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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2023; 58(03): 417-427
DOI: 10.1055/s-0042-1758360
Artigo Original
Joelho

Proprioception Analysis following Anterior Cruciate Ligament Reconstruction using Stabilometry: A Prospective, Longitudinal Study

Article in several languages: português | English
Oday Al-Dadah 
1   Instituto de Pesquisa Clinica e Translacional, Faculdade de Ciências Médicas, Universidade de Newcastle, Framlington Place, Newcastle-upon-Tyne, Reino Unido
2   Departamento de Trauma e Cirurgia Ortopédica, South Tyneside Hospital, Harton Lane, South Shields, NE34 0PL, Reino Unido
,
Lee Shepstone
3   Escola de Medicina de Norwich, Universidade de East Anglia, Earlham Road, Norwich, NR4 7TJ, Reino Unido
,
Simon T. Donell 
3   Escola de Medicina de Norwich, Universidade de East Anglia, Earlham Road, Norwich, NR4 7TJ, Reino Unido
› Author Affiliations Financial Support The study was funded by the Gwen Fish Charity Trust, the Norfolk and Norwich University Hospital Research Fund, and the Action Arthritis Charity Trust.
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Abstract

Objective Commonly used methods for measuring proprioception have resulted in conflicting reports regarding knee proprioception with anterior cruciate ligament (ACL) rupture and the influence of ACL reconstruction.

Methods One hundred subjects (50 patients with radiologically and arthroscopically confirmed unilateral ACL rupture and 50 normal controls) were assessed with regards to proprioception using dynamic single-leg stance postural stabilometry. Instrumented knee ligament laxity and knee outcome scores were also measured. Of the 50 patients in the ACL group, 34 underwent reconstruction and were reassessed postoperatively.

Results There was a significant proprioceptive deficiency in the ACL group compared with their contralateral knee (p < 0.001) and to the control group (p = 0.01). There was a significant improvement in knee proprioception following ACL reconstruction compared to preoperative findings (p = 0.003). There was no correlation between ligament laxity measurements and outcome scores. A significant correlation was found preoperatively between outcome scores and proprioception measurements. This correlation was not found post-operatively. Pre-operative proprioception testing had a significant correlation (r = 0.46) with post-operative proprioception (p = 0.006).

Conclusion Patients with an ACL rupture had a proprioceptive deficit which improved following ligament reconstruction. Knee outcome scores had a better correlation with proprioception than ligament laxity. Proprioception may be a superior objective measure than ligament laxity in quantifying functional knee deficits and outcomes in patients with ACL ruptures.

Level of Evidence III Therapeutic Study; Prospective Longitudinal Case-Control Study.

Keywords

anterior cruciate ligament - mechanoreceptors - proprioception - stabilometry - knee ligament laxity - knee outcome scores


Publication History

Received: 13 March 2022

Accepted: 12 September 2022

Article published online:
29 June 2023

© 2023. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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