Effects of closed kinetic chain exercises on proprioception and functional scores of the knee after anterior cruciate ligament reconstruction

Sung-Hyoun Cho, Chang-Hwan Bae, Hwang-Bo Gak, Sung-Hyoun Cho, Chang-Hwan Bae, Hwang-Bo Gak

Abstract

[Purpose] The purpose of this study was to examine the effect of closed kinetic chain exercises performed by an unstable exercise group (UEG) and a stable exercise group (SEG) on the knee joint, proprioception, and functional scores of patients who underwent anterior cruciate ligament (ACL) reconstruction. [Subjects] Twenty-eight patients participated in this study. The exclusion criteria were fracture or neurological disease. [Methods] The subjects were randomly assigned to one of two groups, each with 14 people. Each group took part in a 60-minute exercise program, three times a week for six weeks. [Results] The results of the clinical evaluation at 45°proprioception showed statistically significant differences between the two groups. The results of the clinical evaluation at 15°proprioception showed no statistically significant differences between the two groups. [Conclusion] The proprioception and functional scores of the patients in the UEG who underwent ACL reconstruction were superior to those in the SEG group.

Keywords: Closed kinetic chain exercise; Functional score; Proprioception.

References

    1. Duthon VB, Barea C, Adrassart S, et al. : Anatomy of the anterior cruciate ligament. Knee Surg Sports Traumatol Arthrosc, 2006, 14: 204–213
    1. Clancy WG, Jr, Ray JM, Zoltan DJ: Acute tears of the anterior cruciate ligament: surgical versus conservative treatment. J Bone Joint Surg, 1988, 70: 1483–1488
    1. Shelbourne KD, Nitz P: Accelerated rehabilitation after anterior cruciate ligament reconstrucion. Am J Sports Med, 1990, 18: 292–299
    1. Kisner C, Colby LA: Therapeutic Exercise: Foundations and Techniques, 5th ed. Philadelphia: FA. Davis Co., 2007, pp 174–180.
    1. Iwasaki T, Shiba N, Matsuse H, et al. : Improvement in knee extension strength through training by means of combined electrical stimulation and voluntary muscle contraction. Tohoku J Exp Med, 2006, 209: 33–40
    1. Wojtys EM, Huston LJ: Neuromuscular performance in normal and anterior cruciate ligament-deficient lower extremities. Am J Sports Med, 1994, 22: 89–104
    1. Shumway-Cook A, Woollacott M: Motor control: Theory and practical application, 2nd ed. Philadelphia: Willian Wilkins, 2001, pp 163–171.
    1. Gooey K, Bradfield O, Talbot J, et al. : Effects of body orientation, load and vibration on sensing position and movement at the human elbow joint. Exp Brain Res, 2000, 133: 340–348
    1. Ide K, Shirai Y, Ito H, et al. : Sensory nerve supply in the human subacromial bursa. J Shoulder Elbow Surg, 1996, 5: 371–382
    1. Hoffman M, Payne VG: The effects of proprioceptive ankle disk training on healthy subjects. J Orthop Sports Phys Ther, 1995, 21: 90–93
    1. Pincivero DM, Bachmeier B, Coelho AJ: The effects of joint angle and reliability on knee proprioception. Med Sci Sports Exerc, 2001, 33: 1708–1712
    1. Kim YJ, Park RJ: The effects of closed kinetic chain exercises of unstable floor on the stability of the knee joints of patients with anterior cruciate ligament reconstruction. The Korean Society of Physical Medicine, 2008, 3: 11–20.
    1. Kwon SB: Effect of closed and open kinetic chain exercise after cruciate ligament reconstruction. J Korean Soc Phys Ther, 2005, 17: 297–310
    1. Tegner Y, Lysholm J: Rating systems in the evaluation of knee ligament injuries. Clin Orthop Relat Res, 1985, 198: 43–49
    1. Barrack RL, Skinner HB: Knee joint proprioception revisited. J Sport Rehabil, 1994, 3: 18–42
    1. Drouin JM, Valovich-mcLeod TC, Shultz SJ, et al. : Reliability and validity of the Biodex system 3 pro isokinetic dynamometer velocity, torque and position measurements. Eur J Appl Physiol, 2004, 91: 22–29Drouin
    1. Reider B, Arcand MA, Diehl LH, et al. : Proprioception of the knee before and after anterior cruciate ligament reconstruction. Arthroscopy, 2003, 19: 2–12
    1. Kim GH: The effects of 4 weeks postoperative rehabilitation to anterior cruciate ligament on knee joint proprioception. Master's thesis, Korea National Sport University, 2004
    1. Cho HY, Park YJ, Lee SK: Effects of swiss ball exercise on postural control and lymsholm score after ACL reconstruction with MCL injury. J Sport Leis Stud, 2010, 40: 731–740

Source: PubMed

Patrocinadores y Colaboradores

Condiciones médicas

Intervenciones de drogas

3
Suscribir