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

Abstract

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.

Visual biofeedback exercises for improving body balance control after anterior cruciate ligament reconstruction

“…These disorders change the activities of individual muscle groups and impair motor coordination 1 , 2 , 3 , 4 ) . Both kinematic and neuromuscular factors such as muscle activation, recruitment, and firing patterns must be taken into consideration to accurately characterize complex knee stability 5 ) . This eventually leads to reduced muscle strength and even muscle atrophy.…”

Subjective Assessment of Rehabilitation Protocol by Patients after ACL Reconstruction – Preliminary Report

“…Wy mie nio ne te sty kli nicz ne i ska le słu żą w po łą cze niu z ba da nia mi czyn no ścio wy mi do oceny sta bil no ści ko la na, za kre sów ru chów, pa ra me trów cho du u pa cjen tów oraz przy wra ca nia si ły mię śnio -wej i pro prio cep cji [3,11,19]. Naj czę ściej uży wa ny mi ska la mi są: for mu larz IKDC, ska la Ly shol ma, ska la ak tyw no ści Te gne ra, ska la Cin cin na ti, ska la KO OS, wi zu al na ska la ana logo wa oce ny bó lu VAS [2][3][4][5][6][7][8][9][10]20,21].…”

“…The most widely used scales include: the IKDC form, Lysholm score, Tengner activity level scale, Cincinnati score, KOOS score and visual analogue scale (VAS) for pain [2][3][4][5][6][7][8][9][10]20,21]. Two of them (IKDS form and Lysholm score) were employed by us since they are well-studied, reliable, up-to-date and widely used.…”

“…Pod czas gdy tra dy cyj ne me to dy ba dań: ba da nie przed mio to we i ba da nia ob ra zo we sta wu kola no we go uzu peł nia ją się wza jem nie, su biek tywna oce na cho re go zda je się speł niać ro lę szcze gól ną i jest nie za stą pio na w pro ce sie okre śla nia sku tecz ności sto so wa ne go le cze nia [1][2][3]. W le cze niu i oce nie sku tecz no ści re ha bi li ta cji wię za dła krzy żo we go przed nie go wy ko rzy stu je się po za ty po wy mi ba dania mi kli nicz ny mi (w tym te sty kli nicz ne), ta kże skale, któ re po zwa la ją na su biek tyw ną oce nę efek tów le cze nia wy ra ża ną przez pa cjen tów [2,[4][5][6][7][8][9][10]. Wymie nio ne te sty kli nicz ne i ska le w po łą cze niu z ba dania mi czyn no ścio wy mi słu żą do oce ny sta bil no ści ko la na, za kre sów ru chów, pa ra me trów cho du u pacjen tów oraz przy wra ca nia si ły mię śnio wej i pro priocepcji [3,11].…”

“…physical examination and imaging complement each other, subjective assessment by patients seems to play a special role and is indispensable for determining treatment efficacy [1][2][3]. In the treatment and evaluation of rehabilitation in ACL injuries, subjective rating scales are used to assess treatment effects alongside standard physical examination (including clinical tests) [2,[4][5][6][7][8][9][10]. The clinical evaluation and the scales together with functional tests serve to assess knee stability, range of motion, gait parameters, and restora tion of muscle strength and proprioception [3,11].…”