15-Year Follow-up of Neuromuscular Function in Patients with Unilateral Nonreconstructed Anterior Cruciate Ligament Injury Initially Treated with Rehabilitation and Activity Modification

Ageberg, Eva; Pettersson, Annika; Fridén, Thomas

doi:10.1177/0363546507305018

Cited by 43 publications

(45 citation statements)

References 43 publications

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“…However, the patients had poorer kinesthetic acuity than the uninjured controls. We have previously reported small differences between the injured and uninjured legs in the one-leg hop test and in knee muscle strength in this patient group, indicating good neuromuscular function (2). The results in the present study showing no differences, or even better values, in the one-leg hop test and knee muscle strength in the patients compared to the controls, further support our postulation of good neuromuscular function at the long-term follow-up in these patients.…”

Section: Discussionsupporting

confidence: 90%

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Normalized motor function but impaired sensory function after unilateral non-reconstructed ACL injury: patients compared with uninjured controls

Ageberg

Fridén

2008

Knee Surg Sports Traumatol Arthr

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Improvement in motor function after anterior cruciate ligament (ACL) injury is achieved by appropriate rehabilitation. However, it has been questioned whether training after injury can lead to sensory improvement. We hypothesized that motor function can be restored after unilateral non-reconstructed ACL injury, whereas the sensory function cannot, i.e., there would be no difference in functional performance or knee muscle strength between subjects with ACL injury and uninjured controls, but the subjects with ACL injury would have poorer kinesthesia than the uninjured controls. This is a Cross-Sectional Study, wherein 56 (20 women and 36 men) individuals with unilateral non-reconstructed ACL injury were assessed at a mean of 15 years (SD 1.4 years) after the initial injury. All patients initially underwent rehabilitation and were advised to modify their activity level, in order to cope with the ACL insufficiency. At 15 years, they had good subjective function and acceptable activity level. Twenty-eight (14 women and 14 men) uninjured subjects served as controls. Patients and controls were assessed with the one-leg hop test for distance, isometric and isokinetic knee muscle strength, and kinesthesia (the threshold to detection of passive motion). The individuals with ACL injury had the same or better functional performance, measured by the one-leg hop test for distance, and knee muscle strength compared with the uninjured controls. Kinesthesia was poorer in the patient group than in the control group. The results indicate that motor function can be restored but that the sensory function is persistently disturbed after ACL injury.

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Section: Discussionsupporting

confidence: 90%

“…They were all from a cohort of 100 consecutive patients with ACL injury at a non-professional, recreational or competitive, activity level, who had been followed prospectively and regularly for three years (4,8,36,37), and finally at 15 years after the initial injury (2,16).…”

Section: Patients and Controlsmentioning

confidence: 99%

Normalized motor function but impaired sensory function after unilateral non-reconstructed ACL injury: patients compared with uninjured controls

Ageberg

Fridén

2008

Knee Surg Sports Traumatol Arthr

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“…Follow-up studies at 15 years after injury reported good functional and quadriceps/hamstring strength with ACL injuries treated with rehabilitation. However, many patients were required to modify their activity levels and avoidance of contact sport [87,88]. The KANON study (the Knee, Anterior cruciate ligament, NON-surgical versus surgical treatment) [89] found no difference in muscle power and functional tests between strength training with surgical intervention when compared to conservative management strategies at 2-5 years of followup.…”

Section: Decision Making Prior To Surgerymentioning

confidence: 99%

Prehabilitation: The Void in the Management of Anterior Cruciate Ligament Injuries—A Clinical Review

Shaarani

Moyna

Moran

et al. 2012

ISRN Rehabilitation

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The rehabilitation of patients undergoing anterior cruciate ligament (ACL) reconstruction requires symmetry in bilateral quadriceps strength and adequate proprioception capabilities prior to return to preoperative level of activity or sport. This is the limiting factor and can delay the time that patients can return to play. There is little literature on pre-operative physiotherapy or prehabilitation of patient with ACL injury. This paper discusses the anatomy, biomechanics, surgical decision making, and the current knowledge of preoperative training or "prehabilitation" in patients awaiting ACL reconstruction.

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“…There are few long-term prospective studies (with a minimum of 10 years of follow-up) describing the natural history of the anterior cruciate ligament (ACL) de fi cient knee [ 3,47,87,108,[116][117][118] . It is important to de fi ne complete from partial ACL-de fi ciency and to realize that some studies combine patients with these diagnoses into one cohort, making conclusions dif fi cult on the effects of a completely de fi cient and nonfunctional ligament.…”

Section: Introductionmentioning

confidence: 99%

Consequences of Complete ACL Ruptures

Barber-Westin

Noyes

2012

ACL Injuries in the Female Athlete

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15-Year Follow-up of Neuromuscular Function in Patients with Unilateral Nonreconstructed Anterior Cruciate Ligament Injury Initially Treated with Rehabilitation and Activity Modification

Abstract: 1Background: It has been suggested that neuromuscular function is of importance in the 2

Cited by 43 publications

References 43 publications

Normalized motor function but impaired sensory function after unilateral non-reconstructed ACL injury: patients compared with uninjured controls

Normalized motor function but impaired sensory function after unilateral non-reconstructed ACL injury: patients compared with uninjured controls

Prehabilitation: The Void in the Management of Anterior Cruciate Ligament Injuries—A Clinical Review

Consequences of Complete ACL Ruptures

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