SUMMARY
Background. Knee ligaments are not only recognized as mechanical stabilizers, but also as sensorimotor components contributing to the proprioceptive feedback mechanisms and neuromuscular stabilization of knee joint. The study investigated the influence of isolated and bicruciate ligament injury of cruciate ligaments on postural stability in male individuals prior to reconstruction surgery.
Materials and methods. An individual case, control study design was used. Thirty-six patients were categorized into three groups depending on a history of a recent knee joint: ACL group with an anterior cruciate ligament injury, BCL group with an anterior and posterior cruciate ligament injury and control group with no knee injury and no lower limb injury during last 12 months. Postural stability was expressed by body sways (angular degrees, º) in the antero-posterior (AP-Shift), latero-medial (LM-Shift) and in both planes (2D-Shift) assessed with a Delos Postural System in standing one leg position with and without visual control. Non-parametric Kruskal-Wallis and Mann-Whitney U tests were used to assess changes between studied variables.
Results. There was statistical difference between individuals with BCL who had higher body sways with closed eyes in all examined planes while standing on the affected limb compared to control and their own unaffected limbs (p < 0.05). Additionally, AP-Shift and 2D-shift were higher in BCL group than in the ACL injured group with eyes closed (p < 0.05). The ratio of body sways between closed and open eyes was greater in the BCL group in all planes for both limbs than in the healthy men (p < 0.05). In BCL and ACL groups the ratio of body sway distribution during stability tests was two times higher in the injured limb than in the uninjured one (p < 0.05). There was statistical difference in AP-Shift between participants with ACL and BCL injury in affected and unaffected limb (p < 0.05). The only changed detected in the ACL group was increased body sway for all studied planes when standing on the injured limb with closed eyes as compared to standing with open eyes (p < 0.05).
Conclusions. Under lack of visual cues, body sway increases in BCL but not ACL knee injured individuals suggesting a substantial decline in proprioceptive input after the bicruciate ligament rupture.
Postural Stability in Men with Anterior Cruciate and Bicruciate Ligament Knee Injury
E. Kamińska, T. Piontek, M. Wiernicka, M. Goliwąs, J. Lewandowski, K. Adamczewska
Original Article, 367-375
Keywords: cruciate ligament, mechanoreceptors, postural control, proprioception., sensorimotor control,
Table of Content: Vol. 11 (No.3) 2021 July/September
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Postural Stability in Men with Anterior Cruciate and Bicruciate Ligament Knee Injury
E. Kamińska, T. Piontek, M. Wiernicka, M. Goliwąs, J. Lewandowski, K. AdamczewskaOriginal Article, 367-375 -
Demographic and Clinical Factors Predict Focused Shockwave Therapy Results on Patients With Plantar Fasciitis. A Multilevel Analysis
A. Vertuccio, D. Perugia, R. M. Lanzetti, A. Massimiani, A. Lacopo, S. M. Nusca, R. Baldini, F. Santoboni, E. Latini, M. Vetrano, M. C. VulpianiOriginal Article, 376-382 -
Diagnostic Accuracy of Physical Tests and Imaging Techniques in Patients with Shoulder Impingement Syndrome
M. Lorusso, E. Mastrangelo, G. Garofalo, D. Ristori, F. BrindisinoReview, 383-408 -
The Immediate Effect of Muscle Energy Technique and Whole Body Vibration on Hamstring Muscle Flexibility and Stiffness in Healthy Young Females
M. Azizi, A. Shadmehr, K. Malmir, N. Qotbi, Z. Khazaei PourOriginal Article, 409-415 -
A Single-blind Randomised Trial of Intra-Articular Hyaluronic Acid, Hypertonic Saline, and Physiotherapy in Knee Osteoarthritis
E. Taftian, S. Azizi, A. Dadarkhah, N. Maghbouli, S. Najafi, Z. Reza Soltani, A. KhavandegarOriginal Article, 416-426 -
Osseous Ankle Morphology and Recurrent Lateral Sprains: a Case-Control Study
V. Nabi, M. N. Doral, O. Bilge, G. Huri, F. Familiari, J. NylandOriginal Article, 427-432 -
Clinical and Functional Comparison between Anatomical and Non-Anatomical Acute Repair of Tears of the Distal Tendon of Biceps Brachii
A. De Carli, E. Gaj, S. M. Pagnotta, O. Picconi, A. FerrettiOriginal Article, 433-438 -
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Association of Regional Bioelectrical Phase Angle with Physical Performance: a Pilot Study in Elite Rowers
F. Campa, G. Mascherini, G. Polara, D. Chiodo, L. StefaniOriginal Article, 449-456 -
Neutrophil-Reduced Platelet Rich Plasma with Optimal Platelets Concentrations for Epicondylitis of the Elbow
M. Yoshida, M. SaitoCase report, 457-462 -
Photobiomodulation in Temporomandibular Dysfunction: a Systematic Review
A. M. Pimentel de França, A. Gonçalves Borges, R. Boff Daitx, R. M. Ferrer, M. Baptista Dohnert, J. L. Q. DuriganReview, 463-474 -
The 2019 Cameroon University Games: Prevention Strategies for Musculoskeletal Injuries
D. Maurice, L. Giordani, S. Sobze Martin, B. Yagaï, V. Colizzi, C. FotiOriginal Article, 475-483 -
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J. M. Brewer, M. B. McCarthy, L. Pauzenburger, M. P. Cote, A. D. MazzoccaOriginal Article, 484-493 -
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D. dos Santos Silva, A. R. P. Ferreira, F. J. Aidar, D. Gama de Matos, E. Kalinine, M. E. Da Silva-Grigoletto, R. F. de SouzaOriginal Article, 494-499 -
Arthroscopic Management of Tibial Spine Avulsion in Children: a Retrospective Study with a Minimum Four Year Follow-Up
G. F. Trinchese, A. Oliviero, F. Oliva, N. MaffulliOriginal Article, 500-506 -
Between-Day Reliability of DIERS Formetric 4D® Measurements and the Effects of Prolonged Sitting on Five Standing Positions in Healthy University Students
A. Arumugam, A. M. Javed, S. F. Mohammad, R. M. Mallash, L. A. Aoni, M. K. Aljannan, M. Alkandri, T. M. ShoushaOriginal Article, 507-516 -
Short-Term Outcome of Focused Shock Wave Therapy for Sural Myofascial Pain Syndrome associated with Plantar Fasciitis: a Randomized Controlled Trial
E. Carlisi, F. Manzoni, G. Maestri, L. M. R. Boschi, C. LisiOriginal Article, 517-524 -
Impact of the Location of Myometric Measurement Points on Skeletal Muscle Mechanical Properties Outcomes
J. Mencel, J. Marusiak, A. Jaskólska, A. Jaskólski, K. Kisiel-SajewiczOriginal Article, 525-535 -
Static Stretching at Pain-Tolerated Intensity Is Not Necessary to Increase Knee Range of Motion in Amateur Soccer Players: a Randomized Trial
R. R. V. Melo, M. S. Cerqueira, G. M. Barbosa, A. L. B. A. Laurentino, I. M. Franca, T. O. Souza, W. H. Brito VieiraOriginal Article, 536-546 -
Investigating the Effects of Physical Therapy Timing, Intensity and Duration on Post-Traumatic Joint Contracture in a Rat Elbow Model
A. J. Reiter, R. M. Castile, H. R. Schott, G. J. Kivitz, A. M. Chamberlain, S. P. LakeOriginal Article, 547-553 -
The Efficacy of Intra-Articular Botulinum-Toxin Injection in Knee Osteoarthritis: A Systematic Review and Meta-analysis
M. Hosseini, M. Azadvari, E. Kargozar, S. Z. Emami Razavi, S. Rahimi-Dehgolan, N. MaghbouliReview, 554-568 -
Coordination of the Sub-Regions of the Supraspinatus and Deltoid Muscles During Shoulder Scaption: a Shear Wave Elastography Study
K. Hoshikawa, T. Yuri, N. Mura, H. Giambini, Y. KiyoshigeOriginal Article, 569-576 -
No Effect of Intra-Articular Platelet-Rich Plasma Injections after Arthroscopic Repair of Rotator Cuff Tears: a Prospective Randomized Study
J. R. Almoguera Sánchez-Villacañas, A. Almoguera-Martinez, G. H. Seoane, Á. Sutil Blanco, C. I. Godinho-Soares, F. García De LucasOriginal Article, 577-583 -
Factors Associated to Return to Sport after Surgical Repair of Achilles Tendon Ruptures. A Clinical and Functional Retrospective Study
R. Tanaka, T. Imaya, S. Katsuki, T. Sanada, A. Fukai, E. Honda, H. YoshitomiOriginal Article, 584-591 -
Injury Risk and Maturity Status in Italian Elite Young Football Player
S. Toselli, L. Benedetti, R. Di Miceli, P. Aiello, G. NanniOriginal Article, 592-599