Proprioception after rehabilitation and reconstruction in knees with deficiency of the anterior cruciate ligament
| Autor: | R. W. Fremerey, P. Lobenhoffer, Michael Skutek, Ulrich Bosch, Johannes Zeichen, H. Tscherne |
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| Rok vydání: | 2000 |
| Předmět: |
Orthodontics
Rehabilitation Proprioception business.industry Anterior cruciate ligament medicine.medical_treatment Ligament Laxity musculoskeletal system Patient satisfaction medicine.anatomical_structure Healthy volunteers Medicine Anterior instability Orthopedics and Sports Medicine Surgery Full extension business |
| Zdroj: | The Journal of Bone and Joint Surgery. British volume. :801-806 |
| ISSN: | 2044-5377 0301-620X |
| Popis: | We assessed proprioception in the knee using the angle reproduction test in 20 healthy volunteers, ten patients with acute anterior instability and 20 patients with chronic anterior instability after reconstruction of the anterior cruciate ligament (ACL). In addition, the Lysholm-knee score, ligament laxity and patient satisfaction were determined. Acute trauma causes extensive damage to proprioception which is not restored by rehabilitation alone. Three months after operation, there remained a slight decrease in proprioception compared with the preoperative recordings, but six months after reconstruction, restoration of proprioception was seen near full extension and full flexion. In the mid-range position, proprioception was not restored. At follow-up, 3.7 ± 0.3 years after reconstruction, there was further improvement of proprioception in the mid-range position. There was no difference between open and arthroscopic techniques. The highest correlation was found between proprioception and patient satisfaction. After reconstruction of the ACL reduced proprioception may explain the poor functional outcome in some patients, despite restoration of mechanical stability. |
| Databáze: | OpenAIRE |
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