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Lower extremity muscle strength, postural stability and functional movement screen in female basketball players after ACL reconstruction : Preliminary report

Wrzesień Zuzanna, Truszczynska-Baszak Aleksandra, Rzepka Remigiusz

Acta of Bioengineering and Biomechanics

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2019

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Vol. 21, no. 2

71--81

EN

The anterior cruciate ligament (ACL) tear is a common injury in basketball. Its consequence is a long absence from training, resulting from surgical treatment and long physiotherapy. The aim of the study was to assess muscle strength, postural stability and functional movements in female basketball players, who returned to professional sport careers after anterior cruciate ligament reconstruction. Methods: The study population consisted of 10 female basketball players after surgical reconstruction of anterior cruciate ligament. The control group consisted of 10 players without ACL injury. We used the Biodex System 4 Pro dynamometer to assess the muscle strength of the knee. We used it to conduct the test of flexors and extensors of the knee in isokinetic conditions. We also used Keiser Power Squat A300 in the single leg squat to measure power and the Biodex Balance SD dynamographic platform to assess balance in single leg stance. Results: We found deficits in both movement patterns and in muscle strength in the study population, compared to control group. Conclusions: The basketball players after ACL reconstruction had significant differences between the operated and non-operated limb. The differences may predispose them towards repeated ACL injuries.

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Comparison of results of ACL reconstruction using LARS method and autogenous ST/GR graft

Płocki Jędrzej, Pelikan Piotr, Bejer Agnieszka, Granek Arkadiusz, Krawczyk-Suszek Marlena, Kotela Ireneusz

Acta of Bioengineering and Biomechanics

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2019

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Vol. 21, no. 1

113--119

EN

The objective of the study was assessment of the function of the knee joint after ACL reconstruction using the LARS method and autogenous graft. The study was of a retrospective character and included 96 patients who had undergone reconstruction of the torn ACL. The study was conducted within 36–48 months after surgery. Methods: In order to compare the results of the ACL reconstruction performed with 2 types of grafts, the following instruments were used: Lysholm Knee Scoring Scale, SF 36v2 questionnaire for assessment of health-related quality of life, and Biodex System 4 for isokinetic muscle testing. Results: No differences in the evaluation of the quality of life measured using SF 36v2 questionnaire were observed between the LARS and ST GR groups. Using the Lysholm Scale, the distribution of knee function scores was compared according to the type of surgery. There are no grounds to confirm the differences in the distribution of knee function scores considering the type of graft ( p = 0.756). Isokinetic test showed a significant weakening of muscle strength in the operated limb, compared to the strength of the healthy limb. Conclusions: The type of graft used for ACL reconstruction does not exert an effect on the quality of life of patients or the level of their knee joint function. Extensor and flexor muscles strength of the knee joint was lower in the operated limb, irrespective of the type of graft used. Weak relationships were observed between the level of knee joint function and extensor muscle strength of this joint.

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

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

Acta of Bioengineering and Biomechanics

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2018

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Vol. 20, no. 4

9--14

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.

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A revised surgical concept of anterior cruciate ligament replacement in a rabbit model : preliminary investigations

Ficek K., Wieczorek J., Stodolak-Zych E., Kosenyuk Y.

Engineering of Biomaterials

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2012

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Vol. 15, no. 113

33--34

EN

In this project the anterior cruciate ligament (ACL) replacement in a rabbit model was performed for the preclinical phase of investigations of a new form of biomaterial i.e. polymer beads (granules). This material, based on resorbable aliphatic polyester (polylactide - PLA) was used as a filler of the bone tunnels to enhance tendon-to-bone healing. The high specific surface area and well known biocompatibility of this material designated it as an osteoconductive agent in reconstructive ligament surgery. Additionally, a new surgical concept was proposed which retains the natural elasticity of the harvested tendon. This method ensures fixation of the grafted tendon within the bone tunnels in their entire length.

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Mechanical energy fluctuations during walking of healthyand ACL-reconstructed subjects

Winiarski S.

Acta of Bioengineering and Biomechanics

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2008

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Vol. 10, nr 2

57-63

EN

In a clinical gait analysis, mechanical energy is the gait variable which can validate the energetic state of the disorder of patient’s movement. The purpose of this study was to explore the possibilities of employing the total mechanical energy in estimating the mechanical cost of transport in normal and pathological human gait. One of the basic methods of determining mechanical energy (inverted pendulum model) was used to estimate the external mechanical work performed by the walking subjects based on externally observable measurements. Gait data was collected for healthy able-bodied men and patients after ACL reconstruction during physiotherapy process who demonstrate larger lateral center of gravity (CoG) excursions during gait. Based on predictions of the body’s CoG trajectory during walking, algorithms were developed to determine the changes in components of total mechanical energy in normal and pathological gait. The utility of calculating mechanical energy in a patient population is questioned.