Article

Objective: To determine whether the ability to discriminate weights remained accurate after anterior cruciate ligament (ACL) injury. Design: Descriptive case series. Setting: Outpatient physical therapy. Participants: Convenience sample of 10 participants with unilateral ACL injuries (age, 27.1 +/- 8.2y)
and 8 healthy controls (age, 22.6 +/- 2.8y). Interventions: Not applicable. Main Outcome Measures: Weber fractions, expressed as percentage differences from the standard weight (3.00kg) that could be reliably detected (75% correct level), were derived from each leg to provide an index of proprioceptive acuity for weight discrimination. Subjective ratings of knee function (Activities of Daily Living Scale of the Knee Outcome Survey) and measurements of quadriceps strength (peak isometric torque). Results: The ACL group exhibited a reduced acuity to detect differences in weight on the injured, as compared with the uninjured, side as reflected in the increase in Weber fractions (mean, 6.7% +/- 2.3% vs 4.8% +/- 1.1%, respectively; P=.043). No such difference in acuity between legs was detected in healthy controls (mean right and left, 5.4% +/- 1.4% vs 5.7% +/- 1.3%, respectively, P=.99). Conclusions: Proprioceptive acuity for weight discrimination was significantly reduced after an ACL injury, possibly reflecting deficits in the ability to properly calibrate force signals generated while muscles are actively contracting, as a result of a loss in ligamentous sensory innervation. (c) 2005 by American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation.

Langue : ANGLAIS