Gait Retraining Improves Loading Asymmetry, Pain, and Running Function after Anterior Cruciate Ligament Reconstruction

Contributing USMA Research Unit(s)

Civil and Mechanical Engineering

Publication Date


Publication Title

Combined Sections Meeting of the American Physical Therapy Association

Document Type

Conference Proceeding


Return to sport rates are low following anterior cruciate ligament reconstruction (ACLR), with 63% resuming pre-injury level of activity and only 44% returning to competitive sport.1 The risk of poor outcome may be related to deficits in muscle strength2 and altered limb loading strategies during jumping, running, and landing activ-ities3,4 that are noted following return to high-level activity. Running with a non–rearfoot strike (NRFS) pattern may assist post-ACLR patients by reducing average vertical loading rate (AVLR), reducing braking forces, and reducing negative knee extensor work.5 The purpose of this study was to describe a return to run program that attempted to alter running form in individuals following ACLR and examine several parameters over time that may reduce their risk of poor outcome

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