Equilibrio en postura de solo una pierna en pacientes con lesión del ligamento.

"Equilibrio en la postura de una solo pierna en pacientes con lesión del ligamento anterior cruzado."

Eva Ageberg, RPT, PhD*,,, David Roberts, MD, PhD, Eva Holmström, RPT, PhD and Thomas Fridén, MD, PhD

From the Departments of Rehabilitation and Orthopedics, Lund University Hospital, Lund, Sweden, and the Department of Physical Therapy, Lund University, Lund, Sweden

Background: It has been shown previously that an anterior cruciate ligament injury may affect postural control, measured by balance in single-limb stance. To our knowledge, no studies have reported the influence of measures of impairment on postural control after such an injury.

Purpose: To assess the influence of knee laxity, proprioception, and muscle strength on balance in single-limb stance and to study the correlation between balance in single-limb stance and subjective estimation of extremity function.

Study Design: Cross-sectional study; Level of evidence, 3.

Methods: A total of 36 patients with a unilateral, nonoperated, nonacute anterior cruciate ligament injury were examined with regard to anterior knee laxity, proprioception, muscle strength, and stabilometry (amplitude and average speed of the center of pressure movements). Subjective estimation of extremity function was measured on a visual analog scale.

Results: The multiple regression analysis showed that high knee laxity values were associated with high amplitude values and low average speed. Poor proprioception and high muscle strength values were associated with low average speed among the women only. Low amplitude values correlated with better subjective function.

Conclusion: Anterior knee laxity, proprioception, and muscle strength seem to play a role in maintaining balance in single-limb stance. Patients with low amplitude values in stabilometry were those with better subjective function.

The American Journal of Sports Medicine 33:1527-1535 (2005).