Revisiting the ACL reconstruction rehabilitation algorithm: A gait analysis study

Q2 Medicine

Journal of Clinical Orthopaedics and Trauma Pub Date : 2026-01-01 Epub Date: 2025-11-30 DOI:10.1016/j.jcot.2025.103291

Champak Roy, Vineet Kumar, Devashish Chhutani, Prabhat Kumar, Pankaj Aggarwal, Mohd Ammar Aslam

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Abstract

Background

Anterior cruciate ligament (ACL) injuries are common among young adults, often resulting in knee instability and impacting quality of life. Despite advances in surgical techniques and rehabilitation, patients experience persistent quadriceps weakness, altered gait patterns, and increased risk of osteoarthritis.

Methods

This 1-year prospective cohort study investigated knee joint stability and gait patterns in 45 patients within one-year post-ACL reconstruction. Gait analysis was performed using a six-infrared camera system and two force plates. Lysholm knee scoring scale was used to evaluate knee function.

Results

The study's results showed that among 45 ACL reconstruction patients, majority were males (97.78 %) aged 25–29 (33.33 %), with high knee function (average Lysholm score: 95.33 ± 3.47). Gait analysis revealed altered patterns with reduced trunk movement, deviations from normal stride parameters in both limbs. Trunk obliquity and tilt were lower than normal, knee valgus-varus alignment was lower in both limbs, with the operated limb having slightly higher alignment. Knee flexion-extension was lower in the operated limb. The study highlighted altered gait patterns and reduced trunk movement in ACL reconstruction patients.

Conclusion

This study emphasizes the importance of comprehensive rehabilitation programs for ACL reconstruction patients, focusing on hip strengthening exercises to restore optimal gait patterns. Tailored rehabilitation plans with hip physiotherapy can improve hip muscle strength and symmetry, enhancing patient care and long-term success. By integrating these insights, healthcare professionals can provide more effective care, improving patients' quality of life and functional abilities.

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重新审视ACL重建康复算法：步态分析研究

背景前交叉韧带（ACL）损伤在年轻人中很常见，通常导致膝关节不稳定并影响生活质量。尽管手术技术和康复技术有所进步，但患者仍会经历持续性股四头肌无力、步态模式改变和骨关节炎风险增加。方法这项为期1年的前瞻性队列研究调查了45例前交叉韧带重建术后1年内的膝关节稳定性和步态模式。步态分析采用六红外摄像系统和两个测力板。采用Lysholm膝关节评分量表评估膝关节功能。结果45例ACL重建患者中，25 ~ 29岁（33.33%）男性居多（97.78%），膝关节功能较高（平均Lysholm评分95.33±3.47）。步态分析显示改变的模式与减少躯干运动，偏离正常的跨步参数在四肢。躯干的倾斜度和倾斜度均低于正常水平，两肢膝关节外翻对准度较低，手术肢体稍高。手术肢体膝关节屈伸较低。该研究强调了前交叉韧带重建患者步态模式的改变和躯干运动的减少。结论本研究强调了前交叉韧带重建患者综合康复计划的重要性，重点是髋关节强化训练以恢复最佳步态模式。量身定制的康复计划与髋关节物理治疗可以改善髋关节肌肉力量和对称性，提高患者护理和长期成功。通过整合这些见解，医疗保健专业人员可以提供更有效的护理，提高患者的生活质量和功能能力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Clinical Orthopaedics and Trauma Medicine-Orthopedics and Sports Medicine

CiteScore

4.30

自引率

0.00%

发文量

181

审稿时长

92 days

期刊介绍： Journal of Clinical Orthopaedics and Trauma (JCOT) aims to provide its readers with the latest clinical and basic research, and informed opinions that shape today''s orthopedic practice, thereby providing an opportunity to practice evidence-based medicine. With contributions from leading clinicians and researchers around the world, we aim to be the premier journal providing an international perspective advancing knowledge of the musculoskeletal system. JCOT publishes content of value to both general orthopedic practitioners and specialists on all aspects of musculoskeletal research, diagnoses, and treatment. We accept following types of articles: • Original articles focusing on current clinical issues. • Review articles with learning value for professionals as well as students. • Research articles providing the latest in basic biological or engineering research on musculoskeletal diseases. • Regular columns by experts discussing issues affecting the field of orthopedics. • "Symposia" devoted to a single topic offering the general reader an overview of a field, but providing the specialist current in-depth information. • Video of any orthopedic surgery which is innovative and adds to present concepts. • Articles emphasizing or demonstrating a new clinical sign in the art of patient examination is also considered for publication. Contributions from anywhere in the world are welcome and considered on their merits.