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The Effect of Exercise on Anterior-Posterior Translation of the Normal Knee and Knees with Deficient or Reconstructed Anterior Cruciate Ligaments

Alexandra Kirkley, MD, FRCSC^*,, Nicholas Mohtadi, MD, FRCSC, MSc and Richard Ogilvie, MD, FRCSC

^* Fowler-Kennedy Sport Medicine Clinic, University of Western Ontario, London, Ontario, Canada
University of Calgary-Sport Medicine Center, Calgary, Alberta, Canada
Department of Surgery, McMaster University, Hamilton, Ontario, Canada

Address correspondence and reprint requests to Alexandra Kirkley, MD, FRCSC, Fowler-Kennedy Sport Medicine Clinic, University of Western Ontario, London, Ontario, Canada, N6A 3K7.

Exercise may result in increased laxity in the knee. Anterior translation in 40 normal knees, 33 consecutive anterior cruciate ligament-deficient knees, and 30 randomly chosen anterior cruciate ligament-reconstructed knees was measured using the KT-1000 arthrometer before and after the participants ran for 15 minutes on a neutral-incline treadmill. A single observer blinded to the status of each knee tested all participants. There was a significant increase in anterior translation in the normal (mean, 0.75 mm), anterior cruciate ligament-deficient (mean, 0.62 mm), and anterior cruciate ligament-reconstructed knees (mean, 0.25 mm) after exercise. In addition, the amount of anterior translation after exercise was significantly different when these groups were compared with each other. Post hoc analysis using Tukey’s procedure indicated that anterior translation in the anterior cruciate ligament-reconstructed knee was significantly less than in the normal and anterior cruciate ligament-deficient knees. Therefore, repetitive loading exercise contributes to an increase in anterior translation in normal, anterior cruciate ligament-deficient, and anterior cruciate ligament-reconstructed knees, and the anterior cruciate ligament-reconstructed knee does not respond to repetitive loading in the same manner as a normal knee.