Functional assessment of knee joint position sense following anterior cruciate ligament reconstruction

Sm, Mir; Hadian, Mohammad Reza; Talebian, Saeed; Nasseri, Nasrin

doi:10.1136/bjsm.2007.044875

Cited by 47 publications

(43 citation statements)

References 17 publications

(12 reference statements)

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“…These results are consistent with those reported in the literature and are justified by the fact that both instability and pain are very typical symptoms in this type of ligament injury, as described Peccin et al [15], Bonfim [19] and Mir et al [20]. reported after the anterior cruciate ligament reconstruction there is a loss of knee function due to an altered proprioceptive response of the new ligament.…”

Section: Discussionsupporting

confidence: 91%

Evaluation of functional rehabilitation physiotherapy protocol in the postoperative patients with anterior cruciate ligament reconstruction through clinical prognosis: an observational prospective study

et al. 2016

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BackgroundThe aim of the study was to evaluate the evolution of patients subject to physical treatment based on guidelines of functional rehabilitation after surgery anterior cruciate ligament reconstruction.MethodsThis is a prospective study of 177 patients with anterior cruciate ligament injury, who underwent surgery and physical therapy guideline conducted in an orthopedic clinic in São Paulo, southeastern Brazil. The clinical evolution of patients was made according to Lysholm and IKDC questionnaire on the 1st day after surgery with 30, 90 and 180 days of treatment.ResultsThere was statistically significant increase in the gross values of Lysholm and IKDC questionnaires during the treatment (p < 0.001), which indicates progressive gain of function. According to the scores obtained from the IKDC, it can be observed that in stage 1 the average progress was 53.5 %, falling to 50 % in stage 2, and 26.1 % in stage 3. As to Lysholm score, it started with 87.7 %, falling to 62.6 % in the second stage and 7 % in the third stage, both statistically significant (p < 0.001). The rehabilitation-oriented functional objectives priority is to quickly get the exercises to gain breadth, strength and proprioception, optimizing and improving the integration of the athlete back to sport.ConclusionSynthesizing the gradual gain of function and according to clinical outcomes assessed by IKDC and Lysholm, the functional guideline presented may be considered an alternative for rehabilitation of patients in postoperative anterior cruciate ligament.

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Section: Discussionsupporting

confidence: 91%

Evaluation of functional rehabilitation physiotherapy protocol in the postoperative patients with anterior cruciate ligament reconstruction through clinical prognosis: an observational prospective study

et al. 2016

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“…Persons undergoing arthroscopic knee surgery are primarily concerned about reducing pain and improving function. Traditionally, recovery endpoints in orthopedic surgery research have consisted of clinical ratings, mechanical indices, and functional outcome (i.e., return of good knee function and return to activities) [2][3][4][5][6]7]. However, fewer studies have examined pain outcomes [8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Mood and Attitude Predict Pain Outcomes Following Arthroscopic Knee Surgery

et al. 2009

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“…[11][12][13] However, other investigators have reported that these sensory modalities do not differ between the surgical and contralateral limbs or compared to healthy controls following ACLR. 10,[14][15][16] Vibratory perception is also reportedly impaired in the ACLR limb compared to the contralateral limb, 11 but does not appear to differ from healthy controls. 11,17 Vibratory perception may serve as a clinically feasible analog to proprioceptive and kinesthetic assessments, as they share common sensory receptors that are transmitted in parallel in the spinal cord.…”

mentioning

confidence: 99%

Somatosensory Function Influences Aberrant Gait Biomechanics Following Anterior Cruciate Ligament Reconstruction

Blackburn

Pietrosimone

Spang

et al. 2019

Journal Orthopaedic Research

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Osteoarthritis is common following anterior cruciate ligament reconstruction (ALCR), and aberrant gait biomechanics are considered a primary contributor. Somatosensory dysfunction potentially alters gait biomechanics, but this association is unclear. Therefore, the purposes of this investigation were to compare somatosensory function between limbs and evaluate associations between somatosensory function and gait biomechanics linked to osteoarthritis development in individuals with ALCR. Seventy‐three volunteers with ALCR participated. Gait biomechanics (peak vertical ground reaction force magnitude and loading rate, peak internal knee extension and valgus moments, peak knee flexion and varus angles, and quadriceps/hamstrings co‐activation) were assessed as subjects walked at their preferred speed. The somatosensory function was assessed via joint position sense error (knee flexion) and vibratory perception threshold (femoral epicondyles, malleoli, and first metatarsal). Though somatosensory function did not differ between the ACLR and contralateral limbs, poorer joint position sense in the ACLR limb was associated with lower loading rates and internal knee extension moments, and greater co‐activation. Poorer vibratory perception at the medial and lateral malleoli and first metatarsal head in the ACLR limb was associated with lower loading rates, greater internal knee valgus moments and varus angles, and greater co‐activation. Poorer vibratory perception at the medial malleolus and first metatarsal head in the contralateral limb was associated with greater peak knee varus angles and internal knee valgus moments. These results suggest that future research evaluating rehabilitation approaches for improving somatosensory function is warranted as a potential approach for restoring normal gait biomechanics and reducing osteoarthritis risk. © 2019 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 38:620–628, 2020

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Functional assessment of knee joint position sense following anterior cruciate ligament reconstruction

Abstract: We found no evidence of impaired JPS in weight-bearing positions in subjects with ACL reconstruction at a mean follow-up of 11 months after surgery compared with subjects with healthy knees.

Cited by 47 publications

References 17 publications

Evaluation of functional rehabilitation physiotherapy protocol in the postoperative patients with anterior cruciate ligament reconstruction through clinical prognosis: an observational prospective study

Evaluation of functional rehabilitation physiotherapy protocol in the postoperative patients with anterior cruciate ligament reconstruction through clinical prognosis: an observational prospective study

Mood and Attitude Predict Pain Outcomes Following Arthroscopic Knee Surgery

Somatosensory Function Influences Aberrant Gait Biomechanics Following Anterior Cruciate Ligament Reconstruction

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