Longitudinal gait and strength changes prior to and following an anterior cruciate XXXX and surgical reconstruction: a case report.

@entity1 @entity854 @entity397 @entity1017 @entity6151
STUDY DESIGN: Case report. BACKGROUND: Cross-sectional studies have examined deficits following anterior cruciate ligament (ACL) @entity397 and subsequent reconstructive surgery. Few studies present preinjury data that may assist in identifying risk factors for @entity6151 . This case report compares gait and strength measures obtained prior to @entity6151 , with follow-up assessments of these measures after @entity397 and reconstructive surgery. CASE DESCRIPTION: A 23-year-old @entity1 sustained a noncontact @entity397 of her right ACL. Kinematic and kinetic gait data were collected using 3-dimensional motion analysis and a synchronized force plate. Knee strength was measured using an isokinetic dynamometer. Data for knee active range of motion (AROM) and the Lower Extremity Functional Scale (LEFS) were also collected. The analyses were descriptive and interpreted based on previously published minimal detectable change and minimal clinically important difference values. OUTCOMES: Before her injury, the @entity1 demonstrated a low external knee flexion moment during gait. Kinematic and @entity854 were present following @entity397 and persisted at 13 months postsurgery. The @entity1 demonstrated knee strength deficits following @entity6151 and surgery. @entity1017 in LEFS and knee AROM occurred following @entity397 and surgery. DISCUSSION: Preinjury data may identify risk factors for @entity6151 . Future studies should examine whether a low external knee flexion moment during gait or sport-related activity is a risk factor for @entity6151 . The @entity1 demonstrated deficits in gait and strength that persisted at 13 months postsurgery. LEVEL OF EVIDENCE: Therapy, level 4.
