Gait retraining after anterior cruciate ligament reconstruction

Abstract

Decker MJ, Torry MR, Noonan TJ, Sterett WI, Steadman JR. Gait retraining after anterior cruciate ligament reconstruction. Arch Phys Med Rehabil 2004;85:848-56. Objectives To examine the effects of 2 gait retraining protocols on the gait patterns of patients with bone-patellar tendon-bone anterior cruciate ligament (ACL) reconstruction. Design Randomized control, repeated-measures design. Setting Private orthopedic center and research facility. Participants Sixteen patients with bone-patellar tendon-bone ACL reconstruction, randomly subdivided into 2 groups (group 1, n=8; group 2, n=8), and a healthy control group of 8 subjects. Intervention The 16 subjects with ACL reconstruction were randomly assigned to 2 different gait retraining protocols over a 6-week training interval: (1) a protocol using a predicted stride frequency calculated from the resonant frequency of a force-driven harmonic oscillator (FDHO) model or (2) a protocol using the preferred stride frequency (PSF). Main outcome measures Gait analyses examining the lower-extremity kinematic, kinetic, and energetic gait patterns of each group. Results Gait retraining with the FDHO model showed improvements in lower-extremity positions, hip and knee extensor angular impulse, and work parameters. Gait retraining with the PSF demonstrated no statistical improvements. The FDHO training protocol facilitated a greater midstance knee range of motion (ROM) and greater rates of improvement for midstance ROM, hip extensor angular impulse, and concentric hip extensor work. Conclusions Gait retraining with the resonant frequency of an FDHO model facilitated a greater recovery of gait function compared with training with the PSF.