Effectiveness of an Unexpected Disturbance Program in the Early Stage of Rehabilitation in Athletes With Unilateral Knee Ligament Injury

Context: Sensorimotor, proprioceptive, and neuromuscular programs are critical for the successful rehabilitation of injured athletes, and these decrease reinjury rates. Objective: To investigate the effects of an unexpected disturbance program (UDP) on balance and unilateral strength metrics in athletes with unilateral knee ligament injury. Design: A 3-week parallel-group experimental design consisting of 9 rehabilitation sessions. Setting: National Sports Institute. Participants: Twenty-one national-level athletes (age 21.4 [4.4] y, body mass 63.9 [10.8] kg, height 169.0 [10.2] cm) who had sustained a unilateral knee ligament injury. Intervention: An UDP program designed to evoke rapid sensorimotor responses was compared with traditional training and a nonexercise control group. Main Outcome Measures: Unilateral total, anteroposterior, and mediolateral sway with eyes open and closed and unilateral isometric strength. Results: Traditional exercises tended to outperform the UDP when unilateral balance testing was performed with eyes open; however, balance improvement following UDP tended to be greater in the eyes-closed condition. Significant strength gains in both the injured and uninjured legs were only observed following the UDP. This increase in unilateral isometric strength was 23.4 and 35.1 kg greater than the strength improvements seen in the traditional rehabilitation and control groups (P < .05). Conclusions: UDP could improve neural aspects of rehabilitation to improve rehabilitation outcomes by improving strength, sensorimotor function, and proprioception. Given the complementary adaptations, an UDP could provide an effective adjunct to traditional rehabilitation protocols and improve return-to-play outcomes.

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Impaired Balancing Function in Patients of Chronic Mechanical Ankle Instability

Foot & Ankle Orthopaedics ◽

10.1177/2473011417s000405 ◽

2017 ◽

Vol 2 (3) ◽

pp. 2473011417S0004

Author(s):

Bibo Wang

Keyword(s):

Ankle Instability ◽

Assessment System ◽

Ligament Injury ◽

Control Group ◽

Stress Tests ◽

Eyes Closed ◽

Significant Difference ◽

Trajectory Length ◽

Eyes Open ◽

Anterior Posterior

Category: Ankle Introduction/Purpose: Chronic ankle instability (CAI) is a disease entity commonly seen after ankle ligament injury. It is divided into mechanical ankle instability (MAI) and functional ankle instability (FAI), with different pathological conditions. The purpose of this study was to test the balancing ability of MAI and FAI patients. Methods: 30 CAI patients and 10 normal subjects were included according to the injury history, clinical symptom and MRI presentation. Stress tests were given under fluoroscopy to find out those with mechanical instability in CAI patients. Among them there were 18 MAI and 12 FAI patients. All patients were tested on a customized balancing ability assessment system developed by Shanghai Jiaotong University. Subjects were asked to stand on the platform for 30 seconds for both feet, 10 seconds for single foot, with eyes open. And 30 seconds for both feet, 5 seconds for single foot, with eyes closed. Each condition was tested for 3 trials and results were averaged. Parameters of balance like the swaying trajectory length and speed at both medial-lateral and anterior-posterior directions, the trajectory length per unit were obtained. Results were compared among three groups. Results: The MAI group presented significantly greater imbalance in both medial-lateral and anterior-posterior directions compared with that in the control group while standing on the single diseased foot, with eyes open or closed. While in the FAI group, no significant difference was found in postural sway compared with that in the control group. The MAI group presented significantly greater imbalance in both medial-lateral and anterior-posterior directions than the FAI group while standing on the single diseased foot with eyes open or closed. No significant difference in balancing was found of the contralateral ankle in the two groups. Conclusion: The balancing ability of MAI patients was impaired and then make them vulnerable to falling. Thus either balance training program or reconstructive surgery is needed to restore the balancing ability in those patients.

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EEG Data Quality: Determinants and Impact in a Multicenter Study of Children, Adolescents, and Adults with Attention-Deficit/Hyperactivity Disorder (ADHD)

Brain Sciences ◽

10.3390/brainsci11020214 ◽

2021 ◽

Vol 11 (2) ◽

pp. 214

Author(s):

Anna Kaiser ◽

Pascal-M. Aggensteiner ◽

Martin Holtmann ◽

Andreas Fallgatter ◽

Marcel Romanos ◽

...

Keyword(s):

Data Quality ◽

Large Scale ◽

Linear Models ◽

Spectral Power ◽

Control Group ◽

Continuous Performance Task ◽

Related Data ◽

Eyes Closed ◽

Eeg Data ◽

Eyes Open

Electroencephalography (EEG) represents a widely established method for assessing altered and typically developing brain function. However, systematic studies on EEG data quality, its correlates, and consequences are scarce. To address this research gap, the current study focused on the percentage of artifact-free segments after standard EEG pre-processing as a data quality index. We analyzed participant-related and methodological influences, and validity by replicating landmark EEG effects. Further, effects of data quality on spectral power analyses beyond participant-related characteristics were explored. EEG data from a multicenter ADHD-cohort (age range 6 to 45 years), and a non-ADHD school-age control group were analyzed (ntotal = 305). Resting-state data during eyes open, and eyes closed conditions, and task-related data during a cued Continuous Performance Task (CPT) were collected. After pre-processing, general linear models, and stepwise regression models were fitted to the data. We found that EEG data quality was strongly related to demographic characteristics, but not to methodological factors. We were able to replicate maturational, task, and ADHD effects reported in the EEG literature, establishing a link with EEG-landmark effects. Furthermore, we showed that poor data quality significantly increases spectral power beyond effects of maturation and symptom severity. Taken together, the current results indicate that with a careful design and systematic quality control, informative large-scale multicenter trials characterizing neurophysiological mechanisms in neurodevelopmental disorders across the lifespan are feasible. Nevertheless, results are restricted to the limitations reported. Future work will clarify predictive value.

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Estimation of Knee Ligament Injury Measures for a Pedestrian Dummy

SAE International Journal of Passenger Cars - Mechanical Systems ◽

10.4271/2009-01-1212 ◽

2009 ◽

Vol 2 (1) ◽

pp. 1116-1124 ◽

Cited By ~ 2

Author(s):

Yukou Takahashi ◽

Masayoshi Okamoto ◽

Akihiko Akiyama ◽

Yuji Kikuchi

Keyword(s):

Ligament Injury ◽

Knee Ligament ◽

Knee Ligament Injury

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Maximal stability limits in adolescents with Tourette syndrome

Journal of Advanced Pediatrics and Child Health ◽

10.29328/journal.japch.1001024 ◽

2021 ◽

Vol 4 (1) ◽

pp. 013-022

Author(s):

Blanchet Mariève ◽

Prince François ◽

Lemay Martin ◽

Chouinard Sylvain ◽

Messier Julie

Keyword(s):

Postural Control ◽

Tourette Syndrome ◽

Center Of Pressure ◽

Phase 1 ◽

Sensory Information ◽

Control Group ◽

Eyes Closed ◽

Highly Sensitive ◽

Eyes Open ◽

Stability Limits

We explored if adolescents with Gilles de la Tourette syndrome (GTS) had functional postural control impairments and how these deficits are linked to a disturbance in the processing and integration of sensory information. We evaluated the displacements of the center of pressure (COP) during maximal leaning in four directions (forward, backward, rightward, leftward) and under three sensory conditions (eyes open, eyes closed, eyes closed standing on foam). GTS adolescents showed deficits in postural stability and in lateral postural adjustments but they had similar maximal COP excursion than the control group. The postural performance of the GTS group was poorer in the eyes open condition (time to phase 1 onset, max-mean COP). Moreover, they displayed a poorer ability to maintain the maximum leaning position under the eyes open condition during mediolateral leaning tasks. By contrast, during forward leaning, they showed larger min-max ranges than control subjects while standing on the foam with the eyes closed. Together, these findings support the idea that GTS produces subclinical postural control deficits. Importantly, our results suggest that postural control disorders in GTS are highly sensitive to voluntary postural leaning tasks which have high demand for multimodal sensory integration.

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Hypermobility syndrome and proprioception in patients with knee ligament injury

Eastern Journal Of Medicine ◽

10.5505/ejm.2019.14227 ◽

2019 ◽

Vol 24 (1) ◽

pp. 38-41

Author(s):

Aslıhan Uzunkulaoğlu ◽

Nuri Çetin

Keyword(s):

Ligament Injury ◽

Hypermobility Syndrome ◽

Knee Ligament ◽

Knee Ligament Injury

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Lack of Effect of a Knee Ligament Injury Prevention Program on the Incidence of Noncontact Anterior Cruciate Ligament Injury

The Journal of Bone and Joint Surgery (American) ◽

10.2106/jbjs.e.00616 ◽

2006 ◽

Vol 88 (8) ◽

pp. 1769-1774 ◽

Cited By ~ 127

Author(s):

Ronald P. Pfeiffer ◽

Kevin G. Shea ◽

Dana Roberts ◽

Sara Grandstrand ◽

Laura Bond

Keyword(s):

Anterior Cruciate Ligament ◽

Injury Prevention ◽

Anterior Cruciate Ligament Injury ◽

Prevention Program ◽

Cruciate Ligament ◽

Ligament Injury ◽

Knee Ligament ◽

Knee Ligament Injury ◽

Injury Prevention Program ◽

Anterior Cruciate

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Examining the Relationship Between a Neuromuscular Control Baseline Battery for Sport-Related Concussion and Anterior Cruciate Ligament Injury Risk

Neurology ◽

10.1212/01.wnl.0000801936.89376.f8 ◽

2021 ◽

Vol 98 (1 Supplement 1) ◽

pp. S21.2-S22

Author(s):

Ryan Moran

Keyword(s):

Anterior Cruciate Ligament ◽

Lower Extremity ◽

Cruciate Ligament ◽

Neuromuscular Control ◽

Ligament Injury ◽

Jump Landing ◽

Eyes Closed ◽

Eyes Open ◽

Anterior Cruciate ◽

The Relationship

ObjectiveTo examine the relationship between the m-CTSIB and Landing Error Scoring System in a sample of collegiate female athletes.BackgroundRecent literature has linked concussion and neuromuscular deficits in the lower extremity after injury. Neuromuscular control is frequently assessed using balance measures for concussion, but also dynamically to identify anterior cruciate ligament injury (ACL) risk via jump-landing movement screening.Design/MethodsThirty-nine healthy, collegiate female soccer (n = 22) and volleyball (n = 17) athletes completed the modified-Clinical Test of Sensory Interaction of Balance (m-CTSIB) and the Landing Error Scoring System (LESS). Measures consisted of total m-CTSIB sway index scores on individual conditions (firm surface eyes open [condition 1] and eyes closed [2], foam surface eyes open [3] and eyes closed [4]), m-CTSIB overall score, and total LESS errors. LESS scores were also categorized into a low (0–4 errors) and high (5 + errors) risk to determine if athletes with worse neuromuscular control on the LESS has worse balance on the m-CTSIB. A Spearman's rank-order correlation was conducted to determine the strength of the relationship between LESS and m-CTSIB performance. A series of Mann-Whitney U test were performed to determine differences between low and high LESS performance on m-CTSIB performance.ResultsThere was a weak, negative correlation between LESS and m-CTSIB performance (rs(37) = −0.153, p = 0.35). Further, there were no differences between the low and high risk LESS groups on sway index scores on conditions 1 (U = 158.5, p = 0.39), 2 (U = 156.0, p = 0.36), 3 (U = 165.5, p = 0.51), or 4 (U = 128.5, p = 0.08), as well as overall m-CTSIB scores (U = 150.5, p = 0.28).ConclusionsThere appears to be a lack of relationship between the LESS and m-CTSIB tests, revealing the independence of static and dynamic lower extremity neuromuscular function. Athletes who may be more at risk for ACL injury due to abnormal jump-landing biomechanics, do not differ from low-risk athletes on baseline balance assessment.

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Effects of Different Combinations of Concentric and Eccentric Resistance Training Programs on Traditional and Alternative Hamstrings-to-Quadriceps Ratios

Sports ◽

10.3390/sports7100221 ◽

2019 ◽

Vol 7 (10) ◽

pp. 221 ◽

Cited By ~ 1

Author(s):

Cassio V. Ruas ◽

Ronei S. Pinto ◽

Guy G. Haff ◽

Camila D. Lima ◽

Lee E. Brown

Keyword(s):

Resistance Training ◽

Injury Risk ◽

Muscle Activation ◽

Training Programs ◽

Knee Extension ◽

Muscle Size ◽

Ligament Injury ◽

Knee Ligament ◽

Knee Ligament Injury ◽

Muscle Balance

Resistance training is often recommended for combined increases in traditional and alternative hamstrings-to-quadriceps (H:Q) ratios in order to reduce knee strength imbalance and associated hamstrings and knee ligament injury risk. The aim of this study was to investigate the effect of different concentric and eccentric resistance training programs on traditional and alternative H:Q ratios. Forty male volunteers were assigned to one of 4 groups: concentric quadriceps and concentric hamstrings (CON/CON, n = 10), eccentric quadriceps and eccentric hamstrings (ECC/ECC, n = 10), concentric quadriceps and eccentric hamstrings (CON/ECC, n = 10), or no training (control (CNTRL), n = 10). Traditional conventional (CR) and functional (FR), alternative rate of torque development (RTD), muscle size (MS), and muscle activation (MA) H:Q ratios were measured before and after six weeks of unilateral nondominant knee extension–flexion resistance training performed on an isokinetic dynamometer. The ECC/ECC training significantly increased FR (pre = 0.75 ± 0.11; post = 0.85 ± 0.15), whereas the lack of training (CNTRL) decreased the RTD H:Q ratio (pre = 1.10 ± 0.67; post = 0.73 ± 0.33). There were no differences between groups for the other traditional and alternative ratios following resistance training protocols. These findings suggest eccentric exercise for quadriceps and hamstrings as the most beneficial training program for inducing increases in the traditional FR. However, different resistance training strategies may be needed to also elicit increases in the alternative RTD, MS, and MA H:Q ratios for fully restoring muscle balance and reducing potential hamstrings and knee ligament injury risk.

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