The effect of a patellar strap on knee joint proprioception in healthy participants and athletes with patellar tendinopathy

Vries, Adrianus J. de; Akker‐Scheek, Inge van den; Diercks, Ron L.; Zwerver, Johannes; Worp, Henk van der

doi:10.1016/j.jsams.2015.04.016

Cited by 13 publications

(18 citation statements)

References 23 publications

(37 reference statements)

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“…The jointed orthosis condition exhibited poorer results when analysing combined data from all detection of passive motion tests and when the start position for the test was set at 70° moving into flexion. These results are in contrast with previous work which has reported either no effect, 16,17 or a positive effect 36,38 in detection of passive motion with the application of an orthotic device or tape.…”

Section: Discussioncontrasting

confidence: 99%

Effects of knee orthoses on kinesthetic awareness and balance in healthy individuals

Ramstrand

Gjøvaag

Starholm

et al. 2019

Journal of Rehabilitation and Assistive Technologies Engineerin

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IntroductionConflicting evidence exists regarding the effects of knee orthoses on proprioception. One belief is that pressure applied by orthoses heightens kinesthetic awareness and that this affects balance. This study aimed to investigate the effects of two different orthosis designs on kinesthetic awareness and balance in healthy individuals.MethodsTwenty individuals (13 women) participated in this case series study. Each was tested wearing 1/no orthosis, 2/soft elastic orthosis and 3/non-elastic jointed orthosis. Pressure under orthoses was recorded. Kinesthetic awareness was investigated by testing joint position sense and threshold to detection of passive motion. Balance was tested using a modified sensory organization test.ResultsNon-elastic jointed orthoses applied the greatest pressure to the knee. With non-elastic jointed orthoses, threshold to detection of passive motion was significantly poorer for pooled results ( p = 0.02) and when the start position of the knee was 70° (mean threshold = 0.6°, 0.6°, 0.7° for no-orthosis, elastic and jointed-orthoses; p = 0.03). No major differences were observed in JPS or balance and correlation between proprioception and balance was poor.ConclusionsThere may be a limit to the amount of pressure that should be applied to the knee joint by an orthosis. Exceeding this limit may compromise kinesthetic awareness.

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Section: Discussioncontrasting

confidence: 99%

Effects of knee orthoses on kinesthetic awareness and balance in healthy individuals

Ramstrand

Gjøvaag

Starholm

et al. 2019

Journal of Rehabilitation and Assistive Technologies Engineerin

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“…Although RPP was used to evaluate proprioception after ACL reconstruction, its sensitivity and specificity still need to be improved. In addition, the knee proprioception system is complex and consists of mechanoreceptors located in the ligament, joint capsule, tendons, and muscles [41, 42]. Distinguishing the effect of remnant preservation on the restoration of proprioception is difficult.…”

Section: Discussionmentioning

confidence: 99%

Is Remnant Preservation in Anterior Cruciate Ligament Reconstruction Superior to the Standard Technique? A Systematic Review and Meta-Analysis

Wang

Liu

et al. 2019

BioMed Research International

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Purpose This is a systematic review and meta-analysis of current evidence that aims at comparing the clinical outcomes of remnant-preserving anterior cruciate ligament reconstruction (ACLR) and standard ACLR. Methods A systematic review of randomized controlled studies and cohort studies comparing remnant-preserving ACLR with standard ACLR with a minimum level of evidence of II was performed. Studies were included by strict inclusion and exclusion criteria. Extracted data were summarized as preoperative conditions, postoperative clinical outcomes, and postoperative complications. When feasible, meta-analysis was performed with RevMan5.3 software. Study methodological quality was evaluated with the modified Coleman methodology score (CMS). Results Eleven studies (n = 466 remnant-preserving and n = 536 standard) met the inclusion criteria. The mean modified CMS for all included studies was 85.8 (range: 77–92 on a 100-point scale). In total, 466 patients underwent remnant-preserving ACLR by 3 different procedures: standard ACLR plus tibial remnant tensioning (n = 283), selective-bundle augmentation (n = 49), and standard ACLR plus tibial remnant sparing (n = 134). Remnant-preserving ACLR provided a superior outcome of postoperative knee anterior stability (WMD = −0.42, 95% CI, −0.66, −0.17; P < 0.01) and Lysholm score (WMD = 2.01, 95% CI, 0.53 to 3.50; P < 0.01). There was no significant difference between the two groups with respect to second-look arthroscopy (OR = 1.38, 95% CI, 0.53, 3.62; P=0.51), complications (OR = 1.24 95% CI, 0.76, 2.02; P=0.39), International Knee Documentation Committee (IKDC) subject scores, IKDC grades, Lachman test, and pivot-shift test. Summary/conclusion Remnant-preserving ACLR promotes similar graft synovial coverage and revascularization to standard ACLR. Equivalent or superior postoperative knee stability and clinical scores were observed for remnant-preserving ACLR compared with standard ACLR. No significant difference in the total complication rate between the groups was evident.

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“…This observation opposes those of previous analyses indicating that patellar tendon straps improve knee proprioception. It is possible that the differences observed between analyses is due to the different approaches used to measure knee proprioception, as although de Vries et al, (36) and de Vries et al, (37) also utilized knee joint position sense analyses, this was not assessed during weight bearing.…”

Section: Discussionmentioning

confidence: 99%

“…Their findings showed that in both tendinopathy and control groups, the patellar tendon strap reduced vastus lateralis preactivation. Finally, both de Vries et al, (36) and de Vries et al, (37) who examined proprioception using a knee joint position sense test found that knee joint proprioception was enhanced in those with low proprioceptive acuity. To date however, there has yet to be any published investigation of the biomechanical effects of patellar tendon straps on patellar tendon kinetics, patellofemoral stress or lower extremity kinematics linked to the aetiology of chronic knee pathologies.…”

Section: Introductionmentioning

confidence: 96%

Effects of a patellar strap on knee joint kinetics and kinematics during jump landings: an exploration using a statistical parametric mapping and Bayesian approach

et al. 2019

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The aim of the current research was to investigate the effects of a patellar tendon strap on knee joint kinetics and kinematics during a vertical jump task using a statistical parametric mapping (SPM) and Bayesian approach. METHODS: Twenty-eight (14 male and 14 female) participants performed a vertical jump task under two conditions (patellar tendon strap/ no-patellar tendon strap). Biomechanical data was captured using an eight-camera 3D motion capture system and force platform. Participants also subjectively rated the comfort/ stability properties of the patellar tendon strap and their knee joint proprioception was examined with and without the strap using a weight bearing joint position sense test. Differences between patellar tendon strap/ no-patellar tendon strap conditions were examined using SPM and Bayesian analyses and subjective ratings using Chi-squared tests. RESULTS: The results showed that neither knee joint kinetics or kinematics were affected as a function of wearing the patellar tendon strap. The findings did show that the knee brace helped to significantly increase participants perceived knee stability, but there were no improvements in weight bearing knee proprioception. CONCLUSIONS: The current investigation indicates that the utilization of a patellar tendon strap akin to the device used in the current study does not appear to reduce the biomechanical parameters linked to the aetiology of knee pathologies, during vertical jump movements.

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The effect of a patellar strap on knee joint proprioception in healthy participants and athletes with patellar tendinopathy

Cited by 13 publications

References 23 publications

Effects of knee orthoses on kinesthetic awareness and balance in healthy individuals

Effects of knee orthoses on kinesthetic awareness and balance in healthy individuals

Is Remnant Preservation in Anterior Cruciate Ligament Reconstruction Superior to the Standard Technique? A Systematic Review and Meta-Analysis

Effects of a patellar strap on knee joint kinetics and kinematics during jump landings: an exploration using a statistical parametric mapping and Bayesian approach

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