Matching Items (3)
Filtering by
- All Subjects: Knees
- All Subjects: Running
- Creators: Harper, Erin
- Resource Type: Text
Description
Ruptures in the anterior cruciate ligament are a prevalent injury, particularly in young athletes. This injury is frequently treated with surgical repair utilizing autologous tissue, cadaver allografts or synthetic grafts. However there is no definitive answer on which is the best graft option. This review aims to compare clinical results of patellar tendon autograft (PT), hamstring autograft (HT), cadaver allograft and LARS synthetic ligament in ACL reconstruction. The ASU library was systematically searched for comparison studies or meta-analyses that compared or described ACL reconstruction graft options. The results of the studies were analyzed according to re-tear rate, return to pre-injury level of activity, KT-1000 laxity scores, post-operative muscle strength, International Knee Documentation Committee Score (IKDC), Lysholm score, Lachman test and donor site morbidity. Allografts showed the highest re-tear rate and increase in laxity when compared with the PT autograft and HT autograft. PT autograft provided the most stability according to the KT-1000 results. Knee extensor muscle strength was not graft dependent, but knee flexor strength decreased significantly in HT autograft patients. All grafts showed comparable results for IKDC, Lysholm scores and Lachman tests. There was increased anterior knee pain in PT autograft patients however this did not seem to have an affect on the stability or durability of the graft. The PT autograft is the best choice for individuals undergoing ACL reconstruction on the basis of lower re-tear rates and greater joint stability.
ContributorsNormen, Eliza Armstrong (Author) / Broman, Tannah (Thesis director) / Harper, Erin (Committee member) / Barrett, The Honors College (Contributor) / School of Nutrition and Health Promotion (Contributor) / School for the Science of Health Care Delivery (Contributor)
Created2015-05
Description
Although the sport and exercise of running has a great amount of benefits to anyone's health, there is a chance of injury that can occur. There are many variables that can contribute to running injury. However, because of the vast amount of footsteps a frequent runner takes during their average run, foot strike pattern is a significant factor to be investigated in running injury research. This study hypothesized that due to biomechanical factors, runners that exhibited a rear foot striking pattern would display a greater incidence of chronic lower extremity injury in comparison to forefoot striking counterparts. This hypothesis would support previous studies conducted on the topic. Student-athletes in the Arizona State University- Men's and Women's Track & Field program, specifically those who compete in distance events, were given self reporting surveys to provide injury history and had their foot strike patterns analyzed through video recordings. The survey and analysis of foot strike patterns resulted in data that mostly followed the hypothesized pattern of mid-foot and forefoot striking runners displaying a lower average frequency of injury in comparison to rear foot strikers. The differences in these averages across all injury categories was found to be statistically significant. One category that displayed the most supportive results was in the average frequency of mild injury. This lead to the proposed idea that while foot strike patterns may not be the best predictor of moderate and severe injuries, they may play a greater role in the origin of mild injury. Such injuries can be the gateway to more serious injury (moderate and severe) that are more likely to have their cause in other sources such as genetics or body composition for example. This study did support the idea that foot strike pattern can be the main predictor in incidence of running injuries, but also displayed that it is one of many major factors that contribute to injuries in runners.
ContributorsBaker-Slama, Garrett Richard (Author) / Harper, Erin (Thesis director) / Cataldo, Donna (Committee member) / Wilson, Jeffrey (Committee member) / Barrett, The Honors College (Contributor) / School of Nutrition and Health Promotion (Contributor)
Created2014-05
Description
The purpose of this study was to determine if there were asymmetries in ground reaction forces (GRF) between dancers and non-dancers, and to see the effect of GRF on external (ER) and internal rotator (IR) strength. Subjects performed double- and single-legged jumps on a force plate with a motion capture marker system attached at anatomical landmarks, and then had strength and range of motion (ROM) of their internal and external rotators tested along at degrees of hip flexion. There were no significant differences in GRF between legs for all subjects involved. However, stronger hip ER was negatively correlated with vertical GRF (z-axis), positively correlated with anteroposterior (y-axis) GRF, and higher mediolateral (x-axis) GRF from double-leg trials was positively correlated with knee abduction. Thus, future studies should further investigate GRF broken into axial components as well as the time to peak GRF to determine any relation of these factors to knee valgus and ACL injury risk.
ContributorsDiamond, Alexander (Author) / Harper, Erin (Thesis director) / Ringenbach, Shannon (Committee member) / Wiley, Alex (Committee member) / Barrett, The Honors College (Contributor) / School of Nutrition and Health Promotion (Contributor)
Created2013-05