دورية أكاديمية
[The influence of a controlled active motion splint on proprioception after anterior cruciate ligament plasty. A prospective randomized study].
العنوان: | [The influence of a controlled active motion splint on proprioception after anterior cruciate ligament plasty. A prospective randomized study]. |
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عنوان ترانسليتريتد: | Der Einfluss einer aktiven Bewegungsschiene auf die Propriozeption nach vorderer Kreuzbandplastik. Eine prospektiv randomisierte Studie. |
المؤلفون: | Friemert B; Abt. Chirurgie, Bundeswehrkrankenhaus Ulm. dr.benediktfriemert@dr-friemert.de, V Lübken F, Schmidt R, Jouini C, Gerngross H |
المصدر: | Der Unfallchirurg [Unfallchirurg] 2006 Jan; Vol. 109 (1), pp. 22-9. |
نوع المنشور: | Comparative Study; Journal Article; Randomized Controlled Trial |
اللغة: | German |
بيانات الدورية: | Publisher: Springer Verlag Country of Publication: Germany NLM ID: 8502736 Publication Model: Print Cited Medium: Print ISSN: 0177-5537 (Print) Linking ISSN: 01775537 NLM ISO Abbreviation: Unfallchirurg Subsets: MEDLINE |
أسماء مطبوعة: | Publication: Berlin : Springer Verlag Original Publication: Berlin ; New York : Springer-Verlag, c1985- |
مواضيع طبية MeSH: | Splints*, Anterior Cruciate Ligament/*surgery , Proprioception/*physiology, Anterior Cruciate Ligament Injuries ; Female ; Humans ; Joint Instability/etiology ; Joint Instability/prevention & control ; Knee Injuries/rehabilitation ; Knee Injuries/surgery ; Knee Joint/physiology ; Male ; Pain, Postoperative ; Physical Therapy Modalities ; Postoperative Care ; Prospective Studies ; Rupture ; Treatment Outcome |
مستخلص: | Background: A ruptured anterior cruciate ligament (ACL) leads to both mechanical and functional instability. Functional instability is caused by proprioceptive deficit. The aim of this study was to determine whether the proprioceptive deficit can be reduced by using a controlled active motion (CAM) splint postoperatively. Patients and Methods: A total of 50 patients with ACL rupture were randomized into two groups. After ACL plasty the PT group received postoperative physiotherapy, while the CAM group were managed with a CAM splint and physiotherapy. Proprioceptive ability was measured with a passive angle-reproduction test. Results: On the day of discharge 80% of the patients in the CAM group and 25% in the PT group had a reduced proprioceptive deficit. Overall the main measured value in the CAM group improved by 83.7%, but deteriorated by 39.3% in the PT group. There was no significant difference between the CAM group and a healthy control group. Conclusion: Using a CAM splint in addition to physiotherapy after ACL plasty in comparison to physiotherapy alone decreases the proprioceptive deficit significantly. We recommend the use of a CAM splint in the postoperative management following ACL plasty. |
References: | Br J Sports Med. 2002 Apr;36(2):132-4. (PMID: 11916897) J Orthop Sports Phys Ther. 2001 Nov;31(11):632-44. (PMID: 11720296) Sportverletz Sportschaden. 1995 Sep;9(3):72-6. (PMID: 7502216) Med Sci Sports Exerc. 2003 Sep;35(9):1486-92. (PMID: 12972866) Wien Med Wochenschr. 1997;147(23-24):531-41. (PMID: 9542003) Arthroscopy. 2003 Jan;19(1):2-12. (PMID: 12522394) Knee Surg Sports Traumatol Arthrosc. 1996;4(2):121-4. (PMID: 8884734) Am J Sports Med. 2001 May-Jun;29(3):339-45. (PMID: 11394606) J Bone Joint Surg Am. 1997 Oct;79(10 ):1556-76. (PMID: 9378743) J Bone Joint Surg Br. 1993 Mar;75(2):311-5. (PMID: 8444956) Knee Surg Sports Traumatol Arthrosc. 1996;4(4):217-24. (PMID: 9046506) Sportverletz Sportschaden. 1998 Dec;12 (4):121-30. (PMID: 10036713) Clin Orthop Relat Res. 2002 Sep;(402):76-94. (PMID: 12218474) Unfallchirurg. 1996 Nov;99(11):861-8. (PMID: 9036553) J Bone Joint Surg Am. 1998 Sep;80(9):1365-78. (PMID: 9759824) Arch Orthop Trauma Surg. 1996;115(3-4):162-6. (PMID: 8861583) J Bone Joint Surg Br. 2000 Aug;82(6):801-6. (PMID: 10990300) Clin Orthop Relat Res. 1994 Nov;(308):29-32. (PMID: 7955696) Arthroscopy. 1999 Apr;15(3):292-6. (PMID: 10231108) Neurosci Lett. 2000 Aug 4;289(2):143-6. (PMID: 10904140) Crit Rev Biomed Eng. 1991;18(5):341-68. (PMID: 2036801) Arch Phys Med Rehabil. 2003 Aug;84(8):1217-23. (PMID: 12917863) J Orthop Sports Phys Ther. 2001 Oct;31(10 ):567-76. (PMID: 11665744) Clin Orthop Relat Res. 2000 Mar;(372):205-16. (PMID: 10738429) J Orthop Res. 1996 Mar;14(2):193-9. (PMID: 8648495) Unfallchirurg. 1986 Dec;89(12):551-4. (PMID: 3563529) J Orthop Res. 1993 Sep;11(5):696-704. (PMID: 8410470) Unfallchirurg. 1998 Sep;101(9):697-703. (PMID: 9816979) Am J Sports Med. 1996 Nov-Dec;24(6):774-8. (PMID: 8947399) Am J Sports Med. 1997 May-Jun;25(3):336-40. (PMID: 9167813) Am J Sports Med. 1997 Jan-Feb;25(1):130-7. (PMID: 9006708) J Bone Joint Surg Am. 1984 Sep;66(7):1072-6. (PMID: 6207177) Acta Neurol Scand. 1999 May;99(5):303-7. (PMID: 10348160) |
تواريخ الأحداث: | Date Created: 20050916 Date Completed: 20060522 Latest Revision: 20220331 |
رمز التحديث: | 20221213 |
DOI: | 10.1007/s00113-005-1006-0 |
PMID: | 16163508 |
قاعدة البيانات: | MEDLINE |
تدمد: | 0177-5537 |
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DOI: | 10.1007/s00113-005-1006-0 |