Stabilometric indicators as an element of verifying rehabilitation of patients before and after reconstruction of anterior cruciate ligament

• Autorzy: Ogrodzka-Ciechanowicz K. , Czechowska D. , Chwała W. , Ślusarski J. , Gądek A.

Identyfikatory

DOI

10.5277/ABB-01005-2017-02

• Języki publikacji: EN

Abstrakty

EN

The aim of the study was to evaluate effectiveness of rehabilitation in patients before and after rACL, based on stabilographic indicators. Methods: The research group was comprised of 31 men aged 20–57 with anterior cruciate ligament injury, qualified for reconstruction surgery. A measurement of static stabilometric indicators and muscle strength was taken twice for each patient – before surgery and after 6 months. To assess stabilographic indicators the stabilographic platform was used and to asses muscle strength a dynamometer was used. In order to assess knee function the Lysholm scale and VAS scale were used. Results: The rehabilitation programme improved static stability of the knee in the frontal plane, which is manifested by a significant shortening of the SPML path length. Rehabilitation proceedings should focus on improving static stability of the knee joint in the sagittal plane, because the results obtained indicate only a slight shortening of the SPAP length. The results of the Lysholm and VAS scales point to a positive influence of the applied rehabilitation. Conclusion: Inclusion into rehabilitation diagnostic tools to assess stabilometric indicators enables for effective verification of rehabilitation proceedings focused on restoring body posture control before and after the rACL.

Słowa kluczowe

EN

ACL; body posture control; stabilometric indicators; muscle strength; rehabilitation

PL

ACL; kontrola postawy ciała; siła mięśni; rehabilitacja

• Wydawca: Oficyna Wydawnicza Politechniki Wrocławskiej
• Czasopismo: Acta of Bioengineering and Biomechanics
• Rocznik: 2018
• Tom: Vol. 20, no. 1
• Strony: 101--107
• Opis fizyczny: Bibliogr. 28 poz., rys., tab.

Twórcy

autor

Ogrodzka-Ciechanowicz K.

• Section of Rehabilitation in Traumatology, Department of Clinical Rehabilitation, Faculty of Motor Rehabilitation, University of Physical Education in Kraków, Kraków, Poland

autor

Czechowska D.

• Section of Rehabilitation in Orthopaedics, Department of Clinical Rehabilitation, Faculty of Motor Rehabilitation, University of Physical Education in Kraków, Kraków, Poland

autor

Chwała W.

• Section of Biomechanics, Institute of Biomedical Sciences, Faculty of Physical Education and Sport, University of Physical Education in Kraków, Kraków, Poland

autor

Ślusarski J.

• Department of Orthopaedics and Rehabilitation, University Hospital in Kraków, Poland

autor

Gądek A.

• Department of Orthopaedics and Rehabilitation, University Hospital in Kraków, Poland
• Department of Orthopaedics and Physiotherapy at Jagiellonian University Medical College, Kraków, Poland

Bibliografia

• [1] AHMED M.M., MOSALEM D.M., KHAIRET S.M., ISMAIL T.A., HAMIDO F.A., AL-BUSAIRI W.A., Evaluation of Dynamic Posturography in Anterior Cruciate Ligament Injury Patients, Maced. J. Med. Sci., 2011, 4(2), 167–173.
• [2] ANDERSSON C., ODENSTEN M., GILLQUIST J., Knee function after surgical or nonsurgical treatment of acute rupture of the anterior cruciate ligament: a randomized study with a longterm follow-up period, Clin. Orthop., 1991, 264, 255–263.
• [3] BENGTSSON J., MOLLBORG J., WERNER S., A study for testing the sensitivity and reliability of the Lysholm knee scoring scale, Knee Surg. Sports Traumatol. Arthrosc., 1996, 4(1), 27–31.
• [4] BŁASZCZYK J., CZERWOSZ L., Postural stability in the process of aging, Ger. Pol., 2005, 13, 25–36.
• [5] BONFIM T.R., GROSSI D.B., PACCOLA C.A., BARELA J.A., Additional sensory information reduces body sway of individuals with anterior cruciate ligament injury, Neurosci. Lett., 2008, 29(441), 257–260.
• [6] BONFIM T.R., JANSEN PACCOLA C.A., BARELA J.A., Proprioceptive and behavior impairments in individuals with anterior cruciate ligament reconstructed knees, Arch. Phys. Med. Rehab., 2003, 84, 1217–1223.
• [7] BRATTINGER F., STEGMÜLLER B., RIESNER H.J., Anterior cruciate ligament ruptures and postural correlation of functional knee scores with computerized dynamic posturography, Orthopade, 2013, 42(2), 100–106.
• [8] COURTNEY C.A., RINE R.M., Central somatosensory changes associated with improved dynamic balance in subjects with anterior cruciate ligament deficiency, Gait Post., 2006, 24, 190–195.
• [9] FIBIGER W., KUKIEŁKA R., JASIAK-TYRKALSKA B., FRAŃCZUK B., Rehabilitation after damage to the anterior cruciate ligament for persons actively participating in sport, Ortop. Traumatol. Rehabil., 2004, 6(4), 461–466.
• [10] HALL M., STEVERMER C., GILLETTE J., Gait analysis post anterior cruciate ligament reconstruction: Knee osteoarthritis perspective, Gait Post., 2012, 36, 56–60.
• [11] HOPPER D.M., CREAGH M.J., FORMBY P.A., GOH S.C., BOYLE J.J., STRAUSS G.R., Functional measurement of knee joint position sense after anterior cruciate ligament reconstruction, Arch. Phys. Med. Rehabil., 2003, 84, 868–872.
• [12] KIM S., BOSQUE J., MEEHAN J.P., JAMALI A., MARDER R., Increase in outpatient knee arthroscopy in the United States: a comparison of National Surveys of Ambulatory Surgery, J. Bone Joint Surg. [Am], 2011, 93-A, 994–1000.
• [13] KOCAK F.U., ULKAR B., ÖZKAN F., Effect of Proprioceptive Rehabilitation on Postural Control Following Anterior Cruciate Ligament Reconstruction, J. Phys. Ther. Sci., 2010, 22(2), 195–202.
• [14] KRUSE L., GRAY B., WRIGHT R., Rehabilitation After Anterior Cruciate Ligament Reconstruction, J. Bone Joint Surg. Am., 2012, 94, 1737–1748.
• [15] MALL N., CHALMERS P., MORIC M., TANAKA M., COLE B., BACH B. Jr, PALETTA G. Jr., Incidence and Trends of Anterior Cruciate Ligament Reconstruction in the United States, Am. J. Sports Med., 2014, 42(10), 2363–2370.
• [16] MATTACOLA C.G., PERRIN D.H., GANSNEDER B.M., GIECK J.H., SALIBA E.N., MCCUE F.C. III., Strength, functional outcome and postural control after anterior cruciate ligament reconstruction, J. Athlet. Train., 2002, 37(3), 262–268.
• [17] OCETKIEWICZ T., SKALSKA A., GRODZICKI T., Balance estimation by using the computer balance platform: repeatability of the measurements, Ger. Pol., 2006, 14, 144–148.
• [18] PARUS K., LISIŃSKI P., HUBER J., Body balance control deficiencies following ACL reconstruction combined with medial meniscus suture. A preliminary report, Orthop. Traumatol. Surg. Res., 2015, 101(7), 807–810.
• [19] PIONTEK T., CIEMNIEWSKA-GORZELA K., SZULC A., PYDA A., DUDZIŃSKI W., HEJNA R., Postural control strategy in patients with anterior cruciate ligament deficiency, Chir. Narz. Ruchu Ortop. Pol., 2009, 74(6), 353–360.
• [20] PORTENOY R., TANNER R., Visual Analog Scale and Verbal Pain Intensity Scale, In: Pain Management: Theory and Practice, Oxford University Press, Inc, 1996.
• [21] SAKA T., Principles of postoperative anterior cruciate ligament rehabilitation, World J. Orthop., 2014, 5, 450–459.
• [22] SAMPAIO T.C.F.V.S., SOUZA J.M.G., Reeducacao proprioceptiva nas leso˜es do ligamento cruzado anterior do joelho, Rev. Bras. Ortop., 1994, 29, 303–309.
• [23] SCHULZ K.F., ALTMAN D.G., MOHER D., CONSORT Group. CONSORT 2010 Statement: updated guidelines for reporting parallel group randomized trials, Ann. Intern. Med., 2010, 152, 726–732.
• [24] STOLARCZYK A., KALIŃSKA J., NAGRABA Ł., MITEK T., KOŁODZIEJSKI P., Management of anterior cruciate ligament injuries, Arthrosc. Joint Surg., 2007, 3(2), 18–29.
• [25] ŚWIERC A., CQStab Stabilometric Computer Platform. User manual, Czernica Wrocławska, 2009.
• [26] WILLIAMS G.N., CHMIELEWSKI T., RUDOLPH K., BUCHANAN T.S., SNYDER MACKLER L., Dynamic knee stability: current theory and implications for clinicians and scientists, J. Orthop. Sports Phys. Ther., 2001, 31, 546–566.
• [27] WOO S.L., ABRAMOWITCH S.D., KILGER R., LIANG R.J., Biomechanics of Knee ligaments: injury, healing, and repair, J. Biomech., 2006, 39(1), 1–20.
• [28] ZOUITA BEN MOUSSA A., ZOUITA S., DZIRI C., BEN SALAH F.Z., Single-leg assessment of postural stability and knee functional outcome two years after anterior cruciate ligament reconstruction, Ann. Phys. Rehabil. Med., 2009, 52(6), 475–484.

Uwagi

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