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Diagram of MADT. The MADT was performed with the patients sitting on the examination table with both feet hanging down freely and knees/hips flexed 90° to relax the muscles of the knees. The examiner held the proximal tibia and do a push-and-pull maneuver with 2 to 3 rhythmic cycles in 1 s. This speed and freedom of rotating the foot enable the moment by weight of calf and foot acting on ACL as the lever fulcrum of the knee. ① the push maneuver, ② the pull maneuver
