Paper Information

Title: 

THE EVALUATION OF KNEE POSITION SENSE FOLLOWING A.C.L-RECONSTRACTION UNDER THE EFFECTS OF SHORT DURATION USAGE OF SOFT AND RIGID NEOPRENE KNEE SLEEVES

Type: POSTER
Author(s): MOHAMMADIASL J.*,KAHRIZI S.,EBRAHIMI TAKAMJANI E.,FAGHIHZADEH S.
 
 *SCHOOL OF MEDICINE, TARBIAT MODARES UNIVERSITY
 
Name of Seminar: IRANIAN CONGRESS OF PHYSIOLOGY AND PHARMACOLOGY
Type of Seminar:  CONGRESS
Sponsor:  PHYSIOLOGY AND PHARMACOLOGY SOCIETY, MASHHAD UNIVERSITY OF MEDICAL SCIENCE
Date:  2007Volume 18
 
 
Abstract: 

Introduction: Several studies have shown that patient after ACL rupture display decreased proprioception and to some extent this problem remains even after reconstruction. Application of knee sleeves is one of the ways to improve proprioception. The primary objective of this study was to compare the effect of two types of neoprene knee sleeve (soft or support & rigid or stabilizer) on knee joint position sense after A.C.L-Reconstruction.
Methods and Materials: Joint position sense was assessed by electro-goniometry with accuracy 0.1 using active joint angle replication test during open kinetic chain in sitting position. The starting position was 90 knee flexion and several target angles, flexion 30, 45, and 60, were used. Eleven subjects (mean age 30±7 yr) having undergone unilateral A.C.L-Reconstruction were tested after 30 sessions of physical therapy before wearing neoprene knee sleeve, after 30 minutes of neoprene knee sleeve wear, and finally after removal of the knee sleeve on involved knee. These tests performed in separate occasions within 24 hours apart; with soft neoprene knee sleeve (support), with rigid neoprene knee sleeve (stabilizer) and without neoprene knee sleeve (control test). The absolute difference between the target and reproduced angles, average over the five attempts, was calculated in 3 occasions.
Results: The results have shown that, rigid neoprene knee sleeve (stabilizer) significantly improved knee joint position sense on 30؛ of knee flexion in involved limb during the entire interval of their use (p<0.05). This improvement in knee joint position sense was lost when the rigid neoprene knee sleeve (stabilizer) was removed.
Conclusion: It was concluded that for subjects with ACL-reconstruction application of a neoprene knee sleeve in knee rehabilitation program can used due to improve joint position sense, joint stability and reducing edema. Rigid neoprene knee sleeve (stabilizer), could stimulate deep layer skin receptors and then significantly improved knee joint position sense on 30 of knee flexion.

 
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