Comparison of Gait Pattern in Athletes with ACL Deficiency and Healthy Individual using an Accelerometer

Heydar Sadeghi, Hesam Fazlali, Saba Sadeghi, Seyedmojtaba Seyedmojtaba Ojaghi

Abstract


Background: In athletes with anterior cruciate ligament (ACL) deficiencies could assess functional capabilities with different instruments such as use of a camera in vivo situation. However, these methods have suffered from a large number of limitations such as inability to be repeatable and complexity in technique. Objective: The main purpose of this study was to compare gait pattern of the athletes with ACL injury and able-bodied subjects using an accelerometer. Method: A three-dimensional accelerometer was placed over the tibia tuberosity of 20 healthy and 20 individuals with ACL-deficiencies (ACLD). After walking on the treadmill, the principal components of the acceleration data were calculated using MATLAB software. Results: In this study, Principle Component analysis was used for statistical analysis. The results indicated that subjects with ACL deficiency have different gait pattern compared to the control group. The major differences between stride trajectories of the two groups were at the end of mid-swing and the beginning of terminal swing phases in vertical axis. ACL deficient subjects exhibited different gait patterns during mid and terminal stance phases in anterior- posterior axis compared with normal controls. Conclusions: The difference in gait between subjects with ACL deficiency and healthy subjects are depends on variation in the amount of knee flexion and tibia rotation that could be altered to motor recruitment.

Keywords


Anterior Cruciate Ligament, Tibia Acceleration, Accelerometry, Gait Analysis, Athletic Injuries

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References


Begg, R., Palaniswami, M. (2006). Computational Intelligence for Movement Sciences: Neural Networks and, Other Emerging Techniques. Hershey, PA: IGI Global, Monitoring Human Movement with Body-Fixed Sensors and its Clinical Applications (pages 101-138). Idea Group Inc. doi: 10.4018/978-1-59140-836-9.ch013

Brayne, L., Barnes, A., Heller, B., & Wheat, J. (2018). Using a wireless consumer accelerometer to measure tibial acceleration during running: agreement with a skin-mounted sensor. Sports Engineering, 21(4), 487-491. doi.org/10.1007/s12283-018-0271-4

Clarke, J. E., & Eccleston, C. (2009). Assessing the quality of walking in adults with chronic pain: the development and preliminary psychometric evaluation of the Bath Assessment of Walking Inventory. European Journal of Pain, 13(3), 305-311. doi.org/10.1016/j.ejpain.2008.04.009

Clermont, C. A., & Barden, J. M. (2016). Accelerometer-based determination of gait variability in older adults with knee osteoarthritis. Gait & posture, 50, 126-130. doi.org/10.1016/j.gaitpost.2016.08.024.

Georgoulis, A. D., Papadonikolakis, A., Papageorgiou, C. D., Mitsou, A., & Stergiou, N. (2003). Three-dimensional tibiofemoral kinematics of the anterior cruciate ligament-deficient and reconstructed knee during walking. The American journal of sports medicine, 31(1), 75-79. doi.org/10.1177/03635465030310012401.

Ebersbach, G., Sojer, M., Valldeoriola, F., Wissel, J., Muller, J., Tolosa, E., Poewe, W. (1999). Comparative analysis of gait in Parkinson’s disease, cerebella ataxia and, subcortical arteriosclerotic encephalopathy. Brain. 122(7), 1349-1355. doi.org/10.1093/brain/122.7.1349

Fish, D. J., Nielsen, J. (1993), Clinical assessment of human gait. Journal of Prosthetics and Orthotics, 5(2), 39- 48. doi.org/ 10.1097/00008526-199304000-00005

Godfrey, A., Conway, R., Meagher, D., Olaighin, G. (2008). Direct measurement of human movement by accelerometry. Medical Engineering and Physics. 30(10), 1364-1386. doi.org/10.1016/j.medengphy.2008.09.005

Hair, J. F., Anderson, R. E., et al. (1998). Multivariate Data Analysis with Readings. Prentice-Hall, Englewood Cliffs, NJ.

Ho, R. (2006). Handbook of Univariate and Multivariate Data Analysis and Interpretation with SPSS. Chapman and Hall/CRC.

Kavanagh J. J., Morrison S., James D. A. (2006). Reliability of segmental accelerations measured using a new wireless gait analysis system. Journal of Biomechanics, 39(15), 2863–2872. doi.org/10.1016/j.jbiomech.2005.09.012.

Knoll, Z., M.kiss, R., Kocsis, L. (2004). Gait Adaptation in ACL-deficient Patients Before and, After Anterior Cruciate Ligament reconstruction surgery. Journal of Electromyography and Kinesiology, 14(3), 287–294. doi.org/10.1016/j.jelekin.2003.12.005

Kothari, A., Haughom, B., Subburaj, K., Feeley, B., Li, X., & Ma, C. B. (2012). Evaluating rotational kinematics of the knee in ACL reconstructed patients using 3.0 Tesla magnetic resonance imaging. The Knee, 19(5), 648-651. doi.org/10.1016/j.knee.2011.12.001

Bryant, A. L., Newton, R. U., & Steele, J. (2009). Successful feed-forward strategies following ACL injury and reconstruction. Journal of Electromyography and Kinesiology, 19(5), 988-997. doi.org/10.1016/j.jelekin.2008.06.001

Lopomo, N., Zaffagnini, S., Signorelli, C., Bignozzi, S., Giordano, G., Marcheggiani Muccioli, G. M., & Visani, A. (2012). An original clinical methodology for non-invasive assessment of pivot-shift test. Computer methods in biomechanics and biomedical engineering, 15(12), 1323-1328. doi.org/10.1080/10255842.2011.591788

Maeyama, A., Hoshino, Y., Debandi, A., Kato, Y., Saeki, K., Asai, S., ... & Fu, F. H. (2011). Evaluation of rotational instability in the anterior cruciate ligament deficient knee using triaxial accelerometer: a biomechanical model in porcine knees. Knee Surgery, Sports Traumatology, Arthroscopy, 19(8), 1233-1238. doi.org/10.1007/s00167-010-1382-z

Muniz, A. M. S., & Nadal, J. (2009). Application of principal component analysis in vertical ground reaction force to discriminate normal and abnormal gait. Gait & posture, 29(1), 31-35. doi.org/ 10.1016/j.gaitpost.2008.05.015

Reid, S. M., Graham, R. B., & Costigan, P. A. (2010). Differentiation of young and older adult stair climbing gait using principal component analysis. Gait & posture, 31(2), 197-203. doi.org/10.1016/j.gaitpost.2009.10.005

Rodriguez-Silva, D. A., Gil-Castineira, F., Gonzalez-Castano, F. J., Duro, R. J., Lopez-Pena, F., Vales-Alonso, J. (2008). Human motion tracking and, gait analysis: a brief review of current sensing systems and, integration with intelligent environments. Conference of Virtual Environments, Human-Computer Interfaces and, Measurement Systems, Turkey, 166-171. doi.org/10.1109/VECIMS.2008.4592774

Rung, L., Zhiguo, D., Jianzhong, Z., Ming, L. (2007). Identification of individual walking pattern using gait acceleration. International Conference on Bioinformatics and, Biomedical Engineering. China, 543-546. doi: 10.1109/ICBBE.2007.142

Sakurai, S., Sakamoto, M., Nakazawa, R., Kawagoe, M., & Kato, K. (2010). Analyzing the Movement of the Lower Extremity during Walking by Juvenile Patients Suffering from Chronic Sports Knee Injury in Knee Extensor Mechanism Using Accelerometer. Journal of physical therapy science, 22(2), 155-159. doi.org/10.1589/jpts.22.155

Sanford, B. A., Zucker-Levin, A. R., Williams, J. L., Mihalko, W. M., & Jacobs, E. L. (2012). Principal component analysis of knee kinematics and kinetics after anterior cruciate ligament reconstruction. Gait & posture, 36(3), 609-613. doi.org/10.1016/j.gaitpost.2012.06.003

Schutte, K. H., Seerden, S., Venter, R. E., Vanwanseele, B. (2018). Influence of outdoor running fatigue and medial tibial stress syndrome on accelerometer-based loading and stability. Gait & Posture, 59, 222-228. doi.org/10.1016/j.gaitpost.2017.10.021

Stefanczyk, J. M., Brydges, E. A., Burkhart, T. A., Altenhof, w. J., Andrews, D. M., (2013). Surface acceleration fixation method affects leg soft tissue motion following heel impacts. International journal of kinesiology & sport sciences. 1(3),1-8. doi.org/10.2139/ssrn.2365852

Stergiou, N., Ristanis, S., Moraiti, C., Georgelious, A. (2007). Tibial Rotation in Anterior Cruciate Ligament (ACL)-Deficient and, ACL-Reconstructed Knees: A Theoretical Proposition for the Development of Osteoarthritis, Sports Medicine. 37(7), 601-613. doi.org/10.2165/00007256-200737070-00004

Tashman, S., Kolowich, P., Collon, D., Anderson, K., & Anderst, W. (2007). Dynamic function of the ACL-reconstructed knee during running. Clinical Orthopaedics and Related Research, 454, 66-73. doi.org/10.1097/BLO.0b013e31802bab3e

Vanhelst, J., Zunquin, G., Theunynck, D., Mikulovic, J., Bui-Xuan, G., & Béghin, L. (2009). Equivalence of accelerometer data for walking and running: treadmill versus on land. Journal of sports sciences, 27(7), 669-675. doi.org/10.1080/02640410802680580




DOI: https://doi.org/10.7575/aiac.ijkss.v.8n.1p.43

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