Study Design: Two-factor mixed-design study, with factors including group (control and noncoper) and task (sidestep, crossover, and straight).
Objectives: To compare the knee and hip joint angles and moments of control subjects and subjects with an anterior cruciate ligament (ACL) deficient knee classified as noncopers, during a sidestep, crossover, and straight-ahead task.
Background: Subjects with ACL deficiency primarily note difficulty with cutting tasks as opposed to straight-ahead tasks. Yet, previous studies have primarily focused on straight-ahead tasks.
Methods and Measures: Fifteen subjects with ACL deficiency classified as noncopers, based on the number of giving-way episodes (1) and global question of knee function (60%), were included in this study. These subjects (10 male, 5 female; age range, 18-47 years). Position data collected at 60 Hz were combined with anthropometric and ground reaction force data collected at 420 Hz to estimate 3- dimensional knee and hip joint angles and moments. All subjects performed 3 tasks including a step and 45 degree sidestep cut, step and 45 degree crossover cut, and step and proceed straight. Two-way mixed model ANOVAs were used to compare peak angle and moment variables between 10% and 30% stance.
Results: The ACL-deficient noncoper group had 1.8 degree to 5.7 degree less knee flexion angle compared to the control group across tasks (P.043). The ACL-deficient noncoper group used 22% to 27% lower knee extensor moment during weight acceptance compared to the control group (P.001). The sagittal plane hip extensor moments were 34% to 39% highter in the ACL-deficient noncoper group compared to the control group (P.025). Hip frontal (P.037) and transverse plane (P.04) moments also distinguished the ACL-deficient noncoper from the control group.
Conclusions: This study suggests that individuals who do not cope well after ACL injury rely on a hip control strategy during cutting tasks.
Published in The Journal of orthopaedic and sports physical therapy, August 2005, Vol.35(8), pp.531-40 www.jospt.org/