{"id":"https://openalex.org/W7215688453","doi":"https://doi.org/10.64898/2026.09.30.26364410","title":"Time-Varying Coactivation Pattern and Knee Joint Kinematics and Kinetics Following ACL Reconstruction: A Statistical Parametric Mapping Approach","display_name":"Time-Varying Coactivation Pattern and Knee Joint Kinematics and Kinetics Following ACL Reconstruction: A Statistical Parametric Mapping Approach","publication_year":2026,"publication_date":"2026-10-02","ids":{"openalex":"https://openalex.org/W7215688453","doi":"https://doi.org/10.64898/2026.09.30.26364410"},"language":"en","primary_location":{"id":"doi:10.64898/2026.09.30.26364410","doi":"https://doi.org/10.64898/2026.09.30.26364410","is_oa":true,"landing_page_url":"https://doi.org/10.64898/2026.09.30.26364410","pdf_url":"https://www.medrxiv.org/content/medrxiv/early/2026/10/02/2026.09.30.26364410.full.pdf","source":{"id":"https://openalex.org/S3005729997","display_name":"medRxiv","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":["https://openalex.org/P4310315909"],"host_organization_lineage_names":["Cold Spring Harbor Laboratory Press"],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"medRxiv","raw_type":"posted-content"},"volume":null,"type":"preprint","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://www.medrxiv.org/content/medrxiv/early/2026/10/02/2026.09.30.26364410.full.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5139180706","display_name":"Imaad Virani","orcid":"https://orcid.org/0009-0007-9979-2448","observed_orcids":["https://orcid.org/0009-0007-9979-2448"]},"institutions":[{"id":"https://openalex.org/I181547552","display_name":"Baylor College of Medicine","ror":"https://ror.org/02pttbw34","country_code":"US","type":"education","lineage":["https://openalex.org/I181547552","https://openalex.org/I2801539370"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Imaad Virani","raw_affiliation_strings":["School of Medicine, Baylor College of Medicine, Houston, 77030, Texas, United States"],"raw_orcid":"https://orcid.org/0009-0007-9979-2448","affiliations":[{"raw_affiliation_string":"School of Medicine, Baylor College of Medicine, Houston, 77030, Texas, United States","institution_ids":["https://openalex.org/I181547552"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5092946724","display_name":"Mohsen Alighanbari","orcid":"https://orcid.org/0000-0002-6036-5664","observed_orcids":["https://orcid.org/0000-0002-6036-5664"]},"institutions":[{"id":"https://openalex.org/I86519309","display_name":"The University of Texas at Austin","ror":"https://ror.org/00hj54h04","country_code":"US","type":"education","lineage":["https://openalex.org/I86519309"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Mohsen Alighanbari","raw_affiliation_strings":["Department of Kinesiology and Health Education, University of Texas, Austin, 78712, Texas, United States"],"raw_orcid":"https://orcid.org/0000-0002-6036-5664","affiliations":[{"raw_affiliation_string":"Department of Kinesiology and Health Education, University of Texas, Austin, 78712, Texas, United States","institution_ids":["https://openalex.org/I86519309"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5045150233","display_name":"Timothy W. Lowe","orcid":"https://orcid.org/0000-0003-2005-0593","observed_orcids":["https://orcid.org/0000-0003-2005-0593"]},"institutions":[{"id":"https://openalex.org/I17301866","display_name":"University of Alabama","ror":"https://ror.org/03xrrjk67","country_code":"US","type":"education","lineage":["https://openalex.org/I17301866"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Timothy Lowe","raw_affiliation_strings":["Department of Kinesiology, The University of Alabama, Tuscaloosa, 35401, Alabama, United States"],"raw_orcid":"https://orcid.org/0000-0003-2005-0593","affiliations":[{"raw_affiliation_string":"Department of Kinesiology, The University of Alabama, Tuscaloosa, 35401, Alabama, United States","institution_ids":["https://openalex.org/I17301866"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5045150233"],"corresponding_institution_ids":["https://openalex.org/I17301866"],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10442","display_name":"Knee injuries and reconstruction techniques","score":0.9932000041007996,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10442","display_name":"Knee injuries and reconstruction techniques","score":0.9932000041007996,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10784","display_name":"Muscle activation and electromyography studies","score":0.004399999976158142,"subfield":{"id":"https://openalex.org/subfields/2204","display_name":"Biomedical Engineering"},"field":{"id":"https://openalex.org/fields/22","display_name":"Engineering"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},{"id":"https://openalex.org/T11018","display_name":"Lower Extremity Biomechanics and Pathologies","score":0.0015999999595806003,"subfield":{"id":"https://openalex.org/subfields/2204","display_name":"Biomedical Engineering"},"field":{"id":"https://openalex.org/fields/22","display_name":"Engineering"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/anterior-cruciate-ligament-reconstruction","display_name":"anterior cruciate ligament reconstruction","score":0.9950000047683716},{"id":"https://openalex.org/keywords/knee-kinematics","display_name":"knee kinematics","score":0.781000018119812},{"id":"https://openalex.org/keywords/knee-kinetics","display_name":"knee kinetics","score":0.9909999966621399},{"id":"https://openalex.org/keywords/gait-phases","display_name":"gait phases","score":0.8569999933242798},{"id":"https://openalex.org/keywords/statistical-parametric-mapping","display_name":"statistical parametric mapping","score":0.8679999709129333},{"id":"https://openalex.org/keywords/quadriceps","display_name":"quadriceps","score":0.5929999947547913},{"id":"https://openalex.org/keywords/hamstring-muscles","display_name":"hamstrings","score":0.9409999847412109},{"id":"https://openalex.org/keywords/gastrocnemius-muscle","display_name":"gastrocnemius","score":0.9940000176429749},{"id":"https://openalex.org/keywords/post-traumatic-osteoarthritis","display_name":"post-traumatic osteoarthritis","score":0.9269999861717224}],"concepts":[{"id":"https://openalex.org/C2780060146","wikidata":"https://www.wikidata.org/wiki/Q637488","display_name":"Coactivation","level":3,"score":0.9865000247955322},{"id":"https://openalex.org/C2777515770","wikidata":"https://www.wikidata.org/wiki/Q507369","display_name":"Electromyography","level":2,"score":0.6108999848365784},{"id":"https://openalex.org/C151800584","wikidata":"https://www.wikidata.org/wiki/Q2370000","display_name":"Gait","level":2,"score":0.57669997215271},{"id":"https://openalex.org/C2908736133","wikidata":"https://www.wikidata.org/wiki/Q37425","display_name":"Knee Joint","level":2,"score":0.5539000034332275},{"id":"https://openalex.org/C39920418","wikidata":"https://www.wikidata.org/wiki/Q11476","display_name":"Kinematics","level":2,"score":0.5289999842643738},{"id":"https://openalex.org/C99508421","wikidata":"https://www.wikidata.org/wiki/Q2678675","display_name":"Physical medicine and rehabilitation","level":1,"score":0.5041000247001648},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5008999705314636},{"id":"https://openalex.org/C2985215115","wikidata":"https://www.wikidata.org/wiki/Q22305006","display_name":"Gait cycle","level":3,"score":0.4424000084400177},{"id":"https://openalex.org/C170700871","wikidata":"https://www.wikidata.org/wiki/Q193378","display_name":"Biomechanics","level":2,"score":0.4406000077724457},{"id":"https://openalex.org/C96332660","wikidata":"https://www.wikidata.org/wiki/Q5610971","display_name":"Ground reaction force","level":3,"score":0.4142000079154968},{"id":"https://openalex.org/C2778434673","wikidata":"https://www.wikidata.org/wiki/Q611127","display_name":"Anterior cruciate ligament","level":2,"score":0.39739999175071716},{"id":"https://openalex.org/C39313694","wikidata":"https://www.wikidata.org/wiki/Q2940624","display_name":"Statistical parametric mapping","level":3,"score":0.36320000886917114},{"id":"https://openalex.org/C117251300","wikidata":"https://www.wikidata.org/wiki/Q1849855","display_name":"Parametric statistics","level":2,"score":0.34389999508857727},{"id":"https://openalex.org/C188198153","wikidata":"https://www.wikidata.org/wiki/Q1613840","display_name":"Limiting","level":2,"score":0.3294999897480011},{"id":"https://openalex.org/C173906292","wikidata":"https://www.wikidata.org/wiki/Q1493441","display_name":"Gait analysis","level":3,"score":0.32690000534057617},{"id":"https://openalex.org/C2780993623","wikidata":"https://www.wikidata.org/wiki/Q1590935","display_name":"Vastus medialis","level":3,"score":0.3068000078201294},{"id":"https://openalex.org/C76542214","wikidata":"https://www.wikidata.org/wiki/Q604830","display_name":"Center of pressure (fluid mechanics)","level":3,"score":0.2768999934196472},{"id":"https://openalex.org/C29694066","wikidata":"https://www.wikidata.org/wiki/Q118301","display_name":"Orthodontics","level":1,"score":0.27070000767707825},{"id":"https://openalex.org/C2780887989","wikidata":"https://www.wikidata.org/wiki/Q4771338","display_name":"Anterior cruciate ligament reconstruction","level":3,"score":0.26579999923706055},{"id":"https://openalex.org/C2776141760","wikidata":"https://www.wikidata.org/wiki/Q196002","display_name":"Hamstring","level":2,"score":0.2574000060558319},{"id":"https://openalex.org/C137813230","wikidata":"https://www.wikidata.org/wiki/Q2996165","display_name":"Motor control","level":2,"score":0.2563000023365021},{"id":"https://openalex.org/C2987592631","wikidata":"https://www.wikidata.org/wiki/Q2910873","display_name":"Knee flexion","level":2,"score":0.25209999084472656}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.64898/2026.09.30.26364410","doi":"https://doi.org/10.64898/2026.09.30.26364410","is_oa":true,"landing_page_url":"https://doi.org/10.64898/2026.09.30.26364410","pdf_url":"https://www.medrxiv.org/content/medrxiv/early/2026/10/02/2026.09.30.26364410.full.pdf","source":{"id":"https://openalex.org/S3005729997","display_name":"medRxiv","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":["https://openalex.org/P4310315909"],"host_organization_lineage_names":["Cold Spring Harbor Laboratory Press"],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"medRxiv","raw_type":"posted-content"}],"best_oa_location":{"id":"doi:10.64898/2026.09.30.26364410","doi":"https://doi.org/10.64898/2026.09.30.26364410","is_oa":true,"landing_page_url":"https://doi.org/10.64898/2026.09.30.26364410","pdf_url":"https://www.medrxiv.org/content/medrxiv/early/2026/10/02/2026.09.30.26364410.full.pdf","source":{"id":"https://openalex.org/S3005729997","display_name":"medRxiv","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":["https://openalex.org/P4310315909"],"host_organization_lineage_names":["Cold Spring Harbor Laboratory Press"],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"medRxiv","raw_type":"posted-content"},"sustainable_development_goals":[{"score":0.8199999928474426,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7215688453.pdf","grobid_xml":"https://content.openalex.org/works/W7215688453.grobid-xml"},"referenced_works_count":34,"referenced_works":["https://openalex.org/W1978628810","https://openalex.org/W2031889872","https://openalex.org/W2053003689","https://openalex.org/W2069060639","https://openalex.org/W2079746165","https://openalex.org/W2084300063","https://openalex.org/W2085410115","https://openalex.org/W2091249295","https://openalex.org/W2097715079","https://openalex.org/W2124647884","https://openalex.org/W2126652570","https://openalex.org/W2127629264","https://openalex.org/W2134532524","https://openalex.org/W2138874546","https://openalex.org/W2163509391","https://openalex.org/W2171126701","https://openalex.org/W2339839920","https://openalex.org/W2529432695","https://openalex.org/W2535359282","https://openalex.org/W2591868985","https://openalex.org/W2604665281","https://openalex.org/W2795118240","https://openalex.org/W2884542918","https://openalex.org/W2952761379","https://openalex.org/W2998759318","https://openalex.org/W3083985753","https://openalex.org/W3133463593","https://openalex.org/W4206206258","https://openalex.org/W4213351776","https://openalex.org/W4220769006","https://openalex.org/W4308034621","https://openalex.org/W4388766484","https://openalex.org/W4403295915","https://openalex.org/W4410283507"],"related_works":["https://openalex.org/W2944613227","https://openalex.org/W1986210048","https://openalex.org/W1603752709","https://openalex.org/W4292622475","https://openalex.org/W2606736421","https://openalex.org/W4280648682","https://openalex.org/W1504471462","https://openalex.org/W2088950516","https://openalex.org/W2966594493","https://openalex.org/W2072919997"],"abstract_inverted_index":{"Abstract":[0],"Introduction":[1],"Knee":[2,110],"muscle":[3],"coactivation":[4,24,47,224],"is":[5,210],"elevated":[6,211],"after":[7,208],"anterior":[8],"cruciate":[9],"ligament":[10],"reconstruction":[11],"(ACLR),":[12],"contributing":[13],"to":[14],"altered":[15],"joint":[16,46,111],"loading":[17,213],"and":[18,29,48,66,81,87,99,115,148,168,172,219],"post-traumatic":[19],"osteoarthritis.":[20],"Existing":[21],"methods":[22],"average":[23],"within":[25],"predefined":[26],"gait":[27,51],"phases":[28],"require":[30],"priori":[31],"designation":[32],"of":[33,83,153,182,204],"muscles":[34,89],"roles,":[35],"limiting":[36],"the":[37,84,139,196],"resolution":[38],"for":[39],"when":[40],"differences":[41],"occur.":[42],"Objective":[43],"Characterize":[44],"knee":[45,161,174,190,232],"dynamics":[49],"throughout":[50],"in":[52,138,195],"individuals":[53,62],"with":[54,63,125],"ACLR":[55,65,140,156,197,209],"using":[56,95,102,119],"statistical":[57,105],"parametric":[58,106],"mapping.":[59],"Methods":[60],"Ten":[61],"unilateral":[64],"ten":[67],"healthy":[68,185],"matched":[69],"controls":[70],"performed":[71],"overground":[72],"walking":[73],"at":[74,142,165,177,199,212],"their":[75],"preferred":[76],"speed,":[77,114],"while":[78],"kinematics,":[79],"kinetics,":[80],"electromyography":[82],"quadriceps,":[85],"hamstring,":[86],"gastrocnemius":[88],"were":[90,117],"recorded.":[91],"Coactivation":[92,135,207],"was":[93,100,136,193,225],"quantified":[94],"time-varying,":[96],"multi-muscle":[97],"coactivation,":[98],"compared":[101,118],"a":[103,188],"one-tailed":[104],"mapping":[107],"(SPM)":[108],"t-test.":[109],"angle,":[112],"angular":[113],"moment":[116,192],"SPM":[120],"Hotelling\u2019s":[121],"T":[122],"2":[123],"tests":[124],"Bonferroni-adjusted":[126],"post":[127],"hoc":[128],"comparisons":[129],"(":[130],"\u03b1":[131],"=":[132,180,202],"0.05).":[133],"Results":[134],"greater":[137,160],"group":[141,157,198],"0.01%-6.14%,":[143],"35.23%-40.94%,":[144],"69.73-71.99%,":[145],"72.12-77.31%,":[146],"77.89-78.05%,":[147],"94.63%-95.87%":[149],"(p":[150,170,179,201],"<":[151],"0.0001)":[152],"stride.":[154,205],"The":[155],"also":[158],"demonstrated":[159],"internal\u2013external":[162],"rotation":[163],"angle":[164,176],"0.01%-47.34%,":[166],"52.14%-61.87%,":[167],"66.47%-100%":[169],"<0.0001)":[171],"lower":[173,231],"flexion":[175],"55.79%-65.93%":[178],"0.004)":[181],"stride,":[183],"than":[184,242],"controls.":[186],"Finally,":[187],"smaller":[189],"flexion\u2013extension":[191],"observed":[194,226],"57.43%-62.18%":[200],"0.005)":[203],"Conclusions":[206],"response,":[214],"late":[215],"mid-stance,":[216],"terminal":[217],"stance":[218],"early":[220],"push-off":[221],"phase.":[222],"Greater":[223],"during":[227],"weight-acceptance":[228],"phases,":[229],"whereas":[230],"moments":[233],"characterized":[234],"initial":[235],"swing.":[236],"These":[237],"alterations":[238],"are":[239],"localized":[240],"rather":[241],"uniformly":[243],"distributed,":[244],"supporting":[245],"phase-targeted":[246],"rehabilitation.":[247]},"counts_by_year":[],"updated_date":"2026-11-09T13:22:03.289127","created_date":"2026-10-03T00:00:00"}
