Evidence map›Paper›PMID 27859527›Full record

ArticleJournal of orthopaedic research : official publication of the Orthopaedic Research Society2017

Gait mechanics and second ACL rupture: Implications for delaying return-to-sport.

Jacob J Capin, Ashutosh Khandha, Ryan Zarzycki, Kurt Manal, Thomas S Buchanan, Lynn Snyder-Mackler

Open access · bronzeAbstract read
In one paragraph

Article in Journal of orthopaedic research : official publication of the Orthopaedic Research Society, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 3 pooled it
6.3field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 3 syntheses or guidelines pooled it, 68 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Gait Mechanics in Women of the ACL-SPORTS Randomized Control Trial: Interlimb Symmetry Improves Over Time Regardless of Treatment Group.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2019
    Trial
  5. Gait mechanics and tibiofemoral loading in men of the ACL-SPORTS randomized control trial.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2018
    Trial
  6. Review
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  19. Males and females have different muscle activity patterns during gait after ACL injury and reconstruction.Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology · 2022
    Article
  20. Screening Tests for Assessing Athletes at Risk of ACL Injury or Reinjury-A Scoping Review.International journal of environmental research and public health · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Jacob J CapinBiomechanics and Movement Science, University of Delaware, Newark, Delaware.
Ashutosh KhandhaBiomedical Engineering, University of Delaware, Newark, Delaware.
Ryan ZarzyckiBiomechanics and Movement Science, University of Delaware, Newark, Delaware.
Kurt ManalMechanical Engineering, University of Delaware, Newark, Delaware.
Thomas S BuchananBiomedical Engineering, University of Delaware, Newark, Delaware.
Lynn Snyder-MacklerBiomechanics and Movement Science, University of Delaware, Newark, Delaware.
University of Delaware · US

Funding

Subproject Title: Clinical Research Education, Mentoring and Career Development CoreU54GM104941 · NIGMS · UNIVERSITY OF DELAWARE · PI Gregory E Hicks · 2013 to 2026
$60.5M
Pilot Project ProgramP30GM103333 · NIGMS · UNIVERSITY OF DELAWARE · PI BUCHANAN, THOMAS S · 2012 to 2016
$5.7M
PT/PHD Predoctoral Training Program Diversity SupplementT32HD007490 · NICHD · UNIVERSITY OF DELAWARE · PI DARCY S. REISMAN · 1996 to 2026
$3.7M
CAN NEUROMUSCULAR TRAINING ALTER MOVEMENT PATTERNS?R01AR048212 · NIAMS · UNIVERSITY OF DELAWARE · PI SNYDER-MACKLER, LYNN · 2005 to 2015
$3.6M
ACL Reconstructed Knee: qMRI and Biomechanical ModelingR01HD087459 · NICHD · UNIVERSITY OF DELAWARE · PI BUCHANAN, THOMAS S · 2016 to 2020
$1.8M
NIAMS NIH HHS R01 AR048212NICHD NIH HHS R01 HD087459NICHD NIH HHS T32 HD007490NIGMS NIH HHS P30 GM103333NIGMS NIH HHS U54 GM104941
6 · The paper itself

Abstract

Second anterior cruciate ligament rupture is a common and devastating injury among young women who return to sport after ACL reconstruction, but it is inadequately understood. The purpose of this study was to compare gait biomechanics and return-to-sport time frames in a matched cohort of young female athletes who, after primary ACLR, returned to sport without re-injury or sustained a second ACL injury. Approximately 6 months after primary reconstruction, 14 young women (age 16 ± 2 years) involved in jumping, cutting, and pivoting sports underwent motion analysis testing after physical therapy and impairment resolution. Following objective return-to-sport clearance, seven athletes sustained a second ACL rupture within 20 months of surgery (13.4 ± 4.9 months). We matched them by age, sex, and sport-level to seven athletes who returned to sports without re-injury. Data were analyzed using a previously validated, EMG-informed, patient-specific musculoskeletal model. Compared to athletes without re-injury, athletes who sustained a second ACL injury received surgery sooner (p = 0.023), had post-operative impairments resolved earlier (p = 0.022), reached criterion-based return-to-sport benchmarks earlier (p = 0.024), had higher body mass index (p = 0.039), and walked with lower peak knee flexor muscle forces bilaterally (p = 0.021). Athletes who sustained a second injury also tended to walk with larger (p = 0.089) and more symmetrical peak knee flexion angles and less co-contraction, all indicative of a more normal gait pattern. Statement of Clinical Significance: Delayed return-to-sport clearance even in the absence of gait or clinical impairments following primary ACL reconstruction may be necessary to mitigate second ACL injury risk in young women. © 2016 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 35:1894-1901, 2017.

Indexed as

GaitAdolescentAnterior Cruciate Ligament InjuriesBiomechanical PhenomenaCase-Control StudiesElectromyographyFemaleHumansKnee JointMuscle, SkeletalReturn to SportYoung AdultACLgait biomechanicsmusculoskeletal modelingre-injuryreturn-to-sport

Identifiers

PMID27859527
PMCPMC5423861
OpenAlexW2555403332

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.