Neuromuscular control in patients with acute ACL injury during stair ascent : A pilot study

Busch, Aglaja; Henle, Philipp; Boesch, Leonore; Blasimann Schwarz, Angela; Baur, Heiner (2019). Neuromuscular control in patients with acute ACL injury during stair ascent : A pilot study Sports Orthopaedics and Traumatology (Sport-Orthopädie, Sport-Traumatologie), 35(2), pp. 158-165. Elsevier 10.1016/j.orthtr.2019.04.002

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Background: Studies showed altered kinematics and kinetics in anterior cruciate ligament (ACL) deficient participants, attributed to an altered sensorimotor control. However, literature on neuromuscular activity during stair ascent in patients with acute ACL rupture. Material and methods: The activity of the M. vastus medialis (VM) and lateralis (VL), M. biceps femoris (BF) and M. semitendinosus (ST) was recorded using surface electromyography (EMG) in 9 acute ACL deficient (ACL-D) (rupture 1-3 weeks prior to test) and 9 ACL intact (ACL-I) matched subjects. Participants ascended 20 times a 6-step stair at self-selected speed. The movement was divided into pre-activation (PRE), weight-acceptance (WA) and push-off (PO) phase. Comparisons were made between the deficient leg of ACL-D and the matched uninjured leg of the ACL-I, as well as between the injured and non-injured leg of the ACL-D group. Results: ACL-D showed in all muscles a reduced activation (ca. 50%, p < 0.05) compared to ACL-I during PRE. In ACLD, quadriceps activity was also reduced (ca. 50%; p < 0.05) during WA, and hamstrings displayed a lower activation (ca. 35%; p < 0.05) during PO. Intragroup comparisons showed less consistent differences in all muscles and phases. Conclusions: Altered activity during PRE indicates an alteration in the motor program (‘‘pre-programmed activity’’). Small differences in the intra-individual comparison showed bilateral consequences following ACL injury. Level of Evidence: 3

Item Type:	Journal Article (Original Article)
Division/Institute:	School of Health Professions School of Health Professions > Physiotherapy School of Health Professions > Physiotherapy > Neuromuscular Control
Name:	Busch, Aglaja0000-0001-6025-3710; Henle, Philipp; Boesch, Leonore; Blasimann Schwarz, Angela0000-0003-0934-8284 and Baur, Heiner0000-0002-4780-225X
ISSN:	0949-328X
Publisher:	Elsevier
Language:	English
Submitter:	Dr. Angela Blasimann
Date Deposited:	04 Nov 2019 13:46
Last Modified:	05 Mar 2021 10:15
Publisher DOI:	10.1016/j.orthtr.2019.04.002
ARBOR DOI:	10.24451/arbor.8696
URI:	https://arbor.bfh.ch/id/eprint/8696