Neuromuscular Performance in Normal and Anterior Cruciate Ligament-Deficient Lower Extremities
Year: 1994
Type: review
Study design: Observational Study
Abstract: The neuromuscular function of the lower extremity in 40 normal and 100 anterior cruciate ligament-deficient volunteers was evaluated by physical examination, KT-1000 arthrometer measurements, isokinetic strength and endurance testing, subjective functional assessment, and an anterior tibial translation stress test. A specially designed apparatus delivered an anteriorly directed step force to the posterior aspect of the leg while anterior tibial translation was monitored and electromyographic signals were recorded at the medial and lateral quadriceps, medial and lateral hamstrings, and gastrocnemius muscles. Testing was done at 30 degrees of knee flexion with the foot fixed to a scale to monitor weightbearing, while the tibia remained unconstrained. Results indicate that muscle timing and recruitment order in response to anterior tibial translation are affected by anterior cruciate ligament injury. These alterations in muscle performance change with time from injury, correlate with an individual's physical activity level, affect subjective functional parameters, and are directly related to the degree of dynamic anterior tibial laxity seen with stress testing.
Authors: Edward M. Wojtys, Laura J. Huston
Institution: University of Michigan
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W2057014213