Jonathan Mo, Cortney Armitano-Lago, Elizabeth Bjornsen, Christin Büttner, Ashley Buck, Caroline Lisee, Adam W Kiefer, Brian Pietrosimone
{"title":"前交叉韧带重建术后膝关节运动变异性较低与患者报告结果较差之间的关系。","authors":"Jonathan Mo, Cortney Armitano-Lago, Elizabeth Bjornsen, Christin Büttner, Ashley Buck, Caroline Lisee, Adam W Kiefer, Brian Pietrosimone","doi":"10.1080/02640414.2024.2425203","DOIUrl":null,"url":null,"abstract":"<p><p>Individuals with anterior cruciate ligament reconstruction (ACLR) exhibit less knee kinematic variability while walking than uninjured controls, associated with deleterious changes in cartilage composition linked to an increased risk for early knee osteoarthritis (KOA). It is unknown whether less knee kinematic variability is also associated with worse knee-related patient-reported outcomes (PROs) consistent with KOA development. This study examined associations between kinematic variability during gait and PROs in individuals post-ACLR. Gait kinematics and the Knee Injury and Osteoarthritis Outcome Score (KOOS) were collected from 45 participants 6-months post-ACLR (67% Females; 21.45 ± 4.56 years). Overground gait biomechanics using 3D motion capture were collected, and knee kinematics were extracted for post-processing. Sample entropy (SampEn) was used to calculate knee kinematic variability. Pearson's product-moment correlations were conducted to determine the associations between SampEn and KOOS sub-scores. Additionally, independent samples t-tests were performed to evaluate potential differences in SampEn outcomes between individuals with and without clinically relevant symptoms (defined in the introduction). Less sagittal plane kinematic variability is associated with greater pain (<i>r</i> = 0.37, <i>p</i> = 0.01) and symptoms (<i>r</i> = 0.32, <i>p</i> = 0.03). Symptomatic participants demonstrated less sagittal plane knee kinematic variability compared to asymptomatic participants (<i>p</i> = 0.01). The findings suggest less variable gait patterns 6-months post-ACLR may be linked to KOA-related symptoms.</p>","PeriodicalId":17066,"journal":{"name":"Journal of Sports Sciences","volume":" ","pages":"2145-2152"},"PeriodicalIF":2.3000,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Associations between less knee kinematic variability and worse patient-reported outcomes following anterior cruciate ligament reconstruction.\",\"authors\":\"Jonathan Mo, Cortney Armitano-Lago, Elizabeth Bjornsen, Christin Büttner, Ashley Buck, Caroline Lisee, Adam W Kiefer, Brian Pietrosimone\",\"doi\":\"10.1080/02640414.2024.2425203\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Individuals with anterior cruciate ligament reconstruction (ACLR) exhibit less knee kinematic variability while walking than uninjured controls, associated with deleterious changes in cartilage composition linked to an increased risk for early knee osteoarthritis (KOA). It is unknown whether less knee kinematic variability is also associated with worse knee-related patient-reported outcomes (PROs) consistent with KOA development. This study examined associations between kinematic variability during gait and PROs in individuals post-ACLR. Gait kinematics and the Knee Injury and Osteoarthritis Outcome Score (KOOS) were collected from 45 participants 6-months post-ACLR (67% Females; 21.45 ± 4.56 years). Overground gait biomechanics using 3D motion capture were collected, and knee kinematics were extracted for post-processing. Sample entropy (SampEn) was used to calculate knee kinematic variability. Pearson's product-moment correlations were conducted to determine the associations between SampEn and KOOS sub-scores. Additionally, independent samples t-tests were performed to evaluate potential differences in SampEn outcomes between individuals with and without clinically relevant symptoms (defined in the introduction). Less sagittal plane kinematic variability is associated with greater pain (<i>r</i> = 0.37, <i>p</i> = 0.01) and symptoms (<i>r</i> = 0.32, <i>p</i> = 0.03). Symptomatic participants demonstrated less sagittal plane knee kinematic variability compared to asymptomatic participants (<i>p</i> = 0.01). The findings suggest less variable gait patterns 6-months post-ACLR may be linked to KOA-related symptoms.</p>\",\"PeriodicalId\":17066,\"journal\":{\"name\":\"Journal of Sports Sciences\",\"volume\":\" \",\"pages\":\"2145-2152\"},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2024-11-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Sports Sciences\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1080/02640414.2024.2425203\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/11/8 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"SPORT SCIENCES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Sports Sciences","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/02640414.2024.2425203","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/11/8 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"SPORT SCIENCES","Score":null,"Total":0}
Associations between less knee kinematic variability and worse patient-reported outcomes following anterior cruciate ligament reconstruction.
Individuals with anterior cruciate ligament reconstruction (ACLR) exhibit less knee kinematic variability while walking than uninjured controls, associated with deleterious changes in cartilage composition linked to an increased risk for early knee osteoarthritis (KOA). It is unknown whether less knee kinematic variability is also associated with worse knee-related patient-reported outcomes (PROs) consistent with KOA development. This study examined associations between kinematic variability during gait and PROs in individuals post-ACLR. Gait kinematics and the Knee Injury and Osteoarthritis Outcome Score (KOOS) were collected from 45 participants 6-months post-ACLR (67% Females; 21.45 ± 4.56 years). Overground gait biomechanics using 3D motion capture were collected, and knee kinematics were extracted for post-processing. Sample entropy (SampEn) was used to calculate knee kinematic variability. Pearson's product-moment correlations were conducted to determine the associations between SampEn and KOOS sub-scores. Additionally, independent samples t-tests were performed to evaluate potential differences in SampEn outcomes between individuals with and without clinically relevant symptoms (defined in the introduction). Less sagittal plane kinematic variability is associated with greater pain (r = 0.37, p = 0.01) and symptoms (r = 0.32, p = 0.03). Symptomatic participants demonstrated less sagittal plane knee kinematic variability compared to asymptomatic participants (p = 0.01). The findings suggest less variable gait patterns 6-months post-ACLR may be linked to KOA-related symptoms.
期刊介绍:
The Journal of Sports Sciences has an international reputation for publishing articles of a high standard and is both Medline and Clarivate Analytics-listed. It publishes research on various aspects of the sports and exercise sciences, including anatomy, biochemistry, biomechanics, performance analysis, physiology, psychology, sports medicine and health, as well as coaching and talent identification, kinanthropometry and other interdisciplinary perspectives.
The emphasis of the Journal is on the human sciences, broadly defined and applied to sport and exercise. Besides experimental work in human responses to exercise, the subjects covered will include human responses to technologies such as the design of sports equipment and playing facilities, research in training, selection, performance prediction or modification, and stress reduction or manifestation. Manuscripts considered for publication include those dealing with original investigations of exercise, validation of technological innovations in sport or comprehensive reviews of topics relevant to the scientific study of sport.