Assessment of postural stability in patients after reconstruction of the anterior cruciate ligament with LARS and autogenous graft

• Autorzy: Plocki J. , Kotela I. , Bejer A. , Pelikan P. , Granek A. , Krawczyk-Suszek M.

Identyfikatory

DOI

10.5277/ABB-01204-2018-02

• Języki publikacji: EN

Abstrakty

EN

The aim of the study was to assess static balance after reconstruction of the anterior cruciate ligament (ACL), using gracialis tendons graft (GR) or semi-tendinosus (ST), compared to patients treated with the Ligament Advanced Reinforcement System (LARS). The study was performed within 36 to 48 months after the surgery. Methods: The study included 96 patients. The LARS group consisted of 44 patients, control group operated with ST/GR tendons included 52 patients. The stabilometric platform Alpha was used to assess the static balance. Two 30-second trials in the double-leg stance position with eyes opened and closed were performed. The distribution of loads in a free standing was also assessed. Results: In the test with open eyes the subjects from the LARS group had a significantly longer center of pressure (COP) path, a higher mean velocity, a greater mean COP sway in foot in the lateral direction and a larger path area occupied by the COP graph. During the tests with eyes closed, a significant difference occurred in the mean displacement of COP in lateral direction – greater in the LARS group. In addition, all parameters deteriorated during the tests with eyes closed in both groups. Conclusions: In static balance assessed with eyes closed, more proprioceptive deficits may appear in the LARS group.

Słowa kluczowe

EN

postural stability; knee; ACL reconstruction; LARS; knee function

PL

stabilność postawy; kolano; ACL; LARS

• Wydawca: Oficyna Wydawnicza Politechniki Wrocławskiej
• Czasopismo: Acta of Bioengineering and Biomechanics
• Rocznik: 2018
• Tom: Vol. 20, no. 4
• Strony: 9--14
• Opis fizyczny: Bibliogr. 30 poz., tab.

Twórcy

autor

Plocki J.

• Department of Physiotherapy, Faculty of Medicine, University of Information Technology and Management, Rzeszów, Poland

autor

Kotela I.

• Department of Rehabilitation in Disease of the Locomotor, Institute of Physiotherapy, Faculty of Health Sciences, Jan Kochanowski University (JKU), Kielce, Poland
• Department of Orthopaedics and Traumatology Clinic of Orthopaedics and Traumatology, Central Clinical Hospital of the Ministry of Internal Affairs, Warsaw, Poland

autor

Bejer A.

• Department of Medicine, Institute of Physiotherapy, Faculty of Medicine, University of Rzeszow, Rzeszow, Poland

autor

Pelikan P.

• Department of Physiology, School of Medicine in Katowice, Medical University of Silesia, Katowice, Poland

autor

Granek A.

• Biomechanics Laboratory, St. Alexander Hospital in Kielce, Kielce, Poland

autor

Krawczyk-Suszek M.

• Department of Physiotherapy, Faculty of Medicine, University of Information Technology and Management, Rzeszów, Poland

Bibliografia

• [1] ARDERN C.L., TAYLOR N.F., FELLER J.A., WEBSTER K.E., Fifty-five per cent return to competitive sport following anterior cruciate ligament reconstruction surgery: An updated systematic review and meta-analysis including aspects of physical functioning and contextual factors, Brit. J. Sport Med., 2014, 48, 1543–1552.
• [2] ASSEMAN F., CARON O., CRE´MIEUX J., Effects of the removal of vision on body sway during different postures in elite gymnasts, Int. J. Sports Med., 2005, 26, 116–119.
• [3] BALOH R.W., YING S.H., JACOBSON K.M., A Longitudinal Study of gait and balance dysfunction in normal older people, Arch. Neurol-Chicago, 2003, 60, 835–839.
• [4] COLOMBET P., JENNY J.Y., MENETREY J., PLAWESKI S., ZAFFAGNINI S., Current concept in rotational laxity control and evaluation in ACL reconstruction, Ortop. Traumatol. Sur., 2012, 98(8), 201–210.
• [5] CROSS M., Clinical terminology for describing knee instability, Sports Med. Arthrosc. Rev., 1996, 4, 313–318.
• [6] DAUTY M., COLLON S., DUBOIS C., Change in posture control after recent knee anterior cruciate ligament reconstruction?, Clin. Physiol. Funct. I., 2010, 30, 187–191.
• [7] DERICKS G., Ligament Advanced Reinforcement system anterior cruciate ligament reconstruction, Oper. Techn. Sport Med., 1995, 3(3), 187–205.
• [8] GAO K., CHEN S., WANG L., ZHANG W., KANG Y., DONG Q., ZHOU H., LI L., Anterior cruciate ligament reconstruction with LARS artificial ligament: a multicenter study with 3- to 5-year follow-up, Arthroscopy, 2010, 26, 515–523.
• [9] HOWELLS B.E., ARDERN C.L., WEBSTER K.E., Is postural control restored following anterior cruciate ligament reconstruction? A systematic review, Knee Surg. Sport Tr. A., 2011, 19, 1168–1177.
• [10] HUANG J.M., WANG Q., SHEN F., WANG Z.M., KANG Y.F., Cruciate ligament reconstruction using LARS artificial ligament under arthroscopy: 81 cases report, Chin. Med. J. (Engl.)., 2010, 123(2), 160–164.
• [11] KO M.S., YANG S.J., HA J.K., CHOI J.Y., KIM J.G., Correlation between Hamstring Flexor Power Restoration and Functional Performance Test: 2-Year Follow-Up after ACL Reconstruction Using Hamstring Autograft, Knee Surg. Relat. Res., 2012, 24, 113–119.
• [12] KRUSE M.L., GRAY B.,WRIGHT R.W., Rehabilitation After Anterior Cruciate Ligament Reconstruction, J. Bone Joint Surg. Am. Title., 2012, 94(19), 1737–1748.
• [13] LE D.H., LEE J.H., AHN S.E., PARK M.J., Effect of Time after Anterior Cruciate Ligament Tears on Proprioception and Postural Stability, Plos One, doi.org/10.1371/journal.pone.0139038.2015.
• [14] LEE H.M., CHENG C.K., LIAU J.J., Correlation between proprioception, muscle strength, knee laxity, and dynamic standing balance in patients with chronic anterior cruciate ligament deficiency, Knee, 2009, 16(5), 387–391.
• [15] LOHMIER L.S., STENBERG A., ENGLUND M., ROOS H., High prevalence of knee osteoarthritis, pain and functional limitations in female soccer players twelve years after anterior cruciate ligament injury, Arthritis Rheumatol., 2004, 50, 3145–3152.
• [16] MANCINI M., HORAK F.B., The relevance of clinical balance assessment tools to differentiate balance deficits, Eur. J. Phys. Rehab. Med., 2010, 46(2), 239–248.
• [17] MATHER R.C., KOENIG L., KOCHER M.S., DALL T.M., GALLO P., SCOTT D.J., BACH B.R., SPINDLER K.P., Societal and economic impact of anterior cruciate ligament tears, J. Bone Joint Surg. Am., 2013, 95, 1751–1759.
• [18] MOLKA A.Z., LISINSKI P., HUBER J., Visual biofeedback exercises for improving body balance control after anterior cruciate ligament reconstruction, J. Phys. Ther. Sci., 2015, 27(7), 2357–2360.
• [19] MOSTAFAEE N., YAZDI M.J.S., NEGAHBAN H., GOHARPEY S., MEHRAVAR M., PIRAYEH N., Responsiveness of Static and Dynamic Postural Balance Measures in Patients with Anterior Cruciate Ligament Reconstruction Following Physiotherapy Intervention, Arch. Bone Jt. Surg., 2017, 5(3), 153–167.
• [20] NAU T., LAVOIE P., DUVAL N., A new generation of artificial ligaments in reconstruction of the anterior cruciate ligament. Two-year follow-up of a randomised trial, J. Bone Joint Surg. Br., 2002, 84, 356–360.
• [21] OGRODZKA-CIECHANOWICZ K., CZECHOWSKA D., CHWAŁA W., ŚLUSARSKI J., GĄDEK A., Stabilometric indicators as an element of verifying rehabilitation of patients before and after reconstruction of anterior cruciate ligament, Acta Bioeng. Biomech., 2018, 20, 1, DOI: 10.5277/ABB-01005-2017-02.
• [22] OVERMOYER G.V., REISER R.F., Relationships between lower-extremity flexibility, asymmetries, and the Y balance test, J. Strenght Cond. Res., 2015, 29(5), 1240–1247.
• [23] PARK J.H., JEONG W.K., LEE J.H., CHO J.J., LEE D.H., Postural stability in patients with anterior cruciate ligament tears with and without medial meniscus tears, Knee Surg. Sport Tr. A., 2015, 23(1), 240–245.
• [24] PATERNO M.V., RAUH M.J., SCHMITT L.C., FORD K.R., HEWETT T.E., Incidence of contralateral and ipsilateral anterior cruciate ligament (ACL) injury after primary ACL reconstruction and return to sport, Clin. J. Sport Med., 2012, 22, 116–121.
• [25] PATERNO M.V., SCHMITT L.C., FORD K.R., RAUH M.J., MYER G.D., HUANG B. et al., Biomechanical measures during landing and postural stability predict second anterior cruciate ligament injury after anterior cruciate ligament reconstruction and return to sport, Am. J. Sport Med., 2010, 38, 1968–1978.
• [26] RELPH N., HERRINGTON L., TYSON S., The effects of ACL injury on knee proprioception: a meta-analysis, Physiotherapy, 2014, 100(3), 187–195.
• [27] SCHUTTE M.J., DABEZIES E.J., ZIMNY M.L., HAPPEL L.T., Neural anatomy of the human anterior cruciate ligament, J. Bone Joint Surg. Am. Title.,1987, 9, 243–247.
• [28] SCOPPA F., CAPRA R., GALLAMINI M., SHIFFER R., Clinical stabilometry standardization Basic definitions – Acquisition interval – Sampling frequency, Gait Posture., 2013, 37(2), 290–292.
• [29] TRIEB K., BLAHOVEC H., BRAND G., SABETI M., DOMINKUS M., KOTZ R., In vivo and in vitro cellular in growth into a new generation of artificial ligaments, Eur. Surg. Res., 2004, 36 148–151.
• [30] ZANTOP T., HERBORT M., RASCHKE M.J., FU F.H., PETERSEN W., The role of the anteromedial and posterolateral bundles of the anterior cruciate ligament in anterior tibial translation and internal rotation, Am. J. Sports Med., 2007, 35(2), 223–227.

Uwagi

Opracowanie rekordu w ramach umowy 509/P-DUN/2018 ze środków MNiSW przeznaczonych na działalność upowszechniającą naukę (2019).