Pre-Operative versus Post-Operative Gait Variability in Patients with Acute Anterior Cruciate Ligament Deficiency

Author:

Tsivgoulis SD1,Tzagarakis GN1,Papagelopoulos PJ2,Koulalis D2,Sakellariou VI2,Kampanis NA1,Chlouverakis GI3,Alpantaki KI4,Nikolaou PK5,Katonis PG4

Affiliation:

1. Foundation of Research and Technology Hellas, Institute of Applied and Computational Mathematics, Voutes, Crete, Greece

2. Department of Orthopaedics, Athens University Medical School, Attikon General University Hospital, Athens, Greece

3. Biostatistics Laboratory, University of Crete, Voutes, Crete, Greece

4. Orthopaedic Department, University Hospital of Heraklion, University of Crete, Voutes, Crete, Greece

5. Clinic of Sports Medicine, Medical Centre of Athens, Athens, Greece

Abstract

Change in gait variability at least 6 months after surgical reconstruction of the anterior cruciate ligament (ACL) was assessed in 20 male patients with acute ACL deficiency and compared with pre-operative data and that from 20 healthy male controls. Gait was measured using a triaxial accelerometer and data were analysed by the Gait Evaluation Differential Entropy Method (GEDEM) to determine gait variability. Pain was assessed with a visual analogue scale and functional ability with the Oswestry Disability Index and the International Knee Documentation Committee score. Mean gait variability was significantly lower after than before surgery, with values for the anterior—posterior axis being in the normal range of controls after 6 months, whereas in the mediolateral axis mean gait variability remained significantly higher, indicating that some rotational instability remained in the time-frame of the study. Pain and functional ability scores improved after surgery compared with before surgery. The combination of accelerometry and GEDEM may be a useful orthopaedic tool for the post-operative evaluation of patients who have undergone ACL reconstruction.

Publisher

SAGE Publications

Subject

Biochemistry (medical),Cell Biology,Biochemistry,General Medicine

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