Effects of Innovative Aquatic Proprioceptive Training on Knee Proprioception in Athletes with Anterior Cruciate Ligament Reconstruction: A Randomized Controlled Trial | ||
| The Archives of Bone and Joint Surgery | ||
| مقاله 7، دوره 9، شماره 5، آذر و دی 2021، صفحه 519-526 اصل مقاله (999.14 K) | ||
| نوع مقاله: RESEARCH PAPER | ||
| شناسه دیجیتال (DOI): 10.22038/abjs.2020.50106.2485 | ||
| نویسندگان | ||
| Elie Hajouj1؛ Mohammad Reza Hadian* 2؛ Seyed Mohsen Mir1؛ Saeed Talebian1؛ Salah Ghazi1 | ||
| 1Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences (TUMS), Tehran, Iran | ||
| 2Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences (TUMS), Tehran, Iran - Brain and Spinal Cord Injury Research Center, Institute of Neuroscience, Tehran University of Medical Sciences (TUMS), Tehran, Iran | ||
| چکیده | ||
| Background: Proprioceptive training in the aquatic environment is more beneficial owing to water properties. The primary goal of the present study was to investigate the effectiveness of the incorporation of innovative aquatic proprioceptive training into conventional accelerated land-based rehabilitation protocol in knee function and joint position sense in male athletes after anterior cruciate ligamen t reconstruction (ACLR). Methods: A total of 38 athlete male athletes with ACLR were randomly assigned to two rehabilitation groups. The conventional therapy group (CT) (n=19) received conventional rehabilitation for 6 weeks, while the hydrotherapy group (HT) (n=19) received the same conventional rehabilitation, in addition to 12 sessions of innovative aquatic proprioceptive training. The outcomes included the joint position sense (JPS) errors, visual analog scale (VAS), and international knee documentation committee (IKDC). Repeated measures analysis of variance (ANOVA) was used to compare the means between the two groups. Cohen’s d from an independent t-test was used to calculate the effect sizes for all variables after the intervention for both gr oups. Results: Base on the results, there were a significant difference in absolute errors (AE) (FAE=56.231, p <0.001) and variable errors (VE) (FVE=60.245, p <0.001) between the two groups. No significant differences were detected in constant error (CE), VAS, and IKDC between the two groups (P>0.05). Both groups displayed a significant difference in terms of AE, VE, VAS, and IKDC after the intervention (p <0.05). Percent changes after the intervention for AE(69.19%), VE (68.20%), CE (65.20%), VAS37.50%, and IKDC (38.61%) were greater in the HT group, compared to the CT group. Conclusion: As evidenced by the obtained results, innovative aquatic proprioceptive training incorporate into the conventional rehabilitation accelerated protocol offers the improvement of proprioception efficiency for individuals with ACL reconstruction. Therefore, it could be useful to clinicians when designing rehabilitation protocol to ensure the optimal engagement of proprioception. Level of evidence: I | ||
| کلیدواژهها | ||
| ACL؛ Aquatic exercises؛ Anterior cruciate ligament reconstruction؛ Hydrotherapy؛ Proprioception؛ Rehabilitation؛ Sports injury | ||
| مراجع | ||
|
1. Sanders TL, Maradit Kremers H, Bryan AJ, Larson DR, Dahm DL, Levy BA, et al. Incidence of Anterior Cruciate Ligament Tears and Reconstruction: A 21- Year Population-Based Study. Am J Sports Med2016 Jun;44(6):1502-7. 2. Solomonow M, Krogsgaard M. Sensorimotor control of knee stability. A review. Scand J Med Sci Sports2001 Apr;11(2):64-80. 3. Lephart SM, Pincivero DM, Giraldo JL, Fu FH. The role of proprioception in the management and rehabilitation of athletic injuries. Am J Sports Med1997 Jan-Feb;25(1):130-7. 4. Beasley LS WD, Vidal AF, Chhabra A, Herzka AS, Feng MT, et al. Anterior cruciate ligament reconstruction: a literature review of the anatomy, biomechanics, surgical considerations, and clinical outcomes. Oper Tech Orthop2005;15: 5-19. 5. Bonfim TR, Jansen Paccola CA, Barela JA. Proprioceptive and behavior impairments in individuals with anterior cruciate ligament reconstructed knees. Arch Phys Med Rehabil2003 Aug;84(8):1217-23. 6. Barrack RLL, P.J. & Skinner, H.B. Knee joint proprioception revisited. Journal of Sports Medicine1994;3(1):18-43. 7. Riemann BL, Lephart SM. The Sensorimotor System, Part II: The Role of Proprioception in Motor Control and Functional Joint Stability. J Athl Train2002 Jan;37(1):80-4. 8. Jiang L, Wang Y, Huang W. The effect of proprioception training on knee kinematics after anterior cruciate ligament reconstruction. Research Square; 2020. 9. Becker BE. Aquatic therapy: scientific foundations and clinical rehabilitation applications. PM R2009 Sep;1(9):859-72. 10. Genuario SE, Vegso JJ. The use of a swimming pool in the rehabilitation and reconditioning of athletic injuries. Contemp Orthop1990 Apr;20(4):381-7. 11. Ross CA, Clifford A, Louw QA. Factors informing fear of reinjury after anterior cruciate ligament reconstruction. Physiother Theory Pract2017 Feb; 33(2):103-14. 12. Peultier-Celli LM, D. Wein, F. Paris, N. Boisseau, P. Ferry, A. Gueguen, R. Chary-Valckenaere, I. Paysant, J. Perrin, P. Comparison of an Innovative Rehabilitation, Combining Reduced Conventional Rehabilitation with Balneotherapy, and a Conventional Rehabilitation after Anterior Cruciate Ligament Reconstruction in Athletes. Front Surg2017;4:61. 13. Zamarioli A, Pezolato, A., Mieli, E., & Shimano, A. The significance of water rehabilitation in patients with anterior cruciate ligament reconstruction. Physiotherapy2008;16(2). 14. Momberg BL, Louw, C., & Crous, L. Accelerated hydrotherapy and land-based rehabilitation in soccer players after anterior cruciate ligament reconstruction: a series of three single subject case studies. South African Journal of Sports Medicine2008;20(4):109-14. 15. Boca IC, and Mirela Dan. The effectiveness of proprioceptive neuromuscular facilitation techniques and hidrotherapy to improve knee stability after anterior cruciate ligament reconstruction. Br J Sports Med2013;47(10 ):e3-e. 16. Tovin BJ, Wolf SL, Greenfield BH, Crouse J, Woodfin BA. Comparison of the effects of exercise in water and on land on the rehabilitation of patients with intraarticular anterior cruciate ligament reconstructions. Phys Ther1994 Aug;74(8):710-9. 17. van Grinsven SvC, R. E. Holla, C. J. van Loon, C. J. Evidence-based rehabilitation following anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc2010 Aug;18(8):1128-44. 18. Beynnon BD, Renstrom, P. A., Konradsen, L., Elmqvist, L. G., Gottlieb, D., & Dirks, M. (2000). Validation of Techniques to Measure Knee Proprioception. In S. M. Lephart & F. H. Fu (Eds.), Proprioception and Neuromuscular Control in Joint Stability (pp. 127- 138). Champaign: Human Kinetics. 19. Pawlak D, Wysota A, Furmanek M, Ficek K, Juras G. Knee joint position sense in physically active patients after ACL reconstruction. Central European Journal of Sport Sciences and Medicine2014;7(3):65-72. 20. Olsson L, H. LUND, M. HENRIKSEN,, H. ROGIND HB, B. DANNESKIOLD. Test/retest Reliability of a Knee Joint PositionSense Measurement Method in Sitting and Prone Position. Advances in Physiotherapy2004;6(1). 21. Von Korff M, Jensen MP, Karoly P. Assessing global pain severity by self-report in clinical and health services research. Spine (Phila Pa 1976)2000 Dec 15;25(24):3140-51. 22. Anderson AF, C. F. Federspiel, and R. B. Snyder. Evaluation of knee ligament rating systems. Am J Knee Surg 621993:67-73. 23. Ebrahimzadeh MHM, H. Golhasani-Keshtan, F. Rabani, S. Birjandinejad, A. The International Knee Documentation Committee (IKDC) Subjective Short Form: a validity and reliability study. Knee Surg Sports Traumatol Arthrosc2015 Nov;23(11):3163-7. 24. Geigle PR, Cheek, W. L., Gould, M. L., Hunt, H. C., and Shafiq, B. Aquatic physical therapy for balance: the interaction of somatosensory and hydrodynamic principles. The Journal of Aquatic Physical Therapy1997;5(1):4-10. 25. Benfield RD, Herman J, Katz VL, Wilson SP, Davis JM. Hydrotherapy in labor. Res Nurs Health2001 Feb;24(1):57-67. | ||
|
آمار تعداد مشاهده مقاله: 2,900 تعداد دریافت فایل اصل مقاله: 2,175 |
||