Earticle

초록

영어

There are currently no longitudinal data describing the pre- and postop-erative postural regulation and stability of patients with anterior cruci-ate ligament (ACL) damage. Therefore, the aim of this study was to evaluate postural regulation and stability prior to and during rehabilita-tion following surgery of the ACL. Fifty-four physically active subjects (age: 30.5±10.9 years, 29 male subjects) were examined with the Inter-active Balance System pre-, 6, and at 12 weeks following surgical re-construction of the ACL using a hamstring tendon graft. The average period of time from injury to surgery was 27 days. Data were calculated with unifactorial and univariate analysis of variance. Significant effects were found for the somatosensory system (η2=0.115), stability indicator (η2=0.123), weight distribution index (η2=0.176), and synchronization (foot coordination) (η2=0.249). Involved side weight distribution (param-eter: left) increased significantly (patients with left-sided/right-sided in-jury: η2=0.234/0.272). Load distribution to the heel remained stable during all three examination periods (η2=0.035 and η2=0.071), although a remarkable load at forefoot was observed. In seven out of 10 parame-ters partial effects were seen during the first 6 weeks after surgery. The results of this study indicated that injury of the ACL and subsequent surgical reconstructions result in postural regulation, with improve-ments in somatosensory system function, postural stability, weight dis-tribution index, and foot coordination. Also, overloading of the injured side on the feet reduces significantly during rehabilitation. Thus, the ini-tial phase of rehabilitation (weeks 1 to 6) seems to be more effective than the second period (weeks 6 to 12) postoperatively.

목차

Abstract
 INTRODUCTION
 MATERIALS AND METHODS
  Design
  Subjects
  Measurements
  Statistics
 RESULTS
 DISCUSSION
 CONFLICT OF INTEREST
 REFERENCES

키워드

저자

• Thomas Bartels [ SportsClinic Halle, Center of Joint Surgery, Halle, Germany ]
• Kay Brehme [ SportsClinic Halle, Center of Joint Surgery, Halle, Germany ]
• Martin Pyschik [ SportsClinic Halle, Center of Joint Surgery, Halle, Germany ]
• Stephan Schulze [ Department of Orthopedic and Trauma Surgery, Martin-Luther University Halle-Wittenberg, Halle, Germany ]
• Karl-Stefan Delank [ Department of Orthopedic and Trauma Surgery, Martin-Luther University Halle-Wittenberg, Halle, Germany ]
• Georg Fieseler [ Division for Shoulder Surgery and Sports Medicine, Helios Clinic Warburg, Warburg, Germany ]
• Kevin G. Laudner [ School of Kinesiology and Recreation, Illinois State University, Normal, IL, USA ]
• Souhail Hermassi [ Research Unit (UR17JS01) Sport Performance, Health & Society, Sport Performance & Health, Higher Institute of Sport and Physical Education, Ksar-Saîd, University of “La Manouba,” Tunis, Tunisia ]
• René Schwesig [ Department of Orthopedic and Trauma Surgery, Martin-Luther University Halle-Wittenberg, Halle, Germany ] Corresponding author

참고문헌

발행기관

간행물

표지보기 관심저널 등록

• 간행물명

  JER [Journal of Exercise Rehabilitation]

• 간기

  격월간

• pISSN

  2288-176X

• eISSN

  2288-1778

• 수록기간

  2013~2026

• 등재여부

  SCOPUS,KCI 등재

• 십진분류

  KDC 517 DDC 613