The purposes of this study were to estimate the load to the anterior cruciate ligament (ACL) in the forward and the backward stair descent and to discuss clinical implementation of the findings. Six healthy young males participated in this study. The tasks were forward and backward stair descent. The muscle tensions were estimated based on the electromyography-assisted optimization. The ACL load was derived from the estimated muscle tensions. The peak ACL load in the backward stair descent was significantly lower than that in the forward stair descent (2.6 ± 0.6 N/kg, 3.2 ± 1.0 N/kg, respectively;
p>0.05). Also, the peak anterior shear force in the backward stair descent was significantly lower compared to the forward stair descent (1.3 ± 0.6 N/kg 2.4 ± 0.8 N/kg, respectively;
p>0.05). The reduction of ACL load and anterior shear force observed in the backward stair descent may indicate that the backward stair descent would be one of recommended activities.
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