Post-rehabilitation knee proprioception after anterior cruciate ligament reconstruction. Joint position sense in relation to performance of an obstacle clearance task

2020 ◽  
Vol 81 ◽  
pp. 115-116
Author(s):  
A. Grinberg ◽  
A. Strong ◽  
C. Häger
1970 ◽  
Vol 1 (1) ◽  
pp. 2-10
Author(s):  
Azizati Rochmania ◽  
Reni H. Masduchi ◽  
Dwikora N. Utomo

Objectives : To evaluate the effect of KinesioTaping on knee joint proprioception of patient withreconstructed anterior cruciate ligament.Methods: Randomized trial, cross-­over study design, was done in Rehabilitation outpatient clinic, Soetomo General Hospital, Surabaya, on 9 isolated anterior cruciate ligament (ACL) patients, which hasunderwent ACL reconstruction procedure. Each patient will become control for themselves. Subjects were treated with standardized Kinesio Taping technique for anterior cruciate ligament injury in additionto standard rehabilitation program for anterior cruciate ligament reconstruction. Response to treatment was evaluated with two evaluations: 1) Joint position sense of the knee for predetermined angle (30°,45° and 60°) 2) Threshold to detect of passive knee motion on 90° moving into extension. Measurements were taken two times within 3 days of interval, with and without Kinesio Taping application. Errorof angular displacement of active angle reproduction (joint position sense) and threshold to detect of passive motion (TTDPM) were measured in three condition: before Kinesio Taping application, afterKinesio Taping application and without Kinesio Taping application. Results : Nine patients (mean age 20.33 ± 4.062 y) who had anterior cruciate ligament reconstruction were included for this study. There were no other knee ligament injuries.There were significant different in active angle reproduction (joint position sense) at 30° and 45° extension between affected and unaffected knee (p = .030 and p= .15 respectively). Kinesio Taping application showed significant effect in active angle reproduction at 30° of knee extension (p=0.028). There were no significant different in TTDPM between all condition. Conclusions: Kinesio Taping application improves active angle reproduction (joint position sense) at 30° of knee extension. There is no difference in joint position sense at 45° and 60° with Kinesio Tapingapplication. There is no difference in TTDPM in all condition.Keywords: Kinesio Taping, rehabilitation, knee joint proprioception, anterior cruciate ligament reconstruction.


2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Elie Hajouj ◽  
Mohammad Reza Hadian ◽  
Seyed Mohsen Mir ◽  
Saeed Talebian ◽  
Salah Ghazi

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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