Static and Dynamic Balance Comparison Between the Involved and Uninvolved Sides in Patients Who had Anterior Cruciate Ligament Reconstruction: One-year Follow-up Study
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Background: Anterior cruciate ligament reconstruction (ACLR) causes a reduction in the balance of the lower extremities. Static and dynamic balance were evaluated separately to confirm the decrease in balance in patients underwent ACLR. The commonly used methods include the Biodex Balance System (BBS) for static balance and the Y balance test (YBT) for dynamic balance. No study has evaluated whether the static and dynamic balance of the involved side recovers as much as the uninvolved side one year after ACLR. Objects: The purpose of this study was to investigate the recovery of static and dynamic balance between the involved and the uninvolved sides. Methods: The BBS (overall, anteroposterior index, and mediolateral index) and YBT (anterior, posterolateral, and posteromedial) of 58 patients underwent ACLR were measured one year postoperation. Both sides of the BBS and the YBT were compared using the paired t-test. Results: All the index of the BBS showed no difference between the involved and the uninvolved sides, while all the scores of the YBT showed a significant difference in both sides. The YBT anterior result was 54.64 ± 5.62 cm in the involved side and 56.90 ± 5.41 cm in the uninvolved side (p = 0.001). The YBT posterolateral results were 90.12 ± 10.51 cm and 92.34 ± 9.85 cm (p = 0.013). The YBT posteromedial results were 93.72 ± 8.84 cm and 96.14 ± 9.37 cm (p = 0.002). Conclusion: A year after ACLR, the static balance showed no difference, while the dynamic balance showed a significant difference in the involved and the uninvolved sides. The static balance of the involved side recovered as much as the uninvolved side, but the dynamic balance did not. Therefore, dynamic balance training should be considered in the rehabilitation program for patients underwent ACLR.
Abstract
Background: Anterior cruciate ligament reconstruction (ACLR) causes a reduction in the balance of the lower extremities. Static and dynamic balance were evaluated separately to confirm the decrease in balance in patients underwent ACLR. The commonly used methods include the Biodex Balance System (BBS) for static balance and the Y balance test (YBT) for dynamic balance. No study has evaluated whether the static and dynamic balance of the involved side recovers as much as the uninvolved side one year after ACLR. Objects: The purpose of this study was to investigate the recovery of static and dynamic balance between the involved and the uninvolved sides. Methods: The BBS (overall, anteroposterior index, and mediolateral index) and YBT (anterior, posterolateral, and posteromedial) of 58 patients underwent ACLR were measured one year postoperation. Both sides of the BBS and the YBT were compared using the paired t-test. Results: All the index of the BBS showed no difference between the involved and the uninvolved sides, while all the scores of the YBT showed a significant difference in both sides. The YBT anterior result was 54.64 ± 5.62 cm in the involved side and 56.90 ± 5.41 cm in the uninvolved side (p = 0.001). The YBT posterolateral results were 90.12 ± 10.51 cm and 92.34 ± 9.85 cm (p = 0.013). The YBT posteromedial results were 93.72 ± 8.84 cm and 96.14 ± 9.37 cm (p = 0.002). Conclusion: A year after ACLR, the static balance showed no difference, while the dynamic balance showed a significant difference in the involved and the uninvolved sides. The static balance of the involved side recovered as much as the uninvolved side, but the dynamic balance did not. Therefore, dynamic balance training should be considered in the rehabilitation program for patients underwent ACLR.
참고문헌 (26)
- Barber-Westin SD, "Factors used to determine return to unrestricted sports activities after anterior cruciate ligament reconstruction", Arthroscopy, 27(12), pp.1697~1705 (2011)
- Mattacola CG, "Strength, functional outcome, and postural stability after anterior cruciate ligament reconstruction", J Athl Train, 37(3), pp.262~268 (2002)
- Chung KS, "Does synovialization after anterior cruciate ligament reconstruction have a positive effect on functional performance, outcomes scores, stability and muscle strength? A 2-year follow-up study after reconstruction", Arch Orthop Trauma Surg, 137(12), pp.1725~1733 (2017)
- Bonfim TR, "Proprioceptive and behavior impairments in individuals with anterior cruciate ligament reconstructed knees", Arch Phys Med Rehabil, 84(8), pp.1217~1223 (2003)
- Fitzgerald GK, "Hop tests as predictors of dynamic knee stability", J Orthop Sports Phys Ther, 31(10), pp.588~597 (2001)
- Risberg MA, "Neuromuscular training versus strength training during first 6 months after anterior cruciate ligament reconstruction : a randomized clinical trial", Phys Ther, 87(6), pp.737~750 (2007)
- Almeida GPL, "Y balance test has no correlation with the Stability Index of the Biodex Balance System", Musculoskelet Sci Pract, 27, pp.1~6 (2017)
- Chen TH, "Effectiveness of a heel cup with an arch support insole on the standing balance of the elderly", Clin Interv Aging, 9, pp.351~356 (2014)
- Akbari A, "The effects of balance training on static and dynamic postural stability indices after acute ACL reconstruction", Glob J Health Sci, 8(4), pp.68~81 (2015)
- Alonso AC, "Evaluating the center of gravity of dislocations in soccer players with and without reconstruction of the anterior cruciate ligament using a balance platform", Clinics(Sao Paulo), 64(3), pp.163~170 (2009)
- Cooper RL, "A randomised controlled trial of proprioceptive and balance training after surgical reconstruction of the anterior cruciate ligament", Res Sports Med, 13(3), pp.217~230 (2005)
- Mohammadirad S, "Intra and intersession reliability of a postural control protocol in athletes with and without anterior cruciate ligament reconstruction : a dual-task paradigm", Int J Sports Phys Ther, 7(6), pp.627~636 (2012)
- Overmoyer GV, "Relationships between lowerextremity flexibility, asymmetries, and the Y balance test", J Strength Cond Res, 29(5), pp.1240~1247 (2015)
- Akhbari B, "Intraand inter-session reliability of static and dynamic postural control in participants with and without patellofemoral pain syndrome", Physiother Can, 67(3), pp.248~253 (2015)
- Myers H, "Relationship between the lower quarter Y-balance test scores and isokinetic strength testing in patients status post ACL reconstruction", Int J Sports Phys Ther, 13(2), pp.152~159 (2018)
- Yamada RK, "The effects of one-half of a soccer match on the postural stability and functional capacity of the lower limbs in young soccer players", Clinics(Sao Paulo), 67(12), pp.1361~1364 (2012)
- Benis R, "Elite female basketball players'body-weight neuromuscular training and performance on the Y-balance test", J Athl Train, 51(9), pp.688~695 (2016)
- Linek P, "Reliability and number of trials of Y balance test in adolescent athletes", Musculoskelet Sci Pract, 31, pp.72~75 (2017)
- Arifin N, "Intrarater test-retest reliability of static and dynamic stability indexes measurement using the Biodex Stability System during unilateral stance", J Appl Biomech, 30(2), pp.300~304 (2014)
- Shaffer SW, "Y-balance test : a reliability study involving multiple raters", Mil Med, 178(11), pp.1264~1270 (2013)
- Testerman C, "Evaluation of ankle instability using the Biodex Stability System", Foot Ankle Int, 20(5), pp.317~321 (1999)
- Sherafat S, "Intrasession and intersession reliability of postural control in participants with and without nonspecific low back pain using the Biodex Balance System", J Manipulative Physiol Ther, 36(2), pp.111~118 (2013)
- Henriksson M, "Postural control after anterior cruciate ligament reconstruction and functional rehabilitation", Am J Sports Med, 29(3), pp.359~366 (2001)
- Kim JG, "The effects of hamstring harvesting on outcomes in anterior cruciate ligament-reconstructed patients: a comparative study between hamstring-harvested and -unharvested patients", Arthroscopy, 27(9), pp.1226~1234 (2011)
- Choi JY, "Relationships among tendon regeneration on MRI, flexor strength, and functional performance after anterior cruciate ligament reconstruction with hamstring autograft", Am J Sports Med, 40(1), pp.152~162 (2012)
- Gonell AC, "Relationship between the Y balance test scores and soft tissue injury incidence in a soccer team", Int J Sports Phys Ther, 10(7), pp.955~966 (2015)