RT Journal Article
SR Electronic
T1 Proprioceptive deficits after ACL injury: are they clinically relevant?
JF British Journal of Sports Medicine
JO Br J Sports Med
FD BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine
SP 180
OP 192
DO 10.1136/bjsm.2010.082578
VO 46
IS 3
A1 Alli Gokeler
A1 Anne Benjaminse
A1 Timothy E Hewett
A1 Scott M Lephart
A1 Lars Engebretsen
A1 Eva Ageberg
A1 Martin Engelhardt
A1 Markus P Arnold
A1 Klaas Postema
A1 Egbert Otten
A1 Pieter U Dijkstra
YR 2012
UL http://bjsm.bmj.com/content/46/3/180.abstract
AB Objective To establish the clinical relevance of proprioceptive deficits reported after anterior cruciate ligament (ACL) injury. Material and methods A literature search was done in electronic databases from January 1990 to June 2009. Inclusion criteria for studies were ACL deficient (ACL-D) and ACL reconstruction (ACL-R) articles written in English, Dutch or German and calculation of correlation(s) between proprioception tests and clinical outcome measures. Clinical outcome measures were muscle strength, laxity, hop test, balance, patient-reported outcome, objective knee score rating, patient satisfaction or return to sports. Studies included in the review were assessed on their methodological quality. Results In total 1161 studies were identified of which 24 met the inclusion criteria. Pooling of all data was not possible due to substantial differences in measurement techniques and data analysis. Most studies failed to perform reliability measurements of the test device used. In general, the correlation between proprioception and laxity, balance, hop tests and patient outcome was low. Four studies reported a moderate correlation between proprioception, strength, balance or hop test. Conclusion There is limited evidence that proprioceptive deficits as detected by commonly used tests adversely affect function in ACL-D and ACL-R patients. Development of new tests to determine the relevant role of the sensorimotor system is needed. These tests should ideally be used as screening tests for primary and secondary prevention of ACL injury.