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Postural orientation in subjects with anterior cruciate ligament injury: development and first evaluation of a new observational test battery.

Trulsson, Anna LU ; Garwicz, Martin LU and Ageberg, Eva LU (2010) In Knee Surgery, Sports Traumatology, Arthroscopy 18(6). p.814-823
Abstract
Anterior cruciate ligament (ACL) injury is associated with mechanical instability and defective neuromuscular function, and can lead to further injury, increased joint loading and osteoarthritis. Patients with ACL injury demonstrate altered postural orientation, manifested as observable "substitution patterns" (SPs) but no one has applied a clinically useful method to systematically study postural orientation in these patients. Here, we investigated the presence of such patterns in 24 adults with ACL injury and in 49 controls, in parallel with the development and a first evaluation of a new test battery, test for SPs. The rationale behind the test for SPs was to characterize postural orientation as the ability to maintain appropriate... (More)
Anterior cruciate ligament (ACL) injury is associated with mechanical instability and defective neuromuscular function, and can lead to further injury, increased joint loading and osteoarthritis. Patients with ACL injury demonstrate altered postural orientation, manifested as observable "substitution patterns" (SPs) but no one has applied a clinically useful method to systematically study postural orientation in these patients. Here, we investigated the presence of such patterns in 24 adults with ACL injury and in 49 controls, in parallel with the development and a first evaluation of a new test battery, test for SPs. The rationale behind the test for SPs was to characterize postural orientation as the ability to maintain appropriate relationships between body segments and environment during weight-bearing movements. In this first study, patients displayed SPs more frequently and/or more clearly on their injured, but also their uninjured side than did controls. Inter-rater and intra-rater reproducibility was good at a group level. Future studies of validity, responsiveness and including other subgroups of patients with ACL injury will have to prove if the test for SPs can be used in the diagnostics of defective neuromuscular function following knee injury, when planning and carrying out training and rehabilitation and when deciding appropriate time to return to activity and sports after ACL injury. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Knee Surgery, Sports Traumatology, Arthroscopy
volume
18
issue
6
pages
814 - 823
publisher
Springer
external identifiers
  • wos:000277789600021
  • pmid:19851755
  • scopus:77952548351
ISSN
1433-7347
DOI
10.1007/s00167-009-0959-x
language
English
LU publication?
yes
id
2cd47cba-5dbd-47ae-9cfd-801d03c80d5a (old id 1500050)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/19851755?dopt=Abstract
date added to LUP
2009-11-03 13:20:46
date last changed
2018-05-29 12:18:51
@article{2cd47cba-5dbd-47ae-9cfd-801d03c80d5a,
  abstract     = {Anterior cruciate ligament (ACL) injury is associated with mechanical instability and defective neuromuscular function, and can lead to further injury, increased joint loading and osteoarthritis. Patients with ACL injury demonstrate altered postural orientation, manifested as observable "substitution patterns" (SPs) but no one has applied a clinically useful method to systematically study postural orientation in these patients. Here, we investigated the presence of such patterns in 24 adults with ACL injury and in 49 controls, in parallel with the development and a first evaluation of a new test battery, test for SPs. The rationale behind the test for SPs was to characterize postural orientation as the ability to maintain appropriate relationships between body segments and environment during weight-bearing movements. In this first study, patients displayed SPs more frequently and/or more clearly on their injured, but also their uninjured side than did controls. Inter-rater and intra-rater reproducibility was good at a group level. Future studies of validity, responsiveness and including other subgroups of patients with ACL injury will have to prove if the test for SPs can be used in the diagnostics of defective neuromuscular function following knee injury, when planning and carrying out training and rehabilitation and when deciding appropriate time to return to activity and sports after ACL injury.},
  author       = {Trulsson, Anna and Garwicz, Martin and Ageberg, Eva},
  issn         = {1433-7347},
  language     = {eng},
  number       = {6},
  pages        = {814--823},
  publisher    = {Springer},
  series       = {Knee Surgery, Sports Traumatology, Arthroscopy},
  title        = {Postural orientation in subjects with anterior cruciate ligament injury: development and first evaluation of a new observational test battery.},
  url          = {http://dx.doi.org/10.1007/s00167-009-0959-x},
  volume       = {18},
  year         = {2010},
}