Evidence map›Paper›PMID 38669917›Full record

ArticleClinical biomechanics (Bristol, Avon)2024

Individuals early after anterior cruciate ligament reconstruction show intact motor learning of step length via the split-belt treadmill.

Elanna K Arhos, Jonathan M Wood, Karin Grävare Silbernagel, Susanne M Morton

Open access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Clinical biomechanics (Bristol, Avon), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.3field-weighted citation impact, top 13% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

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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

4 authors at 1 institution in 1 country.

Elanna K ArhosDepartment of Physical Therapy, University of Delaware, 540 S. College Avenue, Newark, DE 19711, USA; Biomechanics and Movement Science Program, University of Delaware, 540 S. College Avenue, Newark, DE 19711, USA. Electronic address: elanna.arhos@gmail.com.
Jonathan M WoodDepartment of Physical Therapy, University of Delaware, 540 S. College Avenue, Newark, DE 19711, USA; Biomechanics and Movement Science Program, University of Delaware, 540 S. College Avenue, Newark, DE 19711, USA.
Karin Grävare SilbernagelDepartment of Physical Therapy, University of Delaware, 540 S. College Avenue, Newark, DE 19711, USA; Biomechanics and Movement Science Program, University of Delaware, 540 S. College Avenue, Newark, DE 19711, USA.
Susanne M MortonDepartment of Physical Therapy, University of Delaware, 540 S. College Avenue, Newark, DE 19711, USA; Biomechanics and Movement Science Program, University of Delaware, 540 S. College Avenue, Newark, DE 19711, USA.
University of Delaware · US

Funding

Dynamic Stability in the ACL Injured KneeR37HD037985 · NICHD · UNIVERSITY OF DELAWARE · PI GRAVARE SILBERNAGEL, KARIN M E · 2012 to 2021
$4.2M
Robotic Gait Training and Evaluation SystemS10RR028114 · NCRR · UNIVERSITY OF DELAWARE · PI HIGGINSON, JILL S · 2011 to 2011
$404k
Can we modify gait asymmetry after ACL reconstruction?F31AR078580 · NIAMS · UNIVERSITY OF DELAWARE · PI ARHOS, ELANNA · 2021 to 2022
$68k
NCRR NIH HHS S10 RR028114NIAMS NIH HHS F31 AR078580NICHD NIH HHS R37 HD037985
6 · The paper itself

Abstract

backgroundRupturing the anterior cruciate ligament is an orthopedic injury that results in neuromuscular impairments affecting sensory input to the central nervous system. Traditional physical therapy after anterior cruciate ligament reconstruction aims to rehabilitate orthopedic impairments but fails to address asymmetric gait mechanics that are present post-operatively and are linked to the development of post-traumatic osteoarthritis. A first step towards developing gait interventions is understanding if individuals after anterior cruciate ligament reconstruction have the capacity to learn new walking mechanics.

methodsThe split-belt treadmill offers a task-specific approach to examine neuromuscular adaptations in patients after injury. The potential for changing spatiotemporal gait mechanics via split-belt treadmill adaptation has not been tested early after anterior cruciate ligament reconstruction; nor has the ability to retain and transfer newly learned gait mechanics. Therefore, we used a split-belt treadmill paradigm to compare gait adaptation, retention, and transfer to overground walking between 15 individuals 3-9 months after anterior cruciate ligament reconstruction and 15 matched control individuals.

findingsResults suggested individuals after anterior cruciate ligament reconstruction were able to adapt and retain step length symmetry changes as well as controls. There was also evidence of partial transfer to overground walking, similar to controls.

interpretationDespite disruption in afferent feedback from the joint, individuals early after anterior cruciate ligament reconstruction can learn a new gait pattern using sensorimotor adaptation, retain, and partially transfer the learned gait pattern. This may be a critical time to intervene with gait-specific interventions targeting post-operative gait asymmetries.

Indexed as

Anterior Cruciate Ligament ReconstructionGaitAdaptation, PhysiologicalAdultAnterior Cruciate LigamentAnterior Cruciate Ligament InjuriesBiomechanical PhenomenaExercise TestFemaleHumansLearningMaleWalkingYoung AdultAnterior cruciate ligamentGaitRehabilitationSensorimotor adaptation

Identifiers

PMID38669917
PMCPMC11312549
OpenAlexW4395030108

What OpenQuestion holds

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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.