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Whole-Body Change-of-Direction Task Execution Asymmetries After Anterior Cruciate Ligament Reconstruction.

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|January 22, 2021
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Summary

Athletes recovering from anterior cruciate ligament reconstruction show altered cutting mechanics. They reduce limb loading when cutting from the operated leg, suggesting anticipatory strategies to manage biomechanical stress.

Keywords:
ACLbiomechanicscutmaneuver

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Area of Science:

  • Biomechanics
  • Orthopedic Surgery
  • Sports Medicine

Background:

  • Cutting maneuvers are crucial in sports but increase lower-limb mechanical load.
  • Anterior cruciate ligament reconstruction (ACLR) can lead to interlimb asymmetries in movement patterns.
  • Understanding these asymmetries is vital for accurate rehabilitation and performance assessment.

Purpose of the Study:

  • To investigate interlimb differences in whole-body and lower-limb biomechanics during cutting after ACLR.
  • To test the hypothesis that athletes reduce center-of-mass (COM) heading angle and body rotation when cutting from the operated limb.
  • To explore compensatory strategies employed by athletes post-ACLR during change-of-direction tasks.

Main Methods:

  • 144 male athletes 8-10 months post-ACLR performed a maximal sidestep cutting maneuver.
  • Kinematic, kinetic, and ground reaction force data were collected.
  • Analysis focused on interlimb comparisons of task execution and joint-level biomechanics.

Main Results:

  • Lower peak ground reaction forces and knee joint moments were observed when cutting from the operated limb.
  • Reduced COM heading angle deflection during stance phase was noted for operated limb cuts.
  • Significant between-limb differences in body orientation and horizontal velocity at touchdown were identified.

Conclusions:

  • Athletes exhibit systematic asymmetries in cutting execution after ACLR.
  • These asymmetries suggest anticipatory control strategies to balance task performance and reduce mechanical loading.
  • Consideration of these movement alterations is crucial for interpreting joint-level interlimb asymmetries post-ACLR.