At the time of return to sports, the STG group had better performance in terms of quadriceps strength and the results of the triple-hop, crossover-hop, and jump-landing tests compared with the BPTB group. Compared with controls, soccer players who had undergone ACL reconstruction had less quadriceps and hamstrings strength and inferior hop performance and jump-landing strategy.
[Purpose] Knee joint proprioception combines sensory input from a variety of afferent
receptors that encompasses the sensations of joint position and motion. Poor
proprioception is one of the risk factors of anterior cruciate ligament injury. Most
studies have favored testing knee joint position sense in the sagittal plane and
non-weight-bearing position. One of the most common mechanisms of noncontact anterior
cruciate ligament injury is dynamic knee valgus. No study has measured joint position
sense in a manner relevant to the mechanism of injury. Therefore, the aim of this study
was to measure knee joint position sense in the noncontact anterior cruciate ligament
injury risk position and normal condition. [Subjects and Methods] Thirty healthy male
athletes participated in the study. Joint position sense was evaluated by active
reproduction of the anterior cruciate ligament injury risk position and normal condition.
The dominant knees of subjects were tested. [Results] The results showed less accurate
knee joint position sense in the noncontact anterior cruciate ligament injury risk
position rather than the normal condition. [Conclusion] The poorer joint position sense in
non-contact anterior cruciate ligament injury risk position compared with the normal
condition may contribute to the increased incidence of anterior cruciate ligament
injury.
Background: Proprioceptive deficits are one of the most important challenges after anterior cruciate ligament reconstruction (ACLR). Objectives: The current study aimed to investigate the effects of incorporating innovative land-based proprioceptive training into the conventional accelerated land-based rehabilitation protocol, as compared to the conventional accelerated land-based rehabilitation protocol alone, on knee function and joint position sense in male athletes after ACLR. Methods: Thirty male athletes with ACLR were randomly assigned to two rehabilitation groups. The conventional therapy (CT) group (n = 15) received conventional rehabilitation for six weeks, and the proprioception training (PT) group (n = 15) received the same conventional rehabilitation in addition to 12 sessions of innovative land-based proprioceptive training. Outcomes included joint position sense (JPS) errors, International Knee Documentation Committee (IKDC) form, and Visual Analog scale (VAS). Results: There were significant differences in absolute errors (AE) (FAE = 56.81, P < 0.001) and variable errors (VE) (FVE = 60.95, P < 0.001) between the two groups. No significant differences were found in constant error (CE), VAS, and IKDC score between the two groups (P > 0.05). Both groups showed significant changes in terms of AE, VE, VAS, and IKDC after the intervention (P < 0.05). Percent changes after the intervention for AE, VE, CE, VAS, and IKDC were greater in the PT group than in the CT group, which were 70.19%, 69.22%, 66.20%, 38.50%, and 39.61%, respectively. Conclusions: Innovative land-based proprioceptive training incorporated into the conventional accelerated rehabilitation protocol offers the improvement of proprioception efficiency for individuals with ACL reconstruction, and therefore, it could be useful for clinicians when designing rehabilitation protocols to ensure the optimal engagement of proprioception.
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