Benefits of active motion for joint position sense

被引:56
作者
Friemert, B. [1 ]
Bach, C. [1 ]
Schwarz, W. [1 ]
Gerngross, H. [1 ]
Schmidt, R. [1 ]
机构
[1] German Armed Forces Hosp, Dept Surg, D-89081 Ulm, Germany
关键词
ACL; postoperative treatment; continuous active motion; proprioception; joint position sense;
D O I
10.1007/s00167-005-0004-7
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Anterior cruciate ligament (ACL) ruptures lead to a proprioceptive deficit and therefore joint position sense. This study examined whether active motion is better suited than passive motion to address this deficit. Sixty patients with ACL rupture were prospectively randomised into two groups [continuous active motion (CAM)/continuous passive motion (CPM)]. All patients had an ACL reconstruction. An angle reproduction test was used to assess the proprioceptive deficit. The relevant examinations were performed before surgery (pre-op evaluation) and after the seventh postoperative day. No preoperative difference was found between the two groups. After postoperative treatment, the deficit was reduced in both groups. Significantly better results were, however, obtained in the CAM group (CPM, 4.2 +/- 1.6 degrees; CAM, 1.9 +/- 1.2 degrees; P<0.001). During the first postoperative week, a CAM device produced a significantly greater reduction in the proprioceptive deficit and should be the first choice in immediately postoperative rehabilitation after ACL replacement.
引用
收藏
页码:564 / 570
页数:7
相关论文
共 40 条
[1]
Banzer W, 1995, Sportverletz Sportschaden, V9, P98, DOI 10.1055/s-2007-993434
[2]
PROPRIOCEPTION AND FUNCTION AFTER ANTERIOR CRUCIATE RECONSTRUCTION [J].
BARRETT, DS .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1991, 73 (05) :833-837
[3]
Effect of warming up on knee proprioception before sporting activity [J].
Bartlett, MJ .
BRITISH JOURNAL OF SPORTS MEDICINE, 2002, 36 (02) :132-134
[4]
The effects of joint position and direction of joint motion on proprioceptive sensibility in anterior cruciate ligament-deficient athletes [J].
Borsa, PA ;
Lephart, SM ;
Irrgang, JJ ;
Safran, MR ;
Fu, FH .
AMERICAN JOURNAL OF SPORTS MEDICINE, 1997, 25 (03) :336-340
[5]
Muscular exercise improves knee position sense in humans [J].
Bouët, V ;
Gahéry, Y .
NEUROSCIENCE LETTERS, 2000, 289 (02) :143-146
[6]
Joint position sense and rehabilitation in the anterior cruciate ligament deficient knee [J].
Carter, ND ;
Jenkinson, TR ;
Wilson, D ;
Jones, DW ;
Torode, AS .
BRITISH JOURNAL OF SPORTS MEDICINE, 1997, 31 (03) :209-212
[7]
EFFECT OF RECONSTRUCTION OF THE ANTERIOR CRUCIATE LIGAMENT ON PROPRIOCEPTION OF THE KNEE AND THE HEEL STRIKE TRANSIENT [J].
CO, FH ;
SKINNER, HB ;
CANNON, WD .
JOURNAL OF ORTHOPAEDIC RESEARCH, 1993, 11 (05) :696-704
[8]
Conscious neurosensory mapping of the internal structures of the human knee without intraarticular anesthesia [J].
Dye, SF ;
Vaupel, GL ;
Dye, CC .
AMERICAN JOURNAL OF SPORTS MEDICINE, 1998, 26 (06) :773-777
[9]
Fitzgerald GK, 2000, PHYS THER, V80, P128, DOI 10.1093/ptj/80.2.128
[10]
The role of ACL reconstruction on restitution of proprioception in chronic anterior instability of the knee a prospective longitudinal study [J].
Fremerey, RW ;
Lobenhoffer, P ;
Born, I ;
Tscherne, H ;
Bosch, U .
UNFALLCHIRURG, 1998, 101 (09) :697-703