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Gait Study on the Normal and ACL Deficient Patients After Ligament Reconstruction Surgery Using Chaos Analysis Method

전방십자인대 재건수술 환자와 정상인의 보행 연구

  • 고재훈 (부산대학교 대학원 기계설계공학과) ;
  • 문병영 (부산대학교 동남권부품소재 산학협력혁신사업단) ;
  • 서정탁 (부산대학교 의과대학 정형외과) ;
  • 손권 (부산대학교 기계공학부)
  • Published : 2006.04.01

Abstract

The anterior cruciate ligament(ACL) is an important stabilizer of knee joint. The ACL injury of knee is common and a serious ACL injury leads to ligament reconstruction surgery. Gait analysis is essential to identify knee condition of patients who display abnormal gait. The purpose of this study is to evaluate and classify knee condition of ACL deficient patients using a nonlinear dynamic method. The nonlinear method focuses on understanding how variations in the gait pattern change over time. The experiments were carried out for 17 subjects(l2 healthy subjects and five subjects with unilateral deficiency) walking on a motorized treadmill for 100 seconds. Three dimensional kinematics of the lower extremity were collected by using four cameras and KWON 3D motion analysis system. The largest Lyapunov exponent calculated from knee joint flexion-extension time series was used to quantify knee stability. The results revealed the difference between healthy subjects and patients. The deficient knee was significantly unstable compared with the contralateral knee. This study suggests an evaluation scheme of the severity of injury and the level of recovery. The proposed Lyapunov exponent can be used in rehabilitation and diagnosis of recoverable patients.

Keywords

Lyapunov Exponent;Knee Flexion-Extension;ACL;Ligament Reconstruction Surgery

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