Studying the Changes of Time to Stabilization and Center of Pressure Velocity in Athletes with an Unilateral Isolated Anterior Cruciate Ligament Rupture in a Six-Month Follow-Up
Journal of Clinical Physiotherapy Research,
Vol. 6 No. 2 (2021),
21 June 2021
,
Page e36
https://doi.org/10.22037/jcpr.v6i2.34800
Abstract
Introduction: Anterior cruciate ligament rupture has shown vast changes in kinematics and kinetics parameters of lower limbs. The aim of this study was to investigate the balance changes including time to stabilization (TTS) and velocity of the center of pressure (CoP) displacement in professional male and female athletes aged between 20 and 40 years. Methods and Materials: The present cohort study was conducted on 58 male and female professional athletes (mean age: 26.9). The individuals were divided into two healthy and ACL-deficient knee groups, each with 29 people. The TTS and velocity of CoP displacement in both anterior-posterior and medial-lateral directions were calculated in the forward jumping test on a force platform. The test was performed three times consisted on the end of the 2nd, 4th and 6th months post injury. Based on the type of data distribution, either Repeated Measures or Friedman test was used to evaluate within-group changes over time, and an Independent or Mann-Whitney test was utilized to compare between-group changes. Results: The results showed significant difference between the healthy and ACL-D groups in TTS and CoP velocity. The TTS was different between groups (P=0.494 for 2nd, P=0.008 for 4th, and P=0.041 for 6th month post injury). The CoP velocity in AP direction showed no significant difference between groups (P=0.419 for 2nd, P=0.196 for 4th, and P=0.36 for 6th month after injury). However, there was a significant difference between groups in 4th month post injury (P=0.359 for 2nd, P=0.01 for 4th, and P=0.331 for 6th post injury) in ML direction. Conclusion: Considering all parameters, it seems that improvement was occurred between 2nd and 4th months but not between 4th and 6th months. It can be said that most of the changes of TTS and CoP occur in the first months after the injury.
- ACL Deficient Knee; Balance; Center of Pressure; Time to Stabilization; Velocity
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References
1. Majewski M, Susanne H, Klaus S. Epidemiology of athletic knee injuries: A 10-year study. Knee. 2006;13(3):184–8.
2. Gianotti SM, Marshall SW, Hume PA, Bunt L. Incidence of anterior cruciate ligament injury and other knee ligament injuries: A national population-based study. J Sci Med Sport. 2009;12(6):622–7.
3. Röijezon U, Clark NC, Treleaven J. Proprioception in musculoskeletal rehabilitation: Part 1: Basic science and principles of assessment and clinical interventions. Man Ther. 2015;20(3):368–77.
4. Soltani N, Rahimi A, Naimi SS, Khademi KK, Saeedi H. Studying the balance of the coper and non-coper ACL-deficient knee subjects. Asian J Sports Med. 2014;5(2):91–8.
5. Huang H, Keijsers N, Horemans H, Guo Q, Yu Y, Stam H, et al. Anterior cruciate ligament rupture is associated with abnormal and asymmetrical lower limb loading during walking. J Sci Med Sport. 2017;20(5):432–7.
6. Fernandes T, Felix E, Bessa F, Luna N, Sugimoto D, Greve J, et al. Evaluation of static and dynamic balance in athletes with anterior cruciate ligament injury – A controlled study. Clinics. 2016;71(8):425–9.
7. Negahban H, Mazaheri M, Kingma I, van Dieën JH. A systematic review of postural control during single-leg stance in patients with untreated anterior cruciate ligament injury. Knee Surgery, Sport Traumatol Arthrosc. 2014;22(7):1491–504.
8. Ageberg E, Roberts D, Holmström E, Fridén T. Balance in single-limb stance in patients with anterior cruciate ligament injury: Relation to knee laxity, proprioception, muscle strength, and subjective function. Am J Sports Med. 2005;33(10):1527–35.
9. Lanier AS, Knarr BA, Stergiou N, Snyder‐Mackler L, Buchanan TS. ACL injury and reconstruction affect control of ground reaction forces produced during a novel task that simulates cutting movements. J Orthop Res. 2020;(402):0–2.
10. Sell TC, Hufnagel M, Heebner N, Lephart SM. Reliability, discriminant validity and sex comparisons of dynamic postural stability during a landing task designed to challenge transverse plane knee stability. Sport Biomech. 2019;00(00):1–13.
11. Akbari A, Ghiasi F, Mir M, Hosseinifar M. The Effects of Balance Training on Static and Dynamic Postural Stability Indices After Acute ACL Reconstruction. Glob J Health Sci. 2015;8(4):68.
12. Kartus J, Magnusson L, Stenert S, Brandssson S, Eriksson B., Karlsson J. Complications following arthroscopic anterior cruciate ligament reconstruction. Knee Surgery, Sport Traumatol Arthrosc. 1999;7(x):2–8.
13. Alkjær T, Henriksen M, Simonsen EB. Different knee joint loading patterns in ACL deficient copers and non-copers during walking. Knee Surgery, Sport Traumatol Arthrosc. 2011;19(4):615–21.
14. Fridén T, Roberts D, Zätterström R, Lindstrand a, Moritz U. Proprioception after an acute knee ligament injury: a longitudinal study on 16 consecutive patients. J Orthop Res. 1997;15:637–44.
15. Steffen K, Nilstad A, Krosshaug T, Pasanen K, Killingmo A, Bahr R. No association between static and dynamic postural control and ACL injury risk among female elite handball and football players: A prospective study of 838 players. Br J Sports Med. 2017;51(4):253–9.
16. Oshima T, Nakase J, Takata Y, Numata H, Tsuchiya H. Poor static balance is a novel risk factor for non-contact anterior cruciate ligament injury. Orthop J Sport Med. 2015;3(7):1.
17. Howard JS, Fazio MA, Mattacola CG, Uhl TL, Jacobs CA. Structure, sex, and strength and knee and hip kinematics during landing. J Athl Train. 2011;46(4):376–85.
18. Padua DA, Marshall SW, Boling MC, Thigpen CA, Garrett WE, Beutler AI. The Landing Error Scoring System (LESS) is a valid and reliable clinical assessment tool of jump-landing biomechanics: The jump-ACL Study. Am J Sports Med. 2009;37(10):1996–2002.
19. Duprey KM, Liu K, Cronholm PF, Reisman AS, Collina SJ, Webner D, et al. Baseline time to stabilization identifies anterior cruciate ligament rupture risk in collegiate athletes. Am J Sports Med. 2016;44(6):1487–91.
20. Kalimuthu M, Mokhtar AH. Muscle bulk, strength and proprioceptive difference between anterior cruciate ligament deficient and normal knee. J Heal Transl Med. 2017;20(1):1–5.
21. Ross SE, Guskiewicz KM, Yu B, Carolina N, Hill C. Single-Leg Jump-Landing Stabilization Times in Subjects With Functionally Unstable Ankles. 2005;40(4):298–304.
22. Hatton AL, Crossley KM, Clark RA, Whitehead TS, Morris HG, Culvenor AG. Between-leg differences in challenging single-limb balance performance one year following anterior cruciate ligament reconstruction. Gait Posture. 2017;52:22–5.
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