前交叉韧带范文.doc

The Kinematic Control During the Backward Gait and Knee Proprioception: Insights from Lesions of the Anterior Cruciate Ligament 倒步走步态和膝关节本体的运动学：以前交叉韧损伤为视角 An already existing large volume of work on kinematics documents a reduction of step length during unusual gaits, such as backward walking. This is mainly explained in terms of modifications of some biomechanical properties. In the present study, we propose that the proprioceptive information from the knee may be involved in this change of motor strategy. Specifically, we show that a non-automated condition such as backward walking can elicit different motor strategies in subjects with reduced proprioceptive feedback after anterior cruciate ligament lesion (ACL). For this purpose, the kinematic parameters during forward and backward walking in subjects with ACL deficit were compared to two control groups: a group with intact ACL and a group with surgically reconstructed ACL. The knee proprioception was tested measuring the threshold for detection of passive knee motion. Subjects were asked to walk on a level treadmill at five different velocities (1-5km/h) in forward and backward direction, thereby calculating the cadence and step length. Results showed that forward walking parameters were largely unaffected in subjects with ACL damage. However, they failed to reduce step length during backward walking, a correction that was normally observed in all control subjects and in subjects with normal proprioceptive feedback after ACL reconstruction. The main result of the present study is that knee proprioception is an important signal used by the brain to reduce step length during the backward gait. This can have a significant impact on clinical evaluation and rehabilitation. 现存在大量关于在特殊步态例如倒步走中有关减少步长的运动学文献。这主要是针对生物力学特性来阐述的。在本研究中，我们认为膝关节本体感觉与运动方式的改变有关。我们发现，非自动化的条件下，如倒走可以引起不同的运动形式，运动者在前交叉韧带损伤后会降低本体感觉的反馈。为此，向前和运动学参数进行：，手术重建组。 本研究的主要结果