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Evaluation of the knee instability in anterior cruciate ligament injury using a newly developed three dimensional motion analysis

Research Project

Project/Area Number 15300168
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Biomedical engineering/Biological material science
Research InstitutionKeio University

Principal Investigator

NAGURA Takeo  Keio University, School of Medicine, Assistant Professor, 医学部, 講師 (90306746)

Co-Investigator(Kenkyū-buntansha) TOYAMA Yoshiaki  Keio University, School of Medicine, Professor, 医学部, 教授 (40129549)
MATSUMOTO Hideo  Keio University, School of Medicine, Associate Professor, 医学部, 助教授 (50138038)
OTANI Toshiro  Keio University, School of Medicine, Assistant Professor, 医学部, 講師 (00160531)
SUDA Yasunori  Keio University, School of Medicine, Assistant Professor, 医学部, 講師 (20196900)
KIRIYAMA Yoshimori  Keio University, School of Medicine, Research Associate, 医学部, 助手 (30383722)
Project Period (FY) 2003 – 2005
Project Status Completed (Fiscal Year 2005)
Budget Amount *help
¥6,400,000 (Direct Cost: ¥6,400,000)
Fiscal Year 2005: ¥1,100,000 (Direct Cost: ¥1,100,000)
Fiscal Year 2004: ¥1,200,000 (Direct Cost: ¥1,200,000)
Fiscal Year 2003: ¥4,100,000 (Direct Cost: ¥4,100,000)
KeywordsBiomechanics / Knee / Ligament Injury / Anterior Cruciate Ligament / Joint Loading / 靱帯損傷 / 前十字靱帯
Research Abstract

We investigated three dimensional knee mechanics in anterior cruciate ligament (ACL) injury using a novel method. A skin marker based motion analysis technique (Point Cluster Technique) was developed. The subjects were 7 women and 5 men, diagnosed as unilateral ACL injury and were going to have the reconstruction surgery. The average time past injury was 27.5 months (2-120 months). After obtaining the informed consent, the knee kinematics were measured using the point cluster technique, where 21 skin markers were placed on the each segment of lower limbs and iliac crest, and with 3-dimensional motion analysis system, consisted of 5 optoelectronic cameras, a force plate and PC. Each subject performed three activities ; level walking, running, and side cutting to the contralateral side of the measured limb. The healthy side of the ACL deficient patients were also evaluated for comparison. In jogging and cutting activities, ACL deficient (ACLD) knees showed the tendency that the knee flexion decreased in mid-stance phase, but no significant difference was seen in these activities. In walking, no obvious difference was seen about tibial rotation. In 90 degrees pivoting, the amount of rotation angle was the largest in the five activities, but ACLD and the healthy knees had similar motion pattern. During jogging motion, no significant difference was seen either. But during cutting maneuver, ACLD tended to catch the ground as the tibia more externally rotated, and especially in 90 degrees cutting, significant difference was observed at heel strike and just before toe off. However significant difference between ACL deficient and healthy side was not observed in total amount of tibial rotation during each activity. In conclusion, our new method (point cluster technique) is an useful tool to evaluate dynamic knee instability in knee patients such as ACL injury.

Report

(4 results)
  • 2005 Annual Research Report   Final Research Report Summary
  • 2004 Annual Research Report
  • 2003 Annual Research Report
  • Research Products

    (26 results)

All 2006 2005 2004 2003 Other

All Journal Article (23 results) Book (2 results) Publications (1 results)

  • [Journal Article] In-vivo kinematics during cutting and pivoting in ACL deficient knees -Analysis using point cluster technique2006

    • Author(s)
      Takeda K. et al.
    • Journal Title

      Trans ORS 31

      Pages: 168-168

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Changes in ciblal rotation and knee flexion during walk-pivocing and jogging before and after the ancerio cruciace ligament reconstruction2006

    • Author(s)
      Hasegawa T. et al.
    • Journal Title

      Trans ORS 31

      Pages: 128-128

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] In-vivo kinematics during cutting and pivoting in ACL deficient knees-Analysis using point cluster technique2006

    • Author(s)
      Takeda, K, et al.
    • Journal Title

      (Trans ORS)

      Pages: 168-168

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Changes in tibial rotation and knee flexion during walk-pivoting and jogging before and after the anterior cruciate ligament reconstruction2006

    • Author(s)
      Hasegawa, T et al.
    • Journal Title

      (Trans ORS)

      Pages: 1128-1128

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] In-vivo kinematics during cutting and pivoting in ACL deficient knees -Analysis using point cluster technique2006

    • Author(s)
      Takeda K, et al.
    • Journal Title

      Trans ORS 31

      Pages: 168-168

    • Related Report
      2005 Annual Research Report
  • [Journal Article] Changes in tibial rotation and knee flexion during walk-pivoting and jogging before and after the anterior cruciate ligament reconstruction2006

    • Author(s)
      Hasegawa T, et al.
    • Journal Title

      Trans ORS 31

      Pages: 1128-1128

    • Related Report
      2005 Annual Research Report
  • [Journal Article] Does the toe out angle effect the knee mechanics in sports activity? Analysis of knee joint loading during side-step cutting.2005

    • Author(s)
      Udagawa K et al.
    • Journal Title

      Japanese Journal of Orthopedic Sports Medicine 24(4)

      Pages: 73-80

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Quick movement in tennis footwork - effectiveness of the split step.2005

    • Author(s)
      Osaki M et al.
    • Journal Title

      Japanese Journal of Orthopedic Sports Medicine 24(4)

      Pages: 81-86

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] テニスフットフークの動作解析-スプリットステッブの有効性2005

    • Author(s)
      松田達雄ほか
    • Journal Title

      日本臨戻バイオメカニクス学会誌 26

      Pages: 363-368

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Does the toe out angle effect the knee mechanics in sports activity? Analysis of knee joint loading during side-step cutting.2005

    • Author(s)
      Udagawa K, et al.
    • Journal Title

      Jpn.J Orthop Sports Med 24(4)

      Pages: 73-80

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Quick movement in tennis footwork-effectiveness of the split step.2005

    • Author(s)
      Osaki M, et al.
    • Journal Title

      Jpn.J Orthop Sports Med 24(4)

      Pages: 81-86

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Quick movement in tennis footwork-effectiveness of the split step2005

    • Author(s)
      Matsuda T, et al.
    • Journal Title

      J.Jpn.Clin.Biomech. 26

      Pages: 363-367

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Does the toe out angle change the mechanical loads at the knee?2005

    • Author(s)
      Udagawa K et al
    • Journal Title

      Jpn.J.Orthop.Sports Med (in press)

    • Related Report
      2004 Annual Research Report
  • [Journal Article] Quick movement in tennis footwork-Effectiveness of the split step.2005

    • Author(s)
      Osaki M et al
    • Journal Title

      Jpn.J.Orthop.Sports Med (in press)

    • Related Report
      2004 Annual Research Report
  • [Journal Article] テニスフットワークの動作解析-スプリットステップの有効性2005

    • Author(s)
      松田達雄 ほか
    • Journal Title

      日本臨床バイオメカニクス学会誌 26(in press)

    • Related Report
      2004 Annual Research Report
  • [Journal Article] ACL損傷膝のサイドステップにおける膝負荷の特徴2004

    • Author(s)
      橘田祐樹ほか
    • Journal Title

      日本臨床バイオメカニクス学会誌 25

      Pages: 197-201

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Knee joint loads in the anterior cruciate ligament deficient knee during side-step cutting maneuvers2004

    • Author(s)
      Kitta Y, et al.
    • Journal Title

      J.Jpn.Clin.Biomech. 25

      Pages: 197-201

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] 深屈曲動作におけるPLCの重要性2003

    • Author(s)
      名倉武雄ほか
    • Journal Title

      膝 27

      Pages: 87-89

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] 膝深屈曲動作における後十字靭帯の負荷-拮抗筋の影響について2003

    • Author(s)
      名倉武雄ほか
    • Journal Title

      日本臨床バイオメカニクス学会誌 24

      Pages: 123-126

    • NAID

      10013928587

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] PCL単独損傷膝における階段昇降動作の特徴2003

    • Author(s)
      磐田振一郎ほか
    • Journal Title

      日本膝関節学会誌 28巻2号

      Pages: 84-87

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Dominant role of the PCL during deep knee flexion.2003

    • Author(s)
      Nagura T, et al.
    • Journal Title

      J Jpn Knee Society 27

      Pages: 87-89

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] The Load on the posterior cruciate ligament during deep knee flexion. An effect of the muscle co-contraction.2003

    • Author(s)
      Nagura T, et al.
    • Journal Title

      J.Jpn.Clin.Biomech. 24

      Pages: 123-126

    • NAID

      10013928587

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Characteristics of the patients with isolated posterior cruciate ligament injuries in stair ascent and descent2003

    • Author(s)
      Iwata S, et al.
    • Journal Title

      J Jpn Knee Society 28(2)

      Pages: 84-87

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Book] 実践 すぐに役立つ膝靭帯損傷診断・治療マニュアル2006

    • Author(s)
      名倉武雄ほか, 宗田 大(編)
    • Total Pages
      229
    • Publisher
      全日本病院出版会
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Book] 実践 すぐに役立つ膝靭帯損傷診断・治療マニュアル2006

    • Author(s)
      宗田 大(編)
    • Total Pages
      229
    • Publisher
      全日本病院出版会
    • Related Report
      2005 Annual Research Report
  • [Publications] 橘田祐樹ほか: "ACL損傷膝のサイドステップにおける膝負荷の特徴"日本臨床バイオメカニクス学会雑誌. 24巻(in press). (2004)

    • Related Report
      2003 Annual Research Report

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Published: 2003-04-01   Modified: 2016-04-21  

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