Document Detail

Sagittal plane translation of the tibia in anterior cruciate ligament-deficient knees during commonly used rehabilitation exercises.
MedLine Citation:
PMID:  7882129     Owner:  NLM     Status:  MEDLINE    
It may be assumed that exercises that provoke high sagittal plane knee translations also induce high stresses on an anterior cruciate ligament substitute and, therefore, these exercises should be limited during the first months after reconstruction. In 18 patients with unilateral anterior cruciate ligament deficiency, sagittal plane knee translations were measured with a goniometer linkage system during common activities. The largest translations were found during low-speed isokinetic exercises. Further, isokinetic and isometric exercises on the Cybex-II dynamometer provoked in more than 40% of the patients larger translations on the injured than on the healthy knee. However, isometric exercises without distally applied load only provoked small translation. During bicycling, translations increased with increasing resistance similarly in both limbs. Except for walking downstairs, load-bearing exercises, such as sitting down and standing up from a chair and walking upstairs, only produced negligible amounts of tibial translation. In conclusion, during the early phase after anterior cruciate ligament reconstruction, activities such as bicycling and some weight-bearing exercises seem to be more recommendable than low-speed isokinetic exercises, isometric contractions at a low knee flexion angle with distally applied load or walking downstairs.
M Lysholm; K Messner
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Scandinavian journal of medicine & science in sports     Volume:  5     ISSN:  0905-7188     ISO Abbreviation:  Scand J Med Sci Sports     Publication Date:  1995 Feb 
Date Detail:
Created Date:  1995-04-10     Completed Date:  1995-04-10     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9111504     Medline TA:  Scand J Med Sci Sports     Country:  DENMARK    
Other Details:
Languages:  eng     Pagination:  49-56     Citation Subset:  IM    
Department of Sports Medicine, University Hospital, Linköping, Sweden.
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MeSH Terms
Anterior Cruciate Ligament / injuries*
Athletic Injuries / rehabilitation
Muscle, Skeletal / physiology*
Physical Therapy Modalities*
Tibia / physiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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