Detailed analysis of proprioception in normal and ACL-deficient knees.

We assessed proprioception using threshold levels for the perception of knee movement at slow angular velocities (0.1 degrees/s to 0.85 degrees/s) in 20 patients with unilateral tears of the anterior cruciate ligament (ACL) and 15 age-related control subjects. Failure to detect movement was also analysed. The threshold levels of detection did not differ between the damaged and undamaged knees in the patients or between the patients and the control group. Failure to appreciate movement, however, was significantly greater in knees with ACL loss compared with the undamaged knees of patients and the control group. Our findings show a proprioceptive deficit in the absence of the ACL. Measurements of threshold levels of detection of passive movement alone are not suitable for the evaluation of proprioceptive loss in ACL deficiency; assessment of failure to appreciate movement is essential.

[1]  H. Skinner,et al.  Proprioception in the anterior cruciate deficient knee , 1989, The American journal of sports medicine.

[2]  A. Lindstrand,et al.  Proprioception in the nearly extended knee. Measurements of position and movement in healthy individuals and in symptomatic anterior cruciate ligament injured patients. , 1996, Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA.

[3]  J P Corrigan,et al.  Proprioception in the cruciate deficient knee. , 1992, The Journal of bone and joint surgery. British volume.

[4]  T. Jenkinson,et al.  Joint position sense and rehabilitation in the anterior cruciate ligament deficient knee. , 1997, British journal of sports medicine.

[5]  F. Awiszus,et al.  Messung der Kniegelenkskinästhesie zur Bestimmung von Propriozeptionsdefiziten bei Varusgonarthrose , 1998, Zeitschrift für Rheumatologie.

[6]  H. Skinner,et al.  Proprioception of the knee joint. Paradoxical effect of training. , 1984, American journal of physical medicine.

[7]  J. Kennedy,et al.  Nerve supply of the human knee and its functional importance , 1982, The American journal of sports medicine.

[8]  S M Lephart,et al.  The Effects of Joint Position and Direction of Joint Motion on Proprioceptive Sensibility in Anterior Cruciate Ligament-Deficient Athletes , 1997, The American journal of sports medicine.

[9]  E. Dabezies,et al.  Neural anatomy of the human anterior cruciate ligament. , 1987, The Journal of bone and joint surgery. American volume.

[10]  D. McCloskey,et al.  Kinaesthetic signals and muscle contraction , 1992, Trends in Neurosciences.

[11]  M. Prymka,et al.  Propriozeptive Fähigkeiten im Bereich des Kniegelenks bei Patienten nach vorderer Kreuzbandruptur , 1996, Der Unfallchirurg.

[12]  D. Daniel,et al.  Assessing the limits of knee motion , 1991, The American journal of sports medicine.

[13]  J. L. Taylor,et al.  Detection of movements imposed on human hip, knee, ankle and toe joints. , 1995, The Journal of physiology.

[14]  L. Snyder-Mackler,et al.  Reflex inhibition of the quadriceps femoris muscle after injury or reconstruction of the anterior cruciate ligament. , 1994, The Journal of bone and joint surgery. American volume.

[15]  Z Dvir,et al.  Knee joint position sense following reconstruction of the anterior cruciate ligament. , 1988, The Journal of orthopaedic and sports physical therapy.

[16]  D. Burke,et al.  Does the nervous system depend on kinesthetic information to control natural limb movements , 1992 .

[17]  R. Baxendale,et al.  The effect of the hypermobility syndrome on knee joint proprioception. , 1995, British journal of rheumatology.

[18]  A. Simpson,et al.  Proprioception enhancement for anterior cruciate ligament deficiency. A prospective randomised trial of two physiotherapy regimes. , 1994, The Journal of bone and joint surgery. British volume.

[19]  D. Hedden,et al.  Proprioception in Anterior Cruciate Ligament-Deficient and Reconstructed Knees , 1996, The American journal of sports medicine.

[20]  Christopher D. Harner,et al.  Proprioception Following Anterior Cruciate Ligament Reconstruction , 1992 .

[21]  D. Newham,et al.  Arthrogenic quadriceps inhibition and rehabilitation of patients with extensive traumatic knee injuries. , 1994, Clinical science.

[22]  R. Baxendale,et al.  Knee joint proprioception: threshold detection levels in healthy young subjects , 1994 .

[23]  K. M. Singer,et al.  Long-term evaluation of knee stability and function following surgical reconstruction for anterior cruciate ligament insufficiency , 1988, The American journal of sports medicine.

[24]  R. Brand,et al.  Proprioception in the anteriorly unstable knee. , 1995, The Iowa orthopaedic journal.

[25]  L. Micheli,et al.  Mechanoreceptors in human cruciate ligaments. A histological study. , 1984, The Journal of bone and joint surgery. American volume.