Proprioceptive Changes in Bilateral Knee Joints Following Unilateral Anterior Cruciate Ligament Injury in Cynomolgus Monkeys

Zhang, Lei; Qi, Ji; Zeng, Yan; Zhang, Shaoqun; Fu, Shoukuan; Zhou, Xin; Ping, Ruiyue; Li, Yikai

doi:10.12659/msm.905160

Cited by 7 publications

(6 citation statements)

References 50 publications

(30 reference statements)

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“…After the knee joint is damaged, the bilateral proprioception receptor's afferent information is asymmetrical (12), and thus precise control of the effector is lost. The middle pivot movement system adjusts the control procedure to compensate for the asymmetrical abnormal movement mode, and, consequently, the sensory information from the healthy side of the lower limb is reduced excessively to stabilize patient movement (13). In addition, if the affected limbs remain motionless, this reduced activity may cause decline and degeneration of muscle strength and muscle tension, therefore resulting in insufficient postural stability and increased probability of secondary injury, while post-injury pain might contribute to the poor balance performance (14,15).…”

Section: Discussionmentioning

confidence: 99%

Effects of Visual Feedback During Balance Training on Knee Function and Balance Ability in Postoperative Patients After Knee Fracture: A Randomized Controlled Trial

Zhang

Qui

Liu

et al. 2022

JRM

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Objective: To investigate the effects of visual feedback training on knee function and balance ability in postoperative patients with knee fracture. Methods: A clinical randomized controlled trial with 104 participants, randomly assigned (1:1) to a visual feedback training group or a control group. Eligible participants were evaluated using Lysholm scores, the Tinetti scale, and the evaluation module of TecnoBody to demonstrate dynamic balance function in a standing position before treatment and after 4 and 8 weeks of treatment. Results: Both visual feedback training and control groups improved significantly in the Lysholm and Tinetti scores after 8 weeks. Compared with the control group, the TecnoBody tests included centre of pressure path length, and the area over centre of pressure movement, both of which significantly improved in the visual feedback training group at 8 weeks after treatment. There was no difference between the 2 groups in terms of their Lysholm scores and Tinetti gait before the intervention and 4 weeks after treatment. Conclusion: Applying visual feedback training in conjunction with traditional rehabilitation strategies may improve knee function and motor control in postoperative patients with knee fracture. Although visual feedback training does not have a short-term effect on knee function and gait, this method could be a useful addition for rehabilitation of knee fracture patients.

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Section: Discussionmentioning

confidence: 99%

Effects of Visual Feedback During Balance Training on Knee Function and Balance Ability in Postoperative Patients After Knee Fracture: A Randomized Controlled Trial

Zhang

Qui

Liu

et al. 2022

JRM

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“…While these data seem to suggest that our sample of ACLR subjects did not possess somatosensory deficits, it is important to note that bilateral deficits in somatosensory function have been reported following ACLR. Similarly, bilateral declines in afferent neuron function have been reported following ACL injury in animal models . Though we are unable to determine if bilateral somatosensory deficits were present in our subjects without comparison with a healthy control cohort, it is clear from our findings that individuals with poorer somatosensory function in the ACLR limb display a gait biomechanics profile that is consistent with heightened PTOA risk.…”

Section: Discussionmentioning

confidence: 52%

“…Similarly, bilateral declines in afferent neuron function have been reported following ACL injury in animal models. 34 Though we are unable to determine if bilateral somatosensory deficits were present in our subjects without comparison with a healthy control cohort, it is clear from our findings that individuals with poorer somatosensory function in the ACLR limb display a gait biomechanics profile that is consistent with heightened PTOA risk.…”

Section: Discussionmentioning

confidence: 73%

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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“…Some studies reported a reduction in proprioception and instability in lower limb joints after an ACL injury. In this regard, Zhang et al reported that ACL injury reduced the number of proprioception receptors in monkeys, and ultimately, decreased proprioception in them [13]. Moreover, Relph et al reviewed the studies on reduced proprioception after an ACL injury [14].…”

Section: Resultsmentioning

confidence: 99%

Investigating Knee Joint Position Sense After Anterior Cruciate Ligament Reconstruction in Male Soccer Players

Rashid3

Dehcheshmeh

Daneshmandi

et al. 2020

PTJ

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Purpose: Anterior Cruciate Ligament (ACL) injury is the most common knee ligament injury during exercise, with a frequency of 36.9 per 100000 individuals. The characteristics of this injury are proprioception dysfunction. The present study aimed to investigate the knee proprioception after the reconstruction of ACL in soccer players. Methods: The study sample of this study was 20 elite male soccer players with an ACL injury experiencing post-reconstruction. The knee joint position sense of the study subjects was measured by Isokinetic (Gymnex model) at 30°, 45°, and 60° between the operated and non-operated knee. An Independent Samples t-test was used to compare the mean scores of the measured variables at the significance level of P≤0.05. Results: The obtained results suggested that the mean value of the angle reproduction test at 30° on the operated knee was significantly more than that of the non-operated knee (P=0.003). Moreover, the mean value of a passive angle reproduction test was significantly more than that of the active angle test in the operated knee (P=0.001). There was no significant difference between the mean value of 45° angle repair results in the non-operated and operated knee (P=0.99). The difference between active and passive tests in the operated knee on 45° was significant; the study subjects demonstrated higher mean scores in the active test (P=0.02). Additionally, the half-value in angle reproduction in 60° in the operated knee was significantly less than that of the non-operated knee (P=0.01). Eventually, there was no significant difference between the results of the test at this angle in the passive and active angle reproduction in the affected knee (P=0.22). Conclusion: The obtained data revealed that the knee joint position sense of the operated knee joint, compared to the non-operated knee in elite soccer players, along with the reconstruction of the ACL, was weaker than those of the non-operated knee.

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Proprioceptive Changes in Bilateral Knee Joints Following Unilateral Anterior Cruciate Ligament Injury in Cynomolgus Monkeys

Cited by 7 publications

References 50 publications

Effects of Visual Feedback During Balance Training on Knee Function and Balance Ability in Postoperative Patients After Knee Fracture: A Randomized Controlled Trial

Effects of Visual Feedback During Balance Training on Knee Function and Balance Ability in Postoperative Patients After Knee Fracture: A Randomized Controlled Trial

Somatosensory Function Influences Aberrant Gait Biomechanics Following Anterior Cruciate Ligament Reconstruction

Investigating Knee Joint Position Sense After Anterior Cruciate Ligament Reconstruction in Male Soccer Players

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