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July 15, 2017Knee Surgery Sports Traumatology ArthroscopyOpen Access

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

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Authors

CMChristophe MeyerPGPaul GetteCMCaroline Mouton

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Overview

Case-control study reveals landing biomechanical asymmetries are independent of knee laxity in ACL reconstruction patients, suggesting functional deficits stem from movement strategies.

Key Points

  • To compare knee mechanics during bilateral drop vertical jump landings between patients following anterior cruciate ligament reconstruction and healthy controls, and to evaluate the relationship between landing asymmetries and knee joint laxity.
  • Evaluated 17 patients nine months post-anterior cruciate ligament reconstruction and 28 healthy controls using 3D motion capture (200 Hz) and two synchronized force platforms (1000 Hz).
  • Measured static anterior and internal rotation knee laxities bilaterally using dedicated arthrometers.
  • Analyzed group and leg differences with mixed-model ANOVA and assessed the relationship between sagittal energy absorption asymmetries and knee laxity via univariate linear regression.
  • Patients demonstrated 18% lower sagittal plane energy absorption in their involved leg during landing compared to controls (p = 0.018).
  • Involved knees exhibited 27% higher anterior laxity than non-involved knees (mean difference: 1.2 mm, p < 0.001) and 30% higher laxity than control knees (p < 0.001; leg-by-group interaction: p = 0.002).
  • Univariate linear regression revealed no significant relationship between side-to-side differences in sagittal plane energy absorption and knee joint laxity.

Cite This Study

Meyer et al. (2017) studied this question.

synapsesocial.com/papers/6a8c0ea17239707559bee36fhttps://doi.org/10.1007/s00167-017-4651-2
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The impact of psychological readiness to return to sport and recreational activities after anterior cruciate ligament reconstruction2014 · 453 citations
  2. 2Limb Asymmetries in Landing and Jumping 2 Years Following Anterior Cruciate Ligament Reconstruction2007 · 463 citations
  3. 3Relationship of anterior knee laxity to knee translations during drop landings: a bi‐plane fluoroscopy study2010 · 32 citations
  4. 4The knee adduction moment in hamstring and patellar tendon anterior cruciate ligament reconstructed knees2011 · 60 citations
  5. 5Combined anterior and rotational knee laxity measurements improve the diagnosis of anterior cruciate ligament injuries2015 · 28 citations