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• W2745179425 endingPage "860" @default.
• W2745179425 startingPage "847" @default.
• W2745179425 abstract "Context: Anterior cruciate ligament (ACL) injury and ACL reconstruction (ACLR) result in persistent alterations in lower extremity movement patterns. The progression of lower extremity biomechanics from the time of injury has not been described. Objective: To compare the 3-dimensional (3D) lower extremity kinematics and kinetics of walking among individuals with ACL deficiency (ACLD), individuals with ACLR, and healthy control participants from 3 to 64 months after ACLR. Data Sources: We searched PubMed and Web of Science from 1970 through 2013. Study Selection and Data Extraction: We selected only articles that provided peak kinematic and kinetic values during walking in individuals with ACLD or ACLR and comparison with a healthy control group or the contralateral uninjured limb. Data Synthesis: A total of 27 of 511 identified studies were included. Weighted means, pooled standard deviations, and 95% confidence intervals were calculated for the healthy control, ACLD, and ACLR groups at each reported time since surgery. The magnitude of between-groups (ACLR versus ACLD, control, or contralateral limb) differences at each time point was evaluated using Cohen d effect sizes and associated 95% confidence intervals. Peak knee-flexion angle (Cohen d = −0.41) and external knee-extensor moment (Cohen d = −0.68) were smaller in the ACLD than in the healthy control group. Peak knee-flexion angle (Cohen d range = −0.78 to −1.23) and external knee-extensor moment (Cohen d range = −1.39 to −2.16) were smaller in the ACLR group from 10 to 40 months after ACLR. Reductions in external knee-adduction moment (Cohen d range = −0.50 to −1.23) were present from 9 to 42 months after ACLR. Conclusions: Reductions in peak knee-flexion angle, external knee-flexion moment, and external knee-adduction moment were present in the ACLD and ACLR groups. This movement profile during the loading phase of gait has been linked to knee-cartilage degeneration and may contribute to the development of osteoarthritis after ACLR." @default.
• W2745179425 created "2017-08-17" @default.
• W2745179425 creator A5016230587 @default.
• W2745179425 creator A5062458784 @default.
• W2745179425 creator A5067666710 @default.
• W2745179425 creator A5072552181 @default.
• W2745179425 date "2017-09-01" @default.
• W2745179425 modified "2023-10-17" @default.
• W2745179425 title "Progressive Changes in Walking Kinematics and Kinetics After Anterior Cruciate Ligament Injury and Reconstruction: A Review and Meta-Analysis" @default.
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• W2745179425 doi "https://doi.org/10.4085/1062-6050-52.6.06" @default.
• W2745179425 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/5634233" @default.
• W2745179425 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/28985125" @default.
• W2745179425 hasPublicationYear "2017" @default.
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• W2745179425 hasAuthorship W2745179425A5016230587 @default.
• W2745179425 hasAuthorship W2745179425A5062458784 @default.
• W2745179425 hasAuthorship W2745179425A5067666710 @default.

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