Proprioception of the knee before and after anterior cruciate ligament reconstruction

Reider, Bruce; Arcand, Michel A.; Diehl, Lee H.; Mroczek, Kenneth; Abulencia, Armand; Stroud, C. Christopher; Palm, Melanie D.; Gilbertson, Jennifer; Staszak, Patricia

doi:10.1053/jars.2003.50006

Cited by 211 publications

(230 citation statements)

References 28 publications

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“…Corrigan et al [4] reported the increasing threshold and decreasing position sense was presented in ACL injured knee compared with contralateral normal side. Measurements of the joint position sense are commonly used to evaluate proprioceptive function in the knee joint [21]. However, previous studies have provided limited functional information on this topic as joint position sense has only been reported under passive movement and non-weight bearing conditions.…”

Section: Discussionmentioning

confidence: 99%

Correlation between dynamic postural stability and muscle strength, anterior instability, and knee scale in anterior cruciate ligament deficient knees

Park

Kim

Yoo

et al. 2010

Arch Orthop Trauma Surg

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Aim The purpose of this study was to assess the correlations between dynamic postural stability and muscle strength, anterior instability, and knee scores in anterior cruciate ligament (ACL) deWcient knees. Method We examined 40 male patients with ACL injury prior to surgery. Maximal torques of Xexors and extensors of the injured knee at 60 and 180°/s were evaluated using an isokinetic testing device. Anterior translations of the tibia were measured using a KT-2000 arthrometer, and dynamic postural stabilities were measured during singleleg stance using the Biodex Stability System (BSS). Knee statuses were evaluated using Lysholm and International Knee Documentation Committee (IKDC) knee scores. Correlations between dynamic postural stability and muscle strength, anterior instability, and knee scores were determined. Results SigniWcant correlations were found between maximal torques of the extensor of injured knees at 60 and 180°/s (r = ¡0.52, p = 0.048 and r = ¡0.46, p = 0.019, respectively) and dynamic postural stability, and maximal torques of Xexors of injured knees showed similar relations (r = ¡0.51, p = 0.0048 and r = ¡0.47, p = 0.016, respectively). Lysholm and IKDC knee scores were also found to be correlated with dynamic postural stability (r = ¡0.49, p = 0.001 and r = ¡0.52, p = 0.005, respectively). However, no correlation was found between grade of anterior translation measured using the KT-2000 arthrometer and dynamic postural stability (p = 1.0). Conclusion Dynamic postural stability determined using the BSS appears to be inXuenced by muscle strength, as determined by isokinetic testing, but not with grade of anterior translation measured using a KT-2000 arthrometer. Subjective knee scores appear to improve in parallel with dynamic postural stability.

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Section: Discussionmentioning

confidence: 99%

Correlation between dynamic postural stability and muscle strength, anterior instability, and knee scale in anterior cruciate ligament deficient knees

Park

Kim

Yoo

et al. 2010

Arch Orthop Trauma Surg

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“…Our primary finding was that after ACLR, patients did not have deficits in postural stability compared to the control group. Decreased joint proprioception has been shown by several authors 4,5,16,25,26) . On the other hand, some researchers have reported that impaired postural control of ACL deficient patients significantly improved following reconstruction 2,17,19) while o t h e r s h a v e f a i l e d t o f i n d a s i g n i f i c a n t difference 5,12,[27][28][29] .…”

Section: Discussionmentioning

confidence: 83%

“…This, they explained, was due to a lack of proprioceptive information arising from the ACL lesion and/or substitution of ACL by the graft. Although most researchers have suggested that reconstruction of a mechanical restraint (ACL graft) is believed to have a significantly positive impact on early and progressive improvement in proprioception 26) , V a l e r i n i e t a l . 6 ) s t a t e d t h a t a r t h r o s c o p i c reconstruction of ligaments did not improve knee p r o p r i o c e p t i o n o r s o m a t o s e n s o r y c e n t r a l conduction.…”

Section: Discussionmentioning

confidence: 99%

Effect of Proprioceptive Rehabilitation on Postural Control Following Anterior Cruciate Ligament Reconstruction

2010

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Abstract.[Purpose] The aim of this study was to determine the functional level of activity and postural control after rehabilitation of anterior cruciate ligament reconstructed knees and compare them with nonoperated limbs and healthy limbs in control subjects.[Subjects] Twenty-seven patients participated in the study: 17 had undergone reconstruction with a bone-patellar tendon-bone and 10 with a semitendinosus graft technique. The same rehabilitation protocol was used for all of the patients. Besides the patients, 18 healthy volunteers participated as a control group. [Results] There were no significant differences for the eyes open static stabilometry test between operated and non-operated limbs of the patients. On the other hand, there were statistically significant differences for the closed eyes static balance test between the operated and non-operated limbs at 3 and 6 months after surgery. There were significant differences for the eyes open static balance test between the 3rd and 6th, and 6th and 12th months and for the eyes closed test of non-operated limbs between the same months as well. No statistically significant differences were noted in the dynamic balance tests between the patients and the control group. Lysholm scores of the patients obtained at 6 and 12th months after surgery were significantly better than those at 3 months after surgery. Different operation techniques revealed no significant differences in any test performed at any time.[Conclusions] Performing a postoperative sportive rehabilitation including specific proprioceptive training sessions has positive effects both on clinical status and postural control of the patients.

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“…Proprioceptive deficits following ACL rupture and ligament deficiency are well documented [25][26][27][28][29]. The restoration of the proprioception after ACL reconstruction is also supported in a significant number of research papers [27][28][29][30].…”

mentioning

confidence: 99%

Anterior Cruciate Ligament Mechanoreceptors Regeneration Following Reconstruction Using Autografts

Angoules¹

2013

J Sports Med Doping Stud 2013

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Proprioception of the knee before and after anterior cruciate ligament reconstruction

Cited by 211 publications

References 28 publications

Correlation between dynamic postural stability and muscle strength, anterior instability, and knee scale in anterior cruciate ligament deficient knees

Correlation between dynamic postural stability and muscle strength, anterior instability, and knee scale in anterior cruciate ligament deficient knees

Effect of Proprioceptive Rehabilitation on Postural Control Following Anterior Cruciate Ligament Reconstruction

Anterior Cruciate Ligament Mechanoreceptors Regeneration Following Reconstruction Using Autografts

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