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Effect of dual task on gait asymmetry in patients after anterior cruciate ligament reconstruction

Individuals who received anterior cruciate ligament (ACL) reconstruction surgeries demonstrated lower extremity movement asymmetries. The purpose of this study was to determine if psychological impairment was a contributor to lower extremity movement asymmetries in walking for individuals who receiv...

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Autores principales: Shi, Huijuan, Huang, Hongshi, Yu, Yuanyuan, Liang, Zixuan, Zhang, Si, Yu, Bing, Liu, Hui, Ao, Yingfang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6089886/
https://www.ncbi.nlm.nih.gov/pubmed/30104568
http://dx.doi.org/10.1038/s41598-018-30459-w
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author Shi, Huijuan
Huang, Hongshi
Yu, Yuanyuan
Liang, Zixuan
Zhang, Si
Yu, Bing
Liu, Hui
Ao, Yingfang
author_facet Shi, Huijuan
Huang, Hongshi
Yu, Yuanyuan
Liang, Zixuan
Zhang, Si
Yu, Bing
Liu, Hui
Ao, Yingfang
author_sort Shi, Huijuan
collection PubMed
description Individuals who received anterior cruciate ligament (ACL) reconstruction surgeries demonstrated lower extremity movement asymmetries. The purpose of this study was to determine if psychological impairment was a contributor to lower extremity movement asymmetries in walking for individuals who received ACL reconstruction surgeries. Three-dimensional videographic and force plate data were collected for 25 males after unilateral ACL reconstruction performing walking without (single-task condition) and with the concurrent cognitive task (dual-task condition). Both uninjured and injured legs had significantly smaller peak knee flexion angle and peak knee extension moment during loading response and mid-stance phases in dual-task condition compared to single task condition (P ≤ 0.012). Walking condition and leg had significant interaction effects on peak hip adduction angle during mid-stance phase (P = 0.042) and peak hip abduction moment during loading response phase (P = 0.048). The inter-leg difference of peak hip adduction angle during mid-stance (P = 0.038) and terminal stance (P = 0.036) phases, and peak hip abduction moment during loading response phase (P = 0.024) were significantly decreased in dual-task condition compared to single-task condition. Psychological factors have significant effects on post-operative movements of both injured and uninjured knees of individuals who received ACL reconstruction surgery. Although physical factors may be primary contributors to the post-operative lower extremity movement asymmetries, psychological factors also contribute to the post-operative hip movement asymmetries.
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spelling pubmed-60898862018-08-17 Effect of dual task on gait asymmetry in patients after anterior cruciate ligament reconstruction Shi, Huijuan Huang, Hongshi Yu, Yuanyuan Liang, Zixuan Zhang, Si Yu, Bing Liu, Hui Ao, Yingfang Sci Rep Article Individuals who received anterior cruciate ligament (ACL) reconstruction surgeries demonstrated lower extremity movement asymmetries. The purpose of this study was to determine if psychological impairment was a contributor to lower extremity movement asymmetries in walking for individuals who received ACL reconstruction surgeries. Three-dimensional videographic and force plate data were collected for 25 males after unilateral ACL reconstruction performing walking without (single-task condition) and with the concurrent cognitive task (dual-task condition). Both uninjured and injured legs had significantly smaller peak knee flexion angle and peak knee extension moment during loading response and mid-stance phases in dual-task condition compared to single task condition (P ≤ 0.012). Walking condition and leg had significant interaction effects on peak hip adduction angle during mid-stance phase (P = 0.042) and peak hip abduction moment during loading response phase (P = 0.048). The inter-leg difference of peak hip adduction angle during mid-stance (P = 0.038) and terminal stance (P = 0.036) phases, and peak hip abduction moment during loading response phase (P = 0.024) were significantly decreased in dual-task condition compared to single-task condition. Psychological factors have significant effects on post-operative movements of both injured and uninjured knees of individuals who received ACL reconstruction surgery. Although physical factors may be primary contributors to the post-operative lower extremity movement asymmetries, psychological factors also contribute to the post-operative hip movement asymmetries. Nature Publishing Group UK 2018-08-13 /pmc/articles/PMC6089886/ /pubmed/30104568 http://dx.doi.org/10.1038/s41598-018-30459-w Text en © The Author(s) 2018 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.
spellingShingle Article
Shi, Huijuan
Huang, Hongshi
Yu, Yuanyuan
Liang, Zixuan
Zhang, Si
Yu, Bing
Liu, Hui
Ao, Yingfang
Effect of dual task on gait asymmetry in patients after anterior cruciate ligament reconstruction
title Effect of dual task on gait asymmetry in patients after anterior cruciate ligament reconstruction
title_full Effect of dual task on gait asymmetry in patients after anterior cruciate ligament reconstruction
title_fullStr Effect of dual task on gait asymmetry in patients after anterior cruciate ligament reconstruction
title_full_unstemmed Effect of dual task on gait asymmetry in patients after anterior cruciate ligament reconstruction
title_short Effect of dual task on gait asymmetry in patients after anterior cruciate ligament reconstruction
title_sort effect of dual task on gait asymmetry in patients after anterior cruciate ligament reconstruction
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6089886/
https://www.ncbi.nlm.nih.gov/pubmed/30104568
http://dx.doi.org/10.1038/s41598-018-30459-w
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