step length, stride length, and gait speed were observed after the rest period compared to baseline values only.
  
  
  CONCLUSIONS
  A single session of anterior tibiofemoral glides increases maximal knee extension during the stance phase of gait in patients with knee-extension deficits. Increases in knee extension are small and short-lived, however, suggesting that continued activity is required to maintain the observed improvements.
authors.affiliation: Michael A. Hunt, MPT, PhD: Assistant Professor, Department of Physical Therapy, University of British Columbia, Vancouver, British Columbia.
authors.forename: Michael A
authors.initials: MA
authors.lastname: Hunt
authors.forename: Stephen R
authors.initials: SR
authors.lastname: Di Ciacca
authors.forename: Ian C
authors.initials: IC
authors.lastname: Jones
authors.forename: Beverley
authors.initials: B
authors.lastname: Padfield
authors.forename: Trevor B
authors.initials: TB
authors.lastname: Birmingham