Kinematics of Rotation in Joints of the Lower Limbs and Pelvis during Gait: Early Results-SB ACLR Approach versus DB ACLR Approach.
It is difficult to find publications comparing rotation kinematics in large joints of the lower limbs and pelvis during gait in patients after single-bundle (SB) reconstruction of the anterior cruciate ligament (ACLR) with double-bundle (DB) ACLR of the knee. The aim of this study was to compare rotation kinematics in ankle, knee, and hip joints and the pelvis during gait in the 14th week after SB and DB ACLR. The subjects were males after SB (n = 10) and DB (n = 13) ACLR and a control group (n = 15). The values of kinematic parameters were recorded during internal (IR) and external (ER) rotation in the joints during gait using the BTS SMART. The SB ACLR group obtained significantly higher values of ER in the involved knee comparing to DB ACLR and controls and excessive IR in the hip comparing to controls. In the DB ACLR group, excessive ER was noted in the involved leg's foot. Comparing with the DB ACLR and control groups, SB ACLR subjects had more substantial disorders of rotation kinematics in the lower limb joints. However, in both ACLR groups, 14 weeks of postoperative physiotherapy were not enough to fully restore rotation kinematics in joints of the lower limbs during gait.
The College of Physiotherapy in Wrocław, ul. Kościuszki 4, 50-038 Wrocław, Poland ; The Center of Rehabilitation and Medical Education, ul. Kościuszki 4, 50-038 Wrocław, Poland.
Andrzej
0000-0002-2713-5090
A
Czamara
The College of Physiotherapy in Wrocław, ul. Kościuszki 4, 50-038 Wrocław, Poland ; The Center of Rehabilitation and Medical Education, ul. Kościuszki 4, 50-038 Wrocław, Poland.
Iga
0000-0002-0006-1888
I
Markowska
The College of Physiotherapy in Wrocław, ul. Kościuszki 4, 50-038 Wrocław, Poland ; The Center of Rehabilitation and Medical Education, ul. Kościuszki 4, 50-038 Wrocław, Poland.
Aleksandra
A
Królikowska
School of Health Sciences, Medical University of Silesia, Medyków 12, 40-752 Katowice, Poland.
Andrzej
A
Szopa
School of Health Sciences, Medical University of Silesia, Medyków 12, 40-752 Katowice, Poland.
Małgorzata
M
Domagalska Szopa
D000328:Adult; D059549:Anterior Cruciate Ligament Reconstruction; D001696:Biomechanical Phenomena; D005684:Gait / Q000502:physiology*; D006801:Humans; D007593:Joint Instability; D007719:Knee Joint / Q000502:physiology*; D035002:Lower Extremity / Q000502:physiology*; D008297:Male; D010388:Pelvis / Q000502:physiology*