Patients with anterior cruciate ligament deficiency typically do not have quadriceps muscle activity during stance and this gait pattem has heen termed quadriceps avoidance gait. We performed physical examination and computerized 3-dimensional motion ...
Patients with anterior cruciate ligament deficiency typically do not have quadriceps muscle activity during stance and this gait pattem has heen termed quadriceps avoidance gait. We performed physical examination and computerized 3-dimensional motion analysis on 7 normal controls and 7 patients who had anterior cruciate ]igament reconstruction by having the patients walking in 3 different walking velocity, I, e, a self- selected walking velocity which the patients felts comfortable, a velocity set a metronome with a frequency of 108 per minute, and a fast velocity (the norrnal controls walk with a frequency of 126 per minute, the patients walle as fast as possible.) All the 7 patients were male and the average age was 32.1 years. The averge follow up duration after operation was 21.0 months. The measured average points by the modified I.arson scoring scale was 83.14 and the results were 1 excellent, 5 good and 1 fair. In all patients, limping was rarely observed and iitlle Jimitation was observed in stepping, squatting and running. All the patients consplained mild discomfort on the knee joint during exercise. There were also no limitation of range of motion on the knee joint. In all patients. On gait analysis using 3-dimensional motion analysis system, exter- nal flexion mornent of the injured knee joint was decreased compare to normal controls and ivas more clccie,ised when the patients walked in a t'aster walking velocity during the, midstance and the loading response phases. However net external fle.xion moment of the knee joints implying the activity of quadriceps euicle was ohserved. In surnmary, gait analysis using 3-dimensional motion analysis system may help us to evaluate the. Present state, objectively and to anticipate the prognosis of the patients who had anterior cruciate ligament reconstruction.