Effects of knee bracing on postural control after anterior cruciate ligament rupture.
Identifieur interne : 000C05 ( Main/Curation ); précédent : 000C04; suivant : 000C06Effects of knee bracing on postural control after anterior cruciate ligament rupture.
Auteurs : Hans-Georg Palm [Allemagne] ; Florian Brattinger ; Bernd Stegmueller ; Gerhard Achatz ; Hans-Joachim Riesner ; Benedikt FriemertSource :
- The Knee [ 1873-5800 ] ; 2012.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Femelle (MeSH), Humains (MeSH), Instabilité articulaire (physiopathologie), Instabilité articulaire (thérapie), Instabilité articulaire (étiologie), Lésions du ligament croisé antérieur (MeSH), Muscles squelettiques (physiopathologie), Mâle (MeSH), Orthèses de maintien (MeSH), Phénomènes biomécaniques (MeSH), Rupture (MeSH), Traumatismes du genou (complications), Traumatismes du genou (physiopathologie), Traumatismes du genou (thérapie), Électromyographie (MeSH), Équilibre postural (physiologie), Études de suivi (MeSH).
- MESH :
- physiologie : Équilibre postural.
- physiopathologie : Instabilité articulaire, Muscles squelettiques, Traumatismes du genou.
- thérapie : Instabilité articulaire, Traumatismes du genou.
- étiologie : Instabilité articulaire.
- complications : Adulte, Femelle, Humains, Lésions du ligament croisé antérieur, Mâle, Orthèses de maintien, Phénomènes biomécaniques, Rupture, Traumatismes du genou, Électromyographie, Études de suivi.
English descriptors
- KwdEn :
- Adult (MeSH), Anterior Cruciate Ligament Injuries (MeSH), Biomechanical Phenomena (MeSH), Braces (MeSH), Electromyography (MeSH), Female (MeSH), Follow-Up Studies (MeSH), Humans (MeSH), Joint Instability (etiology), Joint Instability (physiopathology), Joint Instability (therapy), Knee Injuries (complications), Knee Injuries (physiopathology), Knee Injuries (therapy), Male (MeSH), Muscle, Skeletal (physiopathology), Postural Balance (physiology), Rupture (MeSH).
- MESH :
- complications : Knee Injuries.
- etiology : Joint Instability.
- physiology : Postural Balance.
- physiopathology : Joint Instability, Knee Injuries, Muscle, Skeletal.
- therapy : Joint Instability, Knee Injuries.
- Adult, Anterior Cruciate Ligament Injuries, Biomechanical Phenomena, Braces, Electromyography, Female, Follow-Up Studies, Humans, Male, Rupture.
Abstract
STUDY DESIGN
Randomized clinical trial.
OBJECTIVES
To investigate the effects of functional knee braces on postural control in patients with anterior cruciate ligament (ACL) rupture.
BACKGROUND
ACL rupture leads to both mechanical knee instability and deficits in proprioception. Although elastic knee braces do not increase mechanical stability, patients report improved stability when wearing a brace. Elastic braces were found to reduce the loss of proprioception. It is, however, still unclear whether they also improve postural control, which involves the processing of proprioceptive input at a higher level.
METHODS
We studied 58 patients with isolated unilateral ACL rupture using computerized dynamic posturography and compared overall stability index (OSI) scores for injured and uninjured legs with and without a knee brace. In addition, patients were classified as copers and non-copers depending on knee function.
RESULTS
Within subjects, OSI scores were 3.0 ± 1.1° for uninjured legs when unbraced, 2.8±1.3° for uninjured legs when braced (p=0.17), 3.7 ± 1.5° for unbraced injured legs, and 2.9 ± 1.3° for braced injured legs (p<0.001). For the injured legs of copers and non-copers, OSI scores were 3.4° ± 1.2° for copers and 4.0° ± 1.6° for non-copers in the unbraced condition (p=0.11) and 2.7 ± 1.0° for copers and 3.1 ± 1.4° for non-copers in the braced condition (p=0.26).
CONCLUSION
Elastic knee braces increase postural stability by approximately 22% in patients with ACL rupture. There was no difference in postural stability between uninjured and injured legs in the braced condition. One possible explanation is that bracing improves both proprioception and postural control.
DOI: 10.1016/j.knee.2011.07.011
PubMed: 21871811
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HG_Palm@yahoo.de</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Trauma Research Group, Department of Orthopedics and Trauma Surgery, German Armed Forces Hospital of Ulm, Ulm</wicri:regionArea></affiliation></author><author><name sortKey="Brattinger, Florian" sort="Brattinger, Florian" uniqKey="Brattinger F" first="Florian" last="Brattinger">Florian Brattinger</name></author><author><name sortKey="Stegmueller, Bernd" sort="Stegmueller, Bernd" uniqKey="Stegmueller B" first="Bernd" last="Stegmueller">Bernd Stegmueller</name></author><author><name sortKey="Achatz, Gerhard" sort="Achatz, Gerhard" uniqKey="Achatz G" first="Gerhard" last="Achatz">Gerhard Achatz</name></author><author><name sortKey="Riesner, Hans Joachim" sort="Riesner, Hans Joachim" uniqKey="Riesner H" first="Hans-Joachim" last="Riesner">Hans-Joachim Riesner</name></author><author><name sortKey="Friemert, Benedikt" sort="Friemert, Benedikt" uniqKey="Friemert B" first="Benedikt" last="Friemert">Benedikt Friemert</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2012">2012</date><idno type="RBID">pubmed:21871811</idno><idno type="pmid">21871811</idno><idno type="doi">10.1016/j.knee.2011.07.011</idno><idno type="wicri:Area/Main/Corpus">000C05</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000C05</idno><idno type="wicri:Area/Main/Curation">000C05</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000C05</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Effects of knee bracing on postural control after anterior cruciate ligament rupture.</title><author><name sortKey="Palm, Hans Georg" sort="Palm, Hans Georg" uniqKey="Palm H" first="Hans-Georg" last="Palm">Hans-Georg Palm</name><affiliation wicri:level="1"><nlm:affiliation>Trauma Research Group, Department of Orthopedics and Trauma Surgery, German Armed Forces Hospital of Ulm, Ulm, Germany. HG_Palm@yahoo.de</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Trauma Research Group, Department of Orthopedics and Trauma Surgery, German Armed Forces Hospital of Ulm, Ulm</wicri:regionArea></affiliation></author><author><name sortKey="Brattinger, Florian" sort="Brattinger, Florian" uniqKey="Brattinger F" first="Florian" last="Brattinger">Florian Brattinger</name></author><author><name sortKey="Stegmueller, Bernd" sort="Stegmueller, Bernd" uniqKey="Stegmueller B" first="Bernd" last="Stegmueller">Bernd Stegmueller</name></author><author><name sortKey="Achatz, Gerhard" sort="Achatz, Gerhard" uniqKey="Achatz G" first="Gerhard" last="Achatz">Gerhard Achatz</name></author><author><name sortKey="Riesner, Hans Joachim" sort="Riesner, Hans Joachim" uniqKey="Riesner H" first="Hans-Joachim" last="Riesner">Hans-Joachim Riesner</name></author><author><name sortKey="Friemert, Benedikt" sort="Friemert, Benedikt" uniqKey="Friemert B" first="Benedikt" last="Friemert">Benedikt Friemert</name></author></analytic><series><title level="j">The Knee</title><idno type="eISSN">1873-5800</idno><imprint><date when="2012" type="published">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Anterior Cruciate Ligament Injuries (MeSH)</term><term>Biomechanical Phenomena (MeSH)</term><term>Braces (MeSH)</term><term>Electromyography (MeSH)</term><term>Female (MeSH)</term><term>Follow-Up Studies (MeSH)</term><term>Humans (MeSH)</term><term>Joint Instability (etiology)</term><term>Joint Instability (physiopathology)</term><term>Joint Instability (therapy)</term><term>Knee Injuries (complications)</term><term>Knee Injuries (physiopathology)</term><term>Knee Injuries (therapy)</term><term>Male (MeSH)</term><term>Muscle, Skeletal (physiopathology)</term><term>Postural Balance (physiology)</term><term>Rupture (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Instabilité articulaire (physiopathologie)</term><term>Instabilité articulaire (thérapie)</term><term>Instabilité articulaire (étiologie)</term><term>Lésions du ligament croisé antérieur (MeSH)</term><term>Muscles squelettiques (physiopathologie)</term><term>Mâle (MeSH)</term><term>Orthèses de maintien (MeSH)</term><term>Phénomènes biomécaniques (MeSH)</term><term>Rupture (MeSH)</term><term>Traumatismes du genou (complications)</term><term>Traumatismes du genou (physiopathologie)</term><term>Traumatismes du genou (thérapie)</term><term>Électromyographie (MeSH)</term><term>Équilibre postural (physiologie)</term><term>Études de suivi (MeSH)</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Knee Injuries</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Joint Instability</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Équilibre postural</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Postural Balance</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Instabilité articulaire</term><term>Muscles squelettiques</term><term>Traumatismes du genou</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Joint Instability</term><term>Knee Injuries</term><term>Muscle, Skeletal</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Joint Instability</term><term>Knee Injuries</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Instabilité articulaire</term><term>Traumatismes du genou</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Instabilité articulaire</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Anterior Cruciate Ligament Injuries</term><term>Biomechanical Phenomena</term><term>Braces</term><term>Electromyography</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Male</term><term>Rupture</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="fr"><term>Adulte</term><term>Femelle</term><term>Humains</term><term>Lésions du ligament croisé antérieur</term><term>Mâle</term><term>Orthèses de maintien</term><term>Phénomènes biomécaniques</term><term>Rupture</term><term>Traumatismes du genou</term><term>Électromyographie</term><term>Études de suivi</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>STUDY DESIGN</b></p><p>Randomized clinical trial.</p></div><div type="abstract" xml:lang="en"><p><b>OBJECTIVES</b></p><p>To investigate the effects of functional knee braces on postural control in patients with anterior cruciate ligament (ACL) rupture.</p></div><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>ACL rupture leads to both mechanical knee instability and deficits in proprioception. Although elastic knee braces do not increase mechanical stability, patients report improved stability when wearing a brace. Elastic braces were found to reduce the loss of proprioception. It is, however, still unclear whether they also improve postural control, which involves the processing of proprioceptive input at a higher level.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>We studied 58 patients with isolated unilateral ACL rupture using computerized dynamic posturography and compared overall stability index (OSI) scores for injured and uninjured legs with and without a knee brace. In addition, patients were classified as copers and non-copers depending on knee function.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Within subjects, OSI scores were 3.0 ± 1.1° for uninjured legs when unbraced, 2.8±1.3° for uninjured legs when braced (p=0.17), 3.7 ± 1.5° for unbraced injured legs, and 2.9 ± 1.3° for braced injured legs (p<0.001). For the injured legs of copers and non-copers, OSI scores were 3.4° ± 1.2° for copers and 4.0° ± 1.6° for non-copers in the unbraced condition (p=0.11) and 2.7 ± 1.0° for copers and 3.1 ± 1.4° for non-copers in the braced condition (p=0.26).</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Elastic knee braces increase postural stability by approximately 22% in patients with ACL rupture. There was no difference in postural stability between uninjured and injured legs in the braced condition. One possible explanation is that bracing improves both proprioception and postural control.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">21871811</PMID><DateCompleted><Year>2013</Year><Month>01</Month><Day>22</Day></DateCompleted><DateRevised><Year>2016</Year><Month>11</Month><Day>25</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1873-5800</ISSN><JournalIssue CitedMedium="Internet"><Volume>19</Volume><Issue>5</Issue><PubDate><Year>2012</Year><Month>Oct</Month></PubDate></JournalIssue><Title>The Knee</Title><ISOAbbreviation>Knee</ISOAbbreviation></Journal><ArticleTitle>Effects of knee bracing on postural control after anterior cruciate ligament rupture.</ArticleTitle><Pagination><MedlinePgn>664-71</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.knee.2011.07.011</ELocationID><Abstract><AbstractText Label="STUDY DESIGN" NlmCategory="METHODS">Randomized clinical trial.</AbstractText><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">To investigate the effects of functional knee braces on postural control in patients with anterior cruciate ligament (ACL) rupture.</AbstractText><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">ACL rupture leads to both mechanical knee instability and deficits in proprioception. Although elastic knee braces do not increase mechanical stability, patients report improved stability when wearing a brace. Elastic braces were found to reduce the loss of proprioception. It is, however, still unclear whether they also improve postural control, which involves the processing of proprioceptive input at a higher level.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">We studied 58 patients with isolated unilateral ACL rupture using computerized dynamic posturography and compared overall stability index (OSI) scores for injured and uninjured legs with and without a knee brace. In addition, patients were classified as copers and non-copers depending on knee function.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Within subjects, OSI scores were 3.0 ± 1.1° for uninjured legs when unbraced, 2.8±1.3° for uninjured legs when braced (p=0.17), 3.7 ± 1.5° for unbraced injured legs, and 2.9 ± 1.3° for braced injured legs (p<0.001). For the injured legs of copers and non-copers, OSI scores were 3.4° ± 1.2° for copers and 4.0° ± 1.6° for non-copers in the unbraced condition (p=0.11) and 2.7 ± 1.0° for copers and 3.1 ± 1.4° for non-copers in the braced condition (p=0.26).</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Elastic knee braces increase postural stability by approximately 22% in patients with ACL rupture. There was no difference in postural stability between uninjured and injured legs in the braced condition. One possible explanation is that bracing improves both proprioception and postural control.</AbstractText><CopyrightInformation>Copyright © 2011 Elsevier B.V. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Palm</LastName><ForeName>Hans-Georg</ForeName><Initials>HG</Initials><AffiliationInfo><Affiliation>Trauma Research Group, Department of Orthopedics and Trauma Surgery, German Armed Forces Hospital of Ulm, Ulm, Germany. HG_Palm@yahoo.de</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Brattinger</LastName><ForeName>Florian</ForeName><Initials>F</Initials></Author><Author ValidYN="Y"><LastName>Stegmueller</LastName><ForeName>Bernd</ForeName><Initials>B</Initials></Author><Author ValidYN="Y"><LastName>Achatz</LastName><ForeName>Gerhard</ForeName><Initials>G</Initials></Author><Author ValidYN="Y"><LastName>Riesner</LastName><ForeName>Hans-Joachim</ForeName><Initials>HJ</Initials></Author><Author ValidYN="Y"><LastName>Friemert</LastName><ForeName>Benedikt</ForeName><Initials>B</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016449">Randomized Controlled Trial</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2011</Year><Month>08</Month><Day>25</Day></ArticleDate></Article><MedlineJournalInfo><Country>Netherlands</Country><MedlineTA>Knee</MedlineTA><NlmUniqueID>9430798</NlmUniqueID><ISSNLinking>0968-0160</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000070598" MajorTopicYN="Y">Anterior Cruciate Ligament Injuries</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001696" MajorTopicYN="N">Biomechanical Phenomena</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001915" MajorTopicYN="Y">Braces</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004576" MajorTopicYN="N">Electromyography</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007593" MajorTopicYN="N">Joint Instability</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007718" MajorTopicYN="N">Knee Injuries</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018482" MajorTopicYN="N">Muscle, Skeletal</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004856" MajorTopicYN="N">Postural Balance</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012421" MajorTopicYN="N">Rupture</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2011</Year><Month>05</Month><Day>05</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2011</Year><Month>07</Month><Day>21</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2011</Year><Month>07</Month><Day>29</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2011</Year><Month>8</Month><Day>30</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2011</Year><Month>8</Month><Day>30</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2013</Year><Month>1</Month><Day>23</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">21871811</ArticleId><ArticleId IdType="pii">S0968-0160(11)00133-5</ArticleId><ArticleId IdType="doi">10.1016/j.knee.2011.07.011</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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