Gait & posture
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Comparative Study
Gait analysis post anterior cruciate ligament reconstruction: knee osteoarthritis perspective.
Individuals with anterior cruciate ligament (ACL) reconstruction are at increased risk to develop knee osteoarthritis (OA). Gait analysis describing kinetics of the lower extremity during walking and stair use (stair ascent and stair descent) can provide insight to everyday dynamic knee joint loading. In this study, we compared lower extremity gait patterns of those with ACL reconstruction (>1 year) to a control group. ⋯ Walking and stair ambulation highlight altered joint loading in those with ACL reconstruction surgery. Individuals appeared to compensate for lower knee extension moments by increasing hip extension moments. Furthermore, the load distribution on the articular cartilage is likely shifted as evidenced by reduced knee flexion angles in the ACL reconstructed leg.
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In the present study we aimed to track the influence of natural gaze behaviour on postural control from early childhood into adulthood. We measured time series of centre of pressure (COP) as well as head movement in three children groups aged around five (n=16), eight (n=15), and eleven (n=14) and in one group of young adults (n=15) during quiet stance with eyes closed, gaze fixed on a dot, and with gaze shifts between two dots. We adopted magnitude and irregularity of COP displacement as indexes of postural control and cross correlation between COP displacement and target oscillation as an index of the dynamical coupling between the postural and visual systems. ⋯ Across conditions, and most prominently in the gaze shift conditions, 5-year-olds showed both more head movement and lower postural stability than other age groups. Finally, only in 5-year-olds did we find a marked deterioration of postural stability with gaze shifts. We thus conclude that excessive head movement, particularly during gaze shifts, may be a primary cause of lower postural stability in young children compared to older children and adults.