Body balance control deficiencies following ACL reconstruction combined with medial meniscus suture. A preliminary report - 20/11/15
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Abstract |
Introduction |
Proprioception makes a critical contribution to body balance. The objective of this study was to evaluate static postural control after anterior cruciate ligament (ACL) reconstruction combined with medial meniscus (MM) suture, comparatively to healthy controls.
Hypothesis |
Body balance is adversely affected 2months after ACL reconstruction combined with MM suture.
Patients and methods |
Fifteen patients (12 males and 3 females) aged 20 to 35years (mean, 26.4±6.0years) who underwent ACL reconstruction with MM suture were compared to 20 healthy, physically active controls (16 females and 4 males) aged 19 to 23years (mean, 21.1±1.8years), most of whom were physiotherapy students. Mean age was not significantly different between the patients and controls. A balance platform was used to estimate static postural control parameters. Each participant performed four tests, two in normal bipedal stance and two in tandem stance; in each stance, one test was done with the eyes open and the other with the eyes closed. We analysed global scores on a standardised 100-point scale and mean centre of pressure (COP) displacement velocity in the sagittal and frontal planes.
Results |
Body balance was impaired 2months after ACL reconstruction with MM suture. Thus, the patients had lower global scores and higher mean COP velocities in both the coronal and sagittal planes.
Conclusions |
Proprioception is impaired after ACL reconstruction with MM suture. Lack of visual control significantly decreases the ability to maintain balance. A balance platform is a useful diagnostic tool for patients with ACL reconstruction and MM suture.
Level of evidence |
Level II.
Le texte complet de cet article est disponible en PDF.Keywords : Anterior cruciate ligament reconstruction, Medial meniscus, Suture, Proprioception, Posture control, Balance platform
Plan
Vol 101 - N° 7
P. 807-810 - novembre 2015 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.