{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,7]],"date-time":"2026-06-07T13:13:59Z","timestamp":1780838039429,"version":"3.54.1"},"reference-count":31,"publisher":"National Athletic Trainers' Association","issue":"9-10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,9,1]]},"abstract":"<jats:sec>\n                  <jats:title>Context<\/jats:title>\n                  <jats:p>Adolescents and adults are treated similarly in rehabilitation and research despite differences in clinical recovery after anterior cruciate ligament reconstruction (ACLR). Aberrant gait is a clinical outcome associated with poor long-term health post-ACLR but has not been compared between adolescents and adults.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>To compare gait biomechanical waveforms throughout stance between adolescents (&amp;lt;18 years old) and young adults (\u226518 years old) post-ACLR.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Design<\/jats:title>\n                  <jats:p>Case-control study.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Setting<\/jats:title>\n                  <jats:p>Laboratory.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Patients or Other Participants<\/jats:title>\n                  <jats:p>Adolescents (n = 13, girls = 77%, age = 16.7 \u00b1 0.6 years, height = 1.7 \u00b1 0.1 m, weight = 22.2 \u00b1 3.7 kg\/m2) were identified from a cross-sectional cohort assessing clinical outcomes 6 to 12 months post-ACLR. Young adults (n = 13, women = 77%, age = 22.3 \u00b1 4.0 years, height = 1.7 \u00b1 0.1 m, weight = 22.9 \u00b1 3.3 kg\/m2) were matched based on sex, time since surgery (\u00b12 months), and body mass index (\u00b13 kg\/m2).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Intervention(s)<\/jats:title>\n                  <jats:p>Participants performed 5 gait trials at their habitual speed.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Main Outcome Measure(s)<\/jats:title>\n                  <jats:p>Three-dimensional gait biomechanics and forces were collected. Vertical ground reaction force normalized to body weight (xBW), knee-flexion angle (\u00b0), knee-abduction moment (xBW \u00d7 height), and knee-extension moment (BW \u00d7 height) waveforms were calculated during the stance phase of gait (0%\u2013100%). Habitual walking speed was compared using independent t tests. We used functional waveforms to compare gait biomechanics throughout stance with and without controlling for habitual walking speed by calculating mean differences between groups with 95% CIs.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Adolescents walked with slower habitual speeds compared with adults (adolescents = 1.1 \u00b1 0.1 m\/s, adults = 1.3 \u00b1 0.1 m\/s, P &amp;lt; .001). When gait speed was not controlled, adolescents walked with less vertical ground reaction force (9%\u201315% of stance) and knee-abduction moment (12%\u201325% of stance) during early stance and less knee-extension moment during late stance (80%\u201399% of stance). Regardless of their habitual walking speed, adolescents walked with greater knee-flexion angle throughout most stances (0%\u201321% and 29%\u2013100% of stance).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Adolescents and adults demonstrated different gait patterns post-ACLR, suggesting that age may play a role in altered gait biomechanics.<\/jats:p>\n               <\/jats:sec>","DOI":"10.4085\/1062-6050-0052.22","type":"journal-article","created":{"date-parts":[[2023,1,13]],"date-time":"2023-01-13T20:02:55Z","timestamp":1673640175000},"page":"921-928","source":"Crossref","is-referenced-by-count":9,"title":["Differences in Gait Biomechanics Between Adolescents and Young Adults With Anterior Cruciate Ligament Reconstruction"],"prefix":"10.4085","volume":"57","author":[{"given":"Caroline Michele","family":"Lisee","sequence":"first","affiliation":[{"name":"*Department of Exercise and Sports Science, University of North Carolina at Chapel Hill"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Bjornsen","sequence":"additional","affiliation":[{"name":"*Department of Exercise and Sports Science, University of North Carolina at Chapel Hill"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W. Zachary","family":"Horton","sequence":"additional","affiliation":[{"name":"\u2020Department of Statistics, University of California, Santa Cruz"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hope","family":"Davis-Wilson","sequence":"additional","affiliation":[{"name":"\u2021Department of Physical Medicine and Rehabilitation, University of Colorado, Aurora"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. Troy","family":"Blackburn","sequence":"additional","affiliation":[{"name":"*Department of Exercise and Sports Science, University of North Carolina at Chapel Hill"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew B.","family":"Fisher","sequence":"additional","affiliation":[{"name":"\u00a7Joint Department of Biomedical Engineering, University of North Carolina at Chapel Hill, and North Carolina State University, Raleigh"},{"name":"\u2016Department of Orthopaedics, School of Medicine, University of North Carolina at Chapel Hill"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian","family":"Pietrosimone","sequence":"additional","affiliation":[{"name":"*Department of Exercise and Sports Science, University of North Carolina at Chapel Hill"},{"name":"\u2016Department of Orthopaedics, School of Medicine, University of North Carolina at Chapel Hill"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2557","published-online":{"date-parts":[[2023,1,13]]},"reference":[{"key":"2023011320015290000_i1938-162X-57-9-921-b01","doi-asserted-by":"crossref","unstructured":"Werner\n              BC,\n            \n            \n              Yang\n              S,\n            \n            \n              Looney\n              AM,\n            \n            \n              Gwathmey\n              FW\n              Jr.\n            \n          \n          Trends in pediatric and adolescent anterior cruciate ligament injury and reconstruction.\n\t\t\t\t\tJ Pediatr Orthop.\n\t\t\t\t\t2016;\n\t\t\t\t\t36(5):\n\t\t\t\t\t447\u2013\n\t\t\t\t\t452.\n\t\t\t\t\tdoi:10.1097\/BPO.0000000000000482","DOI":"10.1097\/BPO.0000000000000482"},{"key":"2023011320015290000_i1938-162X-57-9-921-b02","doi-asserted-by":"crossref","unstructured":"Wasserstein\n              D,\n            \n            \n              Huston\n              LJ,\n     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