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Original Articles • Rev. bras. ortop. 49 (6) • Nov-Dec 2014 • https://doi.org/10.1016/j.rboe.2014.10.007   copy

Proprioceptive deficit in patients with complete tearing of the anterior cruciate ligament☆ ☆ Please cite this article as: Godinho P, Nicoliche E, Cossich V, de Sousa EB, Velasques B, Salles JI. Déficit proprioceptivo em pacientes com ruptura total do ligamento cruzado anterior. Rev Bras Ortop. 2014;49:613–618. ☆☆ ☆☆ Work developed in the Research Division of the Neuromuscular Research Laboratory, National Institute of Traumatology and Orthopedics (INTO), Rio de Janeiro, RJ, Brazil.

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Objective:

To investigate the existence of proprioceptive deficits between the injured limb and the uninjured (i.e. contralateral normal) limb, in individuals who suffered complete tearing of the anterior cruciate ligament (ACL), using a strength reproduction test.

Methods:

Sixteen patients with complete tearing of the ACL participated in the study. A voluntary maximum isometric strength test was performed, with reproduction of the muscle strength in the limb with complete tearing of the ACL and the healthy contralateral limb, with the knee flexed at 60°. The meta-intensity was used for the procedure of 20% of the voluntary maximum isometric strength. The proprioceptive performance was determined by means of absolute error, variable error and constant error values.

Results:

Significant differences were found between the control group and ACL group for the variables of absolute error (p = 0.05) and constant error (p = 0.01). No difference was found in relation to variable error (p = 0.83).

Conclusion:

Our data corroborate the hypothesis that there is a proprioceptive deficit in subjects with complete tearing of the ACL in an injured limb, in comparison with the uninjured limb, during evaluation of the sense of strength. This deficit can be explained in terms of partial or total loss of the mechanoreceptors of the ACL.

Anterior cruciate ligament; Proprioception; Knee

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