GAIT PATTERNS AFTER POSTERIOR CRUCIATE LIGAMENT INJURY: A COMPARISON OF SYMPTOMATIC AND ASYMPTOMATIC PATIENTS

Abstract

This study examined chronic, isolated posterior cruciate ligament (PCL) rupture patients, dividing them into symptomatic and asymptomatic groups according to whether they displayed obvious symptoms in daily activities. Each group comprised 10 patients while 10 healthy, young individuals were adopted as the control group. Using a three-dimensional motion analysis system and force plates, the gait patterns of the PCL-deficient patients were analyzed from both kinematics and kinetics perspectives to identify whether they differed from the control group and to compare symmetry between the injured and uninjured sides. The results showed that the symptomatic PCL-deficient group was closer to "normal", and the asymptomatic PCL-deficient group showed less knee extension moment and lower power absorption in the terminal stance than the control group. Additionally, the symptomatic PCL-deficient group appeared to have a relatively symmetric gait while the asymptomatic PCL-deficient group primarily showed an asymmetric gait also occurring in the terminal stance, including less joint moment and lower power absorption of the hip and knee, and lower vertical ground reaction force (GRF). Regarding the gait adaptations of the asymptomatic PCL-deficient group these compensation mechanisms are most likely to have been produced in order to assist in joint stabilization and reduce symptoms in joints.