Effects of neuromuscular training on knee joint stability after anterior cruciate ligament reconstruction
[Purpose] This study examined the effects of neuromuscular training on knee joint stability after anterior cruciate ligament reconstruction. [Subjects and Methods] The subjects were 16 adults who underwent arthroscopic anterior cruciate reconstruction and neuromuscular training. The Lysholm scale wa...
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| Published in | Journal of Physical Therapy Science Vol. 27; no. 12; pp. 3613 - 3617 |
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| Main Authors | , , |
| Format | Journal Article |
| Language | English |
| Published |
Japan
The Society of Physical Therapy Science
2015
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0915-5287 2187-5626 2187-5626 |
| DOI | 10.1589/jpts.27.3613 |
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| Abstract | [Purpose] This study examined the effects of neuromuscular training on knee joint stability after anterior cruciate ligament reconstruction. [Subjects and Methods] The subjects were 16 adults who underwent arthroscopic anterior cruciate reconstruction and neuromuscular training. The Lysholm scale was used to assess functional disorders on the affected knee joint. A KT-2000 arthrometer was used to measure anterior displacement of the tibia against the femur. Surface electromyography was used to detect the muscle activation of the vastus medialis oblique, vastus lateralis, biceps femoris, and semitendinosus before and after neuromuscular training. [Results] There was significant relaxation in tibial anterior displacement of the affected and sound sides in the supine position before neuromuscular training. Furthermore, the difference in the tibial anterior displacement of the affected knee joints in the standing position was reduced after neuromuscular training. Moreover, the variation of the muscle activation evoked higher muscle activation of the vastus medialis oblique, vastus lateralis, biceps femoris, and semitendinosus. [Conclusion] Neuromuscular training may improve functional joint stability in patients with orthopedic musculoskeletal injuries in the postoperative period. |
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| AbstractList | Purpose: This study examined the effects of neuromuscular training on knee joint stability after anterior cruciate ligament reconstruction. Subjects and Methods: The subjects were 16 adults who underwent arthroscopic anterior cruciate reconstruction and neuromuscular training. The Lysholm scale was used to assess functional disorders on the affected knee joint. A KT-2000 arthrometer was used to measure anterior displacement of the tibia against the femur. Surface electromyography was used to detect the muscle activation of the vastus medialis oblique, vastus lateralis, biceps femoris, and semitendinosus before and after neuromuscular training. Results: There was significant relaxation in tibial anterior displacement of the affected and sound sides in the supine position before neuromuscular training. Furthermore, the difference in the tibial anterior displacement of the affected knee joints in the standing position was reduced after neuromuscular training. Moreover, the variation of the muscle activation evoked higher muscle activation of the vastus medialis oblique, vastus lateralis, biceps femoris, and semitendinosus. Conclusion: Neuromuscular training may improve functional joint stability in patients with orthopedic musculoskeletal injuries in the postoperative period. [Abstract]. [Purpose] This study examined the effects of neuromuscular training on knee joint stability after anterior cruciate ligament reconstruction. [Subjects and Methods] The subjects were 16 adults who underwent arthroscopic anterior cruciate reconstruction and neuromuscular training. The Lysholm scale was used to assess functional disorders on the affected knee joint. A KT-2000 arthrometer was used to measure anterior displacement of the tibia against the femur. Surface electromyography was used to detect the muscle activation of the vastus medialis oblique, vastus lateralis, biceps femoris, and semitendinosus before and after neuromuscular training. [Results] There was significant relaxation in tibial anterior displacement of the affected and sound sides in the supine position before neuromuscular training. Furthermore, the difference in the tibial anterior displacement of the affected knee joints in the standing position was reduced after neuromuscular training. Moreover, the variation of the muscle activation evoked higher muscle activation of the vastus medialis oblique, vastus lateralis, biceps femoris, and semitendinosus. [Conclusion] Neuromuscular training may improve functional joint stability in patients with orthopedic musculoskeletal injuries in the postoperative period. [Purpose] This study examined the effects of neuromuscular training on knee joint stability after anterior cruciate ligament reconstruction. [Subjects and Methods] The subjects were 16 adults who underwent arthroscopic anterior cruciate reconstruction and neuromuscular training. The Lysholm scale was used to assess functional disorders on the affected knee joint. A KT-2000 arthrometer was used to measure anterior displacement of the tibia against the femur. Surface electromyography was used to detect the muscle activation of the vastus medialis oblique, vastus lateralis, biceps femoris, and semitendinosus before and after neuromuscular training. [Results] There was significant relaxation in tibial anterior displacement of the affected and sound sides in the supine position before neuromuscular training. Furthermore, the difference in the tibial anterior displacement of the affected knee joints in the standing position was reduced after neuromuscular training. Moreover, the variation of the muscle activation evoked higher muscle activation of the vastus medialis oblique, vastus lateralis, biceps femoris, and semitendinosus. [Conclusion] Neuromuscular training may improve functional joint stability in patients with orthopedic musculoskeletal injuries in the postoperative period.[Purpose] This study examined the effects of neuromuscular training on knee joint stability after anterior cruciate ligament reconstruction. [Subjects and Methods] The subjects were 16 adults who underwent arthroscopic anterior cruciate reconstruction and neuromuscular training. The Lysholm scale was used to assess functional disorders on the affected knee joint. A KT-2000 arthrometer was used to measure anterior displacement of the tibia against the femur. Surface electromyography was used to detect the muscle activation of the vastus medialis oblique, vastus lateralis, biceps femoris, and semitendinosus before and after neuromuscular training. [Results] There was significant relaxation in tibial anterior displacement of the affected and sound sides in the supine position before neuromuscular training. Furthermore, the difference in the tibial anterior displacement of the affected knee joints in the standing position was reduced after neuromuscular training. Moreover, the variation of the muscle activation evoked higher muscle activation of the vastus medialis oblique, vastus lateralis, biceps femoris, and semitendinosus. [Conclusion] Neuromuscular training may improve functional joint stability in patients with orthopedic musculoskeletal injuries in the postoperative period. [Purpose] This study examined the effects of neuromuscular training on knee joint stability after anterior cruciate ligament reconstruction. [Subjects and Methods] The subjects were 16 adults who underwent arthroscopic anterior cruciate reconstruction and neuromuscular training. The Lysholm scale was used to assess functional disorders on the affected knee joint. A KT-2000 arthrometer was used to measure anterior displacement of the tibia against the femur. Surface electromyography was used to detect the muscle activation of the vastus medialis oblique, vastus lateralis, biceps femoris, and semitendinosus before and after neuromuscular training. [Results] There was significant relaxation in tibial anterior displacement of the affected and sound sides in the supine position before neuromuscular training. Furthermore, the difference in the tibial anterior displacement of the affected knee joints in the standing position was reduced after neuromuscular training. Moreover, the variation of the muscle activation evoked higher muscle activation of the vastus medialis oblique, vastus lateralis, biceps femoris, and semitendinosus. [Conclusion] Neuromuscular training may improve functional joint stability in patients with orthopedic musculoskeletal injuries in the postoperative period. [Purpose] This study examined the effects of neuromuscular training on knee joint stability after anterior cruciate ligament reconstruction. [Subjects and Methods] The subjects were 16 adults who underwent arthroscopic anterior cruciate reconstruction and neuromuscular training. The Lysholm scale was used to assess functional disorders on the affected knee joint. A KT-2000 arthrometer was used to measure anterior displacement of the tibia against the femur. Surface electromyography was used to detect the muscle activation of the vastus medialis oblique, vastus lateralis, biceps femoris, and semitendinosus before and after neuromuscular training. [Results] There was significant relaxation in tibial anterior displacement of the affected and sound sides in the supine position before neuromuscular training. Furthermore, the difference in the tibial anterior displacement of the affected knee joints in the standing position was reduced after neuromuscular training. Moreover, the variation of the muscle activation evoked higher muscle activation of the vastus medialis oblique, vastus lateralis, biceps femoris, and semitendinosus. [Conclusion] Neuromuscular training may improve functional joint stability in patients with orthopedic musculoskeletal injuries in the postoperative period. |
| Author | Choi, Ho-Suk Shin, Jun-Ho Shim, Jae-Kwang |
| Author_xml | – sequence: 1 fullname: Choi, Ho-Suk organization: Department of Physical Therapy, Graduate School of Daejeon University: 62 Daehak-ro, Dong-gu, Daejeon 300-716, Republic of Korea – sequence: 1 fullname: Shin, Jun-Ho organization: Department of Physical Therapy, Graduate School of Daejeon University, Yuseong Wellness Hospital, Republic of Korea – sequence: 1 fullname: Shim, Jae-Kwang organization: Department of Physical Therapy, Graduate School of Daejeon University, Deajeon Wellness Hospital, Republic of Korea |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/26834316$$D View this record in MEDLINE/PubMed |
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| Keywords | Arthrometer Anterior cruciate ligament reconstruction Neuromuscular training |
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| References | 21) Collette M, Courville J, Forton M, et al.: Objective evaluation of anterior knee laxity; comparison of the KT-1000 and GNRB® arthrometers. Knee Surg Sports Traumatol Arthrosc, 2012, 20: 2233–2238. 23) Markolf KL, Mensch JS, Amstutz HC: Stiffness and laxity of the knee: the contributions of the supporting structures: a quantitative in vitro study. J Bone Joint Surg Am, 1976, 58: 583–594. 8) Rainoldi A, Melchiorri G, Caruso I: A method for positioning electrodes during surface EMG recordings in lower limb muscles. J Neurosci Methods, 2004, 134: 37–43. 13) Neumann DA: Kinesiology of the musculoskeletal system: foundations for rehabilitation. Elsevier Health Sciences, 2013. 6) Eitzen I, Moksnes H, Snyder-Mackler L, et al.: A progressive 5-week exercise therapy program leads to significant improvement in knee function early after anterior cruciate ligament injury. J Orthop Sports Phys Ther, 2010, 40: 705–721. 15) Mall NA, Lee AS, Cole BJ, et al.: The functional and surgical anatomy of the anterior cruciate ligament. Oper Tech Sports Med, 2013, 21: 2–9. 18) Iwasa J, Ochi M, Adachi N, et al.: Proprioceptive improvement in knees with anterior cruciate ligament reconstruction. Clin Orthop Relat Res, 2000, (381): 168–176. 4) Wexler G, Hurwitz DE, Bush-Joseph CA, et al.: Functional gait adaptations in patients with anterior cruciate ligament deficiency over time. Clin Orthop Relat Res, 1998, (348): 166–175. 27) Cho SH, Bae CH, Gak HB: Effects of closed kinetic chain exercises on proprioception and functional scores of the knee after anterior cruciate ligament reconstruction. J Phys Ther Sci, 2013, 25: 1239–1241. 20) Wilk KE, Macrina LC, Cain EL, et al.: Recent advances in the rehabilitation of anterior cruciate ligament injuries. J Orthop Sports Phys Ther, 2012, 42: 153–171. 10) Kim MH, Yoo WG, Yi CH: Gender differences in the activity and ratio of vastus medialis oblique and vastus lateralis muscles during drop landing. J Phys Ther Sci, 2009, 21: 325–329. 11) Mellor R, Hodges PW: Motor unit synchronization of the vasti muscles in closed and open chain tasks. Arch Phys Med Rehabil, 2005, 86: 716–721. 14) Voight ML, Hardin JA, Blackburn TA, et al.: The effects of muscle fatigue on and the relationship of arm dominance to shoulder proprioception. J Orthop Sports Phys Ther, 1996, 23: 348–352. 25) Porter MD, Shadbolt B: “Anatomic” single-bundle anterior cruciate ligament reconstruction reduces both anterior translation and internal rotation during the pivot shift. Am J Sports Med, 2014, 42: 2948–2954. 7) Myrer JW, Schulthies SS, Fellingham GW: Relative and absolute reliability of the KT-2000 arthrometer for uninjured knees. Testing at 67, 89, 134, and 178 N and manual maximum forces. Am J Sports Med, 1996, 24: 104–108. 2) Kim IS, Lim WS, Bae SS: The effects of functional movement recovery of physical therapy after ACL reconstruction with MCL injury. J Korean Soc Phys Ther, 2002, 14: 27–37. 3) Katayama M, Higuchi H, Kimura M, et al.: Proprioception and performance after anterior cruciate ligament rupture. Int Orthop, 2004, 28: 278–281. 9) Park S, Lee WJ, Park JW: Differences of onset timing between Vastus Medialis and Lateralis during knee isometric contraction on individuals with Genu Varum or Valgum. J Korean Soc Phys Ther, 2014, 26: 9–14. 5) Frobell RB, Roos EM, Roos HP, et al.: A randomized trial of treatment for acute anterior cruciate ligament tears. N Engl J Med, 2010, 363: 331–342. 24) Struewer J, Frangen TM, Ishaque B, et al.: Knee function and prevalence of osteoarthritis after isolated anterior cruciate ligament reconstruction using bone-patellar tendon-bone graft: long-term follow-up. Int Orthop, 2012, 36: 171–177. 26) Kiapour AM, Wordeman SC, Paterno MV, et al.: Diagnostic value of knee arthrometry in the prediction of anterior cruciate ligament strain during landing. Am J Sports Med, 2014, 42: 312–319. 1) Uçar M, Koca I, Eroglu M, et al.: Evaluation of open and closed kinetic chain exercises in rehabilitation following anterior cruciate ligament reconstruction. J Phys Ther Sci, 2014, 26: 1875–1878. 12) Mir SM, Talebian S, Naseri N, et al.: Assessment of knee proprioception in the anterior cruciate ligament injury risk position in healthy subjects: a cross-sectional study. J Phys Ther Sci, 2014, 26: 1515–1518. 17) Foti C, Laurini A, Tiberti S, et al.: Leg extension test, sEMG and vibratory stimuli to assess functional recovery following knee joint surgery. Muscles Ligaments Tendons J, 2012, 2: 127–132. 16) Smith TO, Davies L, Hing CB: A systematic review to determine the reliability of knee joint position sense assessment measures. Knee, 2013, 20: 162–169. 22) Wroble RR, Van Ginkel LA, Grood ES, et al.: Repeatability of the KT-1000 arthrometer in a normal population. Am J Sports Med, 1990, 18: 396–399. 19) Reider B, Arcand MA, Diehl LH, et al.: Proprioception of the knee before and after anterior cruciate ligament reconstruction. Arthroscopy, 2003, 19: 2–12. 22 23 24 25 26 27 10 11 12 13 14 15 16 17 18 19 1 2 3 4 5 6 7 8 9 20 21 9553549 - Clin Orthop Relat Res. 1998 Mar;(348):166-75 15827923 - Arch Phys Med Rehabil. 2005 Apr;86(4):716-21 21898038 - Int Orthop. 2012 Jan;36(1):171-7 24259766 - J Phys Ther Sci. 2013 Oct;25(10):1239-41 25239931 - Am J Sports Med. 2014 Dec;42(12):2948-54 8727014 - J Orthop Sports Phys Ther. 1996 Jun;23(6):348-52 15102501 - J Neurosci Methods. 2004 Mar 15;134(1):37-43 8638742 - Am J Sports Med. 1996 Jan-Feb;24(1):104-8 25540486 - J Phys Ther Sci. 2014 Dec;26(12):1875-8 2403189 - Am J Sports Med. 1990 Jul-Aug;18(4):396-9 20660401 - N Engl J Med. 2010 Jul 22;363(4):331-42 12522394 - Arthroscopy. 2003 Jan;19(1):2-12 24275863 - Am J Sports Med. 2014 Feb;42(2):312-9 15338203 - Int Orthop. 2004 Oct;28(5):278-81 11127653 - Clin Orthop Relat Res. 2000 Dec;(381):168-76 22231269 - Knee Surg Sports Traumatol Arthrosc. 2012 Nov;20(11):2233-8 22819143 - Knee. 2013 Jun;20(3):162-9 946969 - J Bone Joint Surg Am. 1976 Jul;58(5):583-94 23738286 - Muscles Ligaments Tendons J. 2012 Sep 10;2(2):127-32 25364100 - J Phys Ther Sci. 2014 Oct;26(10):1515-8 20710097 - J Orthop Sports Phys Ther. 2010 Nov;40(11):705-21 22382825 - J Orthop Sports Phys Ther. 2012 Mar;42(3):153-71 |
| References_xml | – reference: 8) Rainoldi A, Melchiorri G, Caruso I: A method for positioning electrodes during surface EMG recordings in lower limb muscles. J Neurosci Methods, 2004, 134: 37–43. – reference: 20) Wilk KE, Macrina LC, Cain EL, et al.: Recent advances in the rehabilitation of anterior cruciate ligament injuries. J Orthop Sports Phys Ther, 2012, 42: 153–171. – reference: 7) Myrer JW, Schulthies SS, Fellingham GW: Relative and absolute reliability of the KT-2000 arthrometer for uninjured knees. Testing at 67, 89, 134, and 178 N and manual maximum forces. Am J Sports Med, 1996, 24: 104–108. – reference: 5) Frobell RB, Roos EM, Roos HP, et al.: A randomized trial of treatment for acute anterior cruciate ligament tears. N Engl J Med, 2010, 363: 331–342. – reference: 4) Wexler G, Hurwitz DE, Bush-Joseph CA, et al.: Functional gait adaptations in patients with anterior cruciate ligament deficiency over time. Clin Orthop Relat Res, 1998, (348): 166–175. – reference: 22) Wroble RR, Van Ginkel LA, Grood ES, et al.: Repeatability of the KT-1000 arthrometer in a normal population. Am J Sports Med, 1990, 18: 396–399. – reference: 10) Kim MH, Yoo WG, Yi CH: Gender differences in the activity and ratio of vastus medialis oblique and vastus lateralis muscles during drop landing. J Phys Ther Sci, 2009, 21: 325–329. – reference: 1) Uçar M, Koca I, Eroglu M, et al.: Evaluation of open and closed kinetic chain exercises in rehabilitation following anterior cruciate ligament reconstruction. J Phys Ther Sci, 2014, 26: 1875–1878. – reference: 12) Mir SM, Talebian S, Naseri N, et al.: Assessment of knee proprioception in the anterior cruciate ligament injury risk position in healthy subjects: a cross-sectional study. J Phys Ther Sci, 2014, 26: 1515–1518. – reference: 14) Voight ML, Hardin JA, Blackburn TA, et al.: The effects of muscle fatigue on and the relationship of arm dominance to shoulder proprioception. J Orthop Sports Phys Ther, 1996, 23: 348–352. – reference: 24) Struewer J, Frangen TM, Ishaque B, et al.: Knee function and prevalence of osteoarthritis after isolated anterior cruciate ligament reconstruction using bone-patellar tendon-bone graft: long-term follow-up. Int Orthop, 2012, 36: 171–177. – reference: 9) Park S, Lee WJ, Park JW: Differences of onset timing between Vastus Medialis and Lateralis during knee isometric contraction on individuals with Genu Varum or Valgum. J Korean Soc Phys Ther, 2014, 26: 9–14. – reference: 2) Kim IS, Lim WS, Bae SS: The effects of functional movement recovery of physical therapy after ACL reconstruction with MCL injury. J Korean Soc Phys Ther, 2002, 14: 27–37. – reference: 27) Cho SH, Bae CH, Gak HB: Effects of closed kinetic chain exercises on proprioception and functional scores of the knee after anterior cruciate ligament reconstruction. J Phys Ther Sci, 2013, 25: 1239–1241. – reference: 6) Eitzen I, Moksnes H, Snyder-Mackler L, et al.: A progressive 5-week exercise therapy program leads to significant improvement in knee function early after anterior cruciate ligament injury. J Orthop Sports Phys Ther, 2010, 40: 705–721. – reference: 18) Iwasa J, Ochi M, Adachi N, et al.: Proprioceptive improvement in knees with anterior cruciate ligament reconstruction. Clin Orthop Relat Res, 2000, (381): 168–176. – reference: 23) Markolf KL, Mensch JS, Amstutz HC: Stiffness and laxity of the knee: the contributions of the supporting structures: a quantitative in vitro study. J Bone Joint Surg Am, 1976, 58: 583–594. – reference: 15) Mall NA, Lee AS, Cole BJ, et al.: The functional and surgical anatomy of the anterior cruciate ligament. Oper Tech Sports Med, 2013, 21: 2–9. – reference: 11) Mellor R, Hodges PW: Motor unit synchronization of the vasti muscles in closed and open chain tasks. Arch Phys Med Rehabil, 2005, 86: 716–721. – reference: 16) Smith TO, Davies L, Hing CB: A systematic review to determine the reliability of knee joint position sense assessment measures. Knee, 2013, 20: 162–169. – reference: 19) Reider B, Arcand MA, Diehl LH, et al.: Proprioception of the knee before and after anterior cruciate ligament reconstruction. Arthroscopy, 2003, 19: 2–12. – reference: 3) Katayama M, Higuchi H, Kimura M, et al.: Proprioception and performance after anterior cruciate ligament rupture. Int Orthop, 2004, 28: 278–281. – reference: 17) Foti C, Laurini A, Tiberti S, et al.: Leg extension test, sEMG and vibratory stimuli to assess functional recovery following knee joint surgery. Muscles Ligaments Tendons J, 2012, 2: 127–132. – reference: 21) Collette M, Courville J, Forton M, et al.: Objective evaluation of anterior knee laxity; comparison of the KT-1000 and GNRB® arthrometers. Knee Surg Sports Traumatol Arthrosc, 2012, 20: 2233–2238. – reference: 26) Kiapour AM, Wordeman SC, Paterno MV, et al.: Diagnostic value of knee arthrometry in the prediction of anterior cruciate ligament strain during landing. Am J Sports Med, 2014, 42: 312–319. – reference: 13) Neumann DA: Kinesiology of the musculoskeletal system: foundations for rehabilitation. Elsevier Health Sciences, 2013. – reference: 25) Porter MD, Shadbolt B: “Anatomic” single-bundle anterior cruciate ligament reconstruction reduces both anterior translation and internal rotation during the pivot shift. 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| Snippet | [Purpose] This study examined the effects of neuromuscular training on knee joint stability after anterior cruciate ligament reconstruction. [Subjects and... [Abstract]. [Purpose] This study examined the effects of neuromuscular training on knee joint stability after anterior cruciate ligament reconstruction.... Purpose: This study examined the effects of neuromuscular training on knee joint stability after anterior cruciate ligament reconstruction. Subjects and... [Purpose] This study examined the effects of neuromuscular training on knee joint stability after anterior cruciate ligament reconstruction. [Subjects and... |
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| SubjectTerms | Anterior cruciate ligament reconstruction Arthrometer Neuromuscular training Original |
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| Title | Effects of neuromuscular training on knee joint stability after anterior cruciate ligament reconstruction |
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