Effects of Strength Exercise on H/Q Ratio and Joint Position Sense in Adult Women with Imbalanced Ipsilateral Muscle Strength Ratio of the Knee Joint

2019 ◽  
Vol 14 (1) ◽  
pp. 363-370
Author(s):  
Jae-Ho Kim ◽  
Seung-Man Jung
2014 ◽  
Vol 2 (11_suppl3) ◽  
pp. 2325967114S0027
Author(s):  
Defne Kaya ◽  
Egemen Turhan ◽  
Gürhan Dönmez ◽  
Mahmut Nedim Doral

Objectives: The purpose of this study was to design and assess the outcomes of the new lightened rehabilitation program after anterior cruciate ligament reconstruction (ACL-R). Methods: Thirty-two of the 57 patients with ACL-R using tibialis anterior grafts completed the study. The patients in the lightened rehabilitation program were compared with patients in standard rehabilitation program. The two groups were assessed using International Knee Documentation Committee (IKDC) and Lysholm scores, isokinetic knee muscle strength, knee joint position sense, and hop test. Results: There were no significant differences in muscle strength of the quadriceps and hamstring at 60°/s, 180°/s, and 330°/s between the operative and non-operative side in the lightened rehabilitation group while there was significant difference in muscle strength of the quadriceps and hamstring at 60°/s between the operative and non-operative side in the standard rehabilitation group. There were significant differences in muscle strength of the quadriceps and hamstring at 330°/s and joint position sense at 75°, 45°, and 15°between the operative side of the patients in lightened rehabilitation group and operative side of the patients in standard rehabilitation group. There was no difference in the knee joint position sense at 15°, 45°, and 75°, between the operative and non-operative side in the both groups. Conclusion: Clinical relevance of this study is that the new lightened rehabilitation program should be also succeeding as much as standard rehabilitation program after ACL-R. It is suggested that future studies might evaluate the effects of the new lightened rehabilitation program for different grafts and professional athletes.


2018 ◽  
Vol 1 (84) ◽  
Author(s):  
Vilma Jurevičienė ◽  
Albertas Skurvydas ◽  
Juozas Belickas ◽  
Giedra Bušmanienė ◽  
Dovilė Kielė ◽  
...  

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.


2019 ◽  
Vol 36 (3) ◽  
pp. 230-240
Author(s):  
Meghan Lamers ◽  
Joanna Reeves ◽  
Razan Alshamali ◽  
Chantelle Murnaghan ◽  
Leah Bent

2012 ◽  
Vol 2012 ◽  
pp. 1-8 ◽  
Author(s):  
Jing Liu ◽  
Xue-Qiang Wang ◽  
Jie-Jiao Zheng ◽  
Yu-Jian Pan ◽  
Ying-Hui Hua ◽  
...  

Background. Tai Chi is a traditional Chinese medicine exercise used for improving neuromuscular function. This study aimed to investigate the effects of Tai Chi versus proprioception exercise program on neuromuscular function of the ankle in elderly people.Methods. Sixty elderly subjects were randomly allocated into three groups of 20 subjects per group. For 16 consecutive weeks, subjects participated in Tai Chi, proprioception exercise, or no structured exercise. Primary outcome measures included joint position sense and muscle strength of ankle. Subjects completed a satisfaction questionnaire upon study completion in Tai Chi and proprioception groups.Results. (1) Both Tai Chi group and proprioception exercise group were significantly better than control group in joint position sense of ankle, and there were no significant differences in joint position sense of ankle between TC group and PE group. (2) There were no significant differences in muscle strength of ankle among groups. (3) Subjects expressed more satisfaction with Tai Chi than with proprioception exercise program.Conclusions. None of the outcome measures on neuromuscular function at the ankle showed significant change posttraining in the two structured exercise groups. However, the subjects expressed more interest in and satisfaction with Tai Chi than proprioception exercise.


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