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Subjective vs objective evaluation of knee stability in patients before and after anterior cruciate ligament reconstruction

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Wysota A., Pawlak D., Ficek K., Ficek J., Juras G.
Central European Journal of Sport Sciences and Medicine
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2014
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tom 06
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nr 2
Every year, the number of anterior cruciate ligament ruptures increases considerably. The present analysis compares patients’ subjective sensations after the ACL injury to an objective arthrometric examination. The subjective evaluation of the knee-joint condition was performed using the Lysholm score scale and IKDC 2000 scale, whereas the objective evaluation was performed using a GNRB device to obtain an arthrometric measurement. Both measurement methods were performed before ACL reconstruction and after the rehabilitation process of ±11.5 months. The following research was conducted on a group of 8 patients who underwent anterior cruciate ligament reconstruction. Statistical analysis did not reveal any significant differences between the arthrometric examination and the subjective score scales. The test indicated the significant differences between the score scales questionnaires completed before and after the surgery. The conclusions that can be drawn from the present analysis show us the importance of using subjective evaluation devices. Despite the lack of significance in the examination performed with the objective device, the self-evaluation of kneejoint efficiency made by the patient indicated a significant improvement.
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Knee joint position sense in physically active patients after acl reconstruction

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Pawlak D., Wysota A., Furmanek M., Ficek K., Juras G.
Central European Journal of Sport Sciences and Medicine
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2014
|
tom 07
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nr 3
The term “proprioception” is defined as the conduction of sensory information deriving from proprioceptors that have an impact on conscious sensations, posture and trans-segmental sense. An ACL injury may lead to functional knee joint instability. According to research, this may result in impaired movement sensation and joint position. The purpose of this study was to evaluate the joint position sense (JPS) in patients before arthroscopic ACL reconstruction and 5 months after the surgery. The examinations were conducted in a group of twelve specifically selected male patients. The examination procedure consisted of JPS measurement in both lower limbs (the operated and the healthy one) during active extension in a range of angles: 30, 45, 60°. The level of significance was: p < 0.05. The analysis of variance performed for repeated measurements (ANOVA) did not indicate any statistically significant differences of JPS in comparisons made between the operated and the healthy limb. Statistical values for the absolute, relative, and variable errors were p = 0.7684, p = 0.1546, p = 0.5694 respectively. The obtained results do not indicate any limitation of proprioception in patients with ACL injury before the intervention or half a year later.
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