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Inter-Segment Coordination Variability Post Anterior Cruciate Ligament Reconstruction, Devin K. Kelly

Masters Theses

INTER-SEGMENT COORDINATION VARIABILITY POST ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION

SEPTEMBER 2015

DEVIN K. KELLY, B.S., UNIVERSITY OF MASSACHUSETTS AMHERST

M.S., UNIVERSITY OF MASSACHUSETTS AMHERST

Directed by: Dr. Joseph Hamill

There is an increased risk for ipsilateral graft rupture and contralateral ACL rupture following ACL reconstruction surgery (ACLR) despite return to sport clearance. The reason for this increased risk is not well understood. Previous literature has shown that decreased coordination variability is indicative of an injured system regardless of the absence of pain. PURPOSE: To quantify inter-segment coordination variability during three portions of the stance phase of gait in athletes at three …

Hamstring-Dominant Strategy Of The Bone–Patellar Tendon–Bone Graft Anterior Cruciate Ligament–Reconstructed Leg Versus Quadriceps-Dominant Strategy Of The Contralateral Intact Leg During High-Intensity Exercise In Male Athletes, Kostas Patras, Franceska Zampeli, Stavros Ristanis, Elias Tsepis, Giorgos Ziogas, Nikolaos Stergiou, Anastasios D. Georgoulis

Journal Articles

Purpose

The purpose of this study was to investigate the effect of anterior cruciate ligament (ACL) reconstruction on the quadriceps-dominant strategy as a parameter associated with the neuromuscular control of the knee joint.

Methods

In this study 14 competitive soccer players who had undergone ACL reconstruction with bone–patellar tendon–bone autograft and 14 healthy competitive soccer players performed two 10-minute treadmill runs, 1 at moderate intensity and 1 at high intensity. Electromyographic recordings were acquired by use of a telemetric system at the third, fifth, seventh, and tenth minute of the runs from the vastus lateralis and the biceps femoris bilaterally. …

Electromechanical Delay Of The Knee Flexor Muscles After Harvesting The Hamstrings For Anterior Cruciate Ligament Reconstruction, Stavros Ristanis, Elias Tsepis, Dimitrios Giotis, Franceska Zampeli, Nikolaos Stergiou, Anastasios D. Georgoulis

Journal Articles

Objective: To investigate if harvesting of semitendinosus (ST) and gracilis for anterior cruciate ligament (ACL) reconstruction will have an effect in coordinative firing pattern of the hamstrings under fatigue. We hypothesized that fatigue will increase the electromechanical delay (EMD) of the hamstrings on the harvested site and impair the synchronization between the medial and lateral hamstrings, in terms of muscle activity onsets.

Design: Prospective nonrandomized study. Setting: Institutional. Patients: Twelve ACL reconstructed patients with hamstrings, 2 years postoperatively.

Interventions: The patients performed a fatigue protocol with 25 continuous maximal isometric voluntary contractions of 8-second duration with 2-second …

Acl Reconstructed Patients With A Bptb Graft Present An Impaired Vastus Lateralis Neuromuscular Response During High Intensity Running, Kostas Patras, Giorgos Ziogas, Stavros Ristanis, Elias Tsepis, Nikolaos Stergiou, Anastasios D. Georgoulis

Journal Articles

The purpose of the present study was to investigate whether the electromyographic response of the vastus lateralis (VL) muscle in the anterior cruciate ligament (ACL) reconstructed leg is similar to that of the intact contralateral leg and healthy controls, during moderate and high intensity running. Fourteen bone–patellar tendon–bone (BPTB) ACL reconstructed amateur soccer players and fourteen healthy control amateur soccer players volunteered to participate in the study. Electromyographic (EMG) traces from the vastus lateralis (VL) muscle were collected bilaterally, as athletes ran on a treadmill for 10 min on separate occasions, at moderate and high intensity. The dependent variable examined …

High Intensity Running Results In An Impaired Neuromuscular Response In Acl Reconstructed Individuals, Kostas Patras, Giorgos Ziogas, Stavros Ristanis, Elias Tsepis, Nikolaos Stergiou, Anastasios D. Georgoulis

Journal Articles

Anterior cruciate ligament (ACL) reconstruction reestablishes electromyographic activity during moderate activities such as walking but is unclear if this is also the case in sports activities such as high intensity running that results in accumulation of metabolic fatigue. Nine bone-patella tendon-bone ACL reconstructed athletes were evaluated 19.2 (5.7) months post-operatively using a telemetric electromyographic system. The neuromuscular response of vastus lateralis and biceps femoris muscles was tested bilaterally on separate occasions during 10 min running at moderate intensity (20% below the lactate threshold) and 10 min running at high intensity (40% above the lactate threshold). During moderate intensity running, electromyographic …

Follow-Up Evaluation 2 Years After Acl Reconstruction With Bone–Patellar Tendon–Bone Graft Shows That Excessive Tibial Rotation Persists, Stavros Ristanis, Nikolaos Stergiou, Kostas Patras, Elias Tsepis, Constantina O. Moraiti, Anastasios D. Georgoulis

Journal Articles

Objective: To investigate in vivo if the increased tibial rotation found in anterior cruciate ligament (ACL)-deficient patients before surgery is restored 2 years after the reconstruction, during 2 high-demanding activities.

Design: Prospective follow-up study.

Setting: A gait analysis laboratory.

Participants: Nine subjects with unilateral ACL rupture, reconstructed with a bone–patellar tendon–bone (BPTB) graft, and 10 healthy control subjects.

Interventions: All the ACL-deficient patients underwent a unilateral ACL reconstruction after prereconstruction data acquisition.

Main Outcome Measurements: Using a 6-camera motion analysis system, kinematics were collected as subjects (1) descended from a stair and, after foot …

Excessive Tibial Rotation During High-Demand Activities Is Not Restored By Anterior Cruciate Ligament Reconstruction, Stavros Ristanis, Nikolaos Stergiou, Kostas Patras, Haris S. Vasiliadis, Giannis Giakas, Anastasios D. Georgoulis

Journal Articles

Purpose: Recent in vitro research has suggested that anterior cruciate ligament (ACL) reconstruction does not restore control of tibial rotation. The purpose of this study was to explore these findings in vivo and investigate rotational knee stability during landing and subsequent pivoting. Such an activity places higher demands on the knee, almost similar to those found during high-level sports.

Type of Study: Case control series study.

Methods: We assessed 11 patients who had undergone ACL reconstruction with the same arthroscopic technique using a bone–patellar tendon–bone graft, 11 ACL-deficient subjects who had sustained the injury more than 1 year prior to …

Electromechanical Delay Of The Knee Extensor Muscles Is Not Altered After Harvesting The Patellar Tendon As A Graft For Acl Reconstruction: Implications For Sports Performance, Anastasios D. Georgoulis, Stavros Ristanis, Anastasios Papadonikolakis, Elias Tsepis, U. Moebius

Journal Articles

Although the scar tissue, which heals the donor site defect, has different elasticity from the neighbouring patellar tissue, it remains unclear if this scar tissue can lead to the changes of the electromechanical delay (EMD) of the knee extensor muscles. If such changes do exist, they can possibly affect both the utilization of the stored energy in the series elastic component, as well as the optimal performance of the knee joint movement. The purpose of this study was to investigate the influence of harvesting the patellar tendon during anterior cruciate ligament (ACL) reconstruction and the associated patellar tendon scar tissue …

Three-Dimensional Kinematics Of The Tibiofemoral Joint In Acl-Deficient And Reconstructed Patients Shows Increased Tibial Rotation, Anastasios D. Georgoulis, Stavros Ristanis, Constantina O. Moraiti, Argyris Mitsou, Manfred Bernard, Nikolaos Stergiou

Journal Articles

The study of the altered knee joint movement patterns that follow anterior cruciate ligament (ACL) rupture can be very insightful in the development of prevention and therapeutic strategies concerning this injury. This can be achieved through three-dimensional kinematic analysis, because it provides an objective evaluation in vivo of the knee joint function. It has been demonstrated that ACL-deficient patients develop functional adaptations (ie, quadriceps avoidance gait) and walk with the knee in a more extended position to compensate for the ACL loss. Furthermore, it has been shown that ACL rupture results in anterior tibial translation and excessive tibial rotation while …