Functional assessment of knee joint position sense following anterior cruciate ligament reconstruction

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.

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The Analysis of Proprioception Alteration during First Five Months after Anterior Cruciate Ligament Reconstruction

Baltic Journal of Sport and Health Sciences ◽

10.33607/bjshs.v1i84.293 ◽

2018 ◽

Vol 1 (84) ◽

Author(s):

Vilma Jurevičienė ◽

Albertas Skurvydas ◽

Juozas Belickas ◽

Giedra Bušmanienė ◽

Dovilė Kielė ◽

...

Keyword(s):

Anterior Cruciate Ligament ◽

Angular Velocity ◽

Knee Joint ◽

Cruciate Ligament ◽

Position Sense ◽

Joint Position Sense ◽

Joint Position ◽

Starting Position ◽

Angular Velocities ◽

Anterior Cruciate

Research background and hypothesis. Proprioception is important in the prevention of injuries as reduced proprioception is one of the factors contributing to injury in the knee joint, particularly the ACL. Therefore, proprioception appears not only important for the prevention of ACL injuries, but also for regaining full function after ACL reconstruction.Research aim. The aim of this study was to understand how proprioception is recovered four and five months after anterior cruciate ligament (ACL) reconstruction.Research methods. The study included 15 male subjects (age – 33.7 ± 2.49 years) who had undergone unilateral ACL reconstruction with a semitendinosus/gracilis (STG) graft in Kaunas Clinical Hospital. For proprioceptive assessment, joint position sense (JPS) was measured on both legs using an isokinetic dynamometer (Biodex), at knee flexion of 60° and 70°, and at different knee angular velocities of 2°/s and 10°/s. The patients were assessed preoperatively and after 4 and 5 months, postoperatively.Research results. Our study has shown that the JPS’s (joint position sense) error scores to a controlled active movement is significantly higher in injured ACL-deficient knee than in the contralateral knee (normal knee) before surgery and after four and five months of rehabilitation. After 4 and 5 months of rehabilitation we found significantly lower values in injured knees compared to the preoperative data. Our study has shown that in injured knee active angle reproduction errors after 4 and 5 months of rehabilitation were higher compared with the ones of the uninjured knee. Proprioceptive ability on the both legs was independent of all differences angles for target and starting position for movement. The knee joint position sense on both legs depends upon the rate of two different angular velocities and the mean active angle reproduction errors at the test of angular velocity slow speed was the highest compared with the fast angular velocity. Discussion and conclusions. In conclusion, our study shows that there was improvement in mean JPS 4 and 5 months after ACL reconstruction, but it did not return to normal indices.Keywords: knee joint, joint position sense, angular velocity, starting position for movement.

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Knee Joint Position Sense Following Reconstruction of the Anterior Cruciate Ligament

Journal of Orthopaedic and Sports Physical Therapy ◽

10.2519/jospt.1988.10.4.117 ◽

1988 ◽

Vol 10 (4) ◽

pp. 117-120 ◽

Cited By ~ 15

Author(s):

Zeevi Dvir ◽

Elisha Koren ◽

Nahum Halperin

Keyword(s):

Anterior Cruciate Ligament ◽

Knee Joint ◽

Cruciate Ligament ◽

Position Sense ◽

Joint Position Sense ◽

Joint Position ◽

Anterior Cruciate

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The Effectiveness of a Functional Knee Brace on Joint-Position Sense in Anterior Cruciate Ligament–Reconstructed Individuals

Journal of Sport Rehabilitation ◽

10.1123/jsr.2014-0226 ◽

2016 ◽

Vol 25 (2) ◽

pp. 190-194 ◽

Cited By ~ 7

Author(s):

Dai Sugimoto ◽

Jessica C. LeBlanc ◽

Sarah E. Wooley ◽

Lyle J. Micheli ◽

Dennis E. Kramer

Keyword(s):

Anterior Cruciate Ligament ◽

Knee Joint ◽

Acl Reconstruction ◽

Cruciate Ligament ◽

Position Sense ◽

Joint Position Sense ◽

Joint Position ◽

Knee Brace ◽

Reconstruction Surgery ◽

Anterior Cruciate

It is estimated that approximately 350,000 individuals undergo anterior cruciate ligament (ACL) reconstruction surgery in each year in the US. Although ACL-reconstruction surgery and postoperative rehabilitation are successfully completed, deficits in postural control remain prevalent in ACL-reconstructed individuals. In order to assist the lack of balance ability and reduce the risk of retear of the reconstructed ACL, physicians often provide a functional knee brace on the patients’ return to physical activity. However, it is not known whether use of the functional knee brace enhances knee-joint position sense in individuals with ACL reconstruction. Thus, the effect of a functional knee brace on knee-joint position sense in an ACL-reconstructed population needs be critically appraised. After systematically review of previously published literature, 3 studies that investigated the effect of a functional knee brace in ACL-reconstructed individuals using joint-position-sense measures were found. They were rated as level 2b evidence in the Centre of Evidence Based Medicine Level of Evidence chart. Synthesis of the reviewed studies indicated inconsistent evidence of a functional knee brace on joint-position improvement after ACL reconstruction. More research is needed to provide sufficient evidence on the effect of a functional knee brace on joint-position sense after ACL reconstruction. Future studies need to measure joint-position sense in closed-kinetic-chain fashion since ACL injury usually occurs under weight-bearing conditions.

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