Static and Dynamic Balance Comparison Between the Involved and Uninvolved Sides in Patients Who had Anterior Cruciate Ligament Reconstruction: Oneyear Follow-up Study

Background: Anterior cruciate ligament reconstruction (ACLR) causes a reduction in the balance of the lower extremities. Static and dynamic balance were evaluated separately to confirm the decrease in balance in patients underwent ACLR. The commonly used methods include the Biodex Balance System...

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Main Authors: Jin-seong Kim, Moon-young Choi, Doo-hwan Kong, Kyu-sung Chung, Ui-jae Hwang, Oh-yun Kwon
Format: Article
Language:English
Published: Korean Research Society of Physical Therapy 2020-11-01
Series:Physical Therapy Korea
Subjects:
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author Jin-seong Kim
Moon-young Choi
Doo-hwan Kong
Kyu-sung Chung
Ui-jae Hwang
Oh-yun Kwon
author_facet Jin-seong Kim
Moon-young Choi
Doo-hwan Kong
Kyu-sung Chung
Ui-jae Hwang
Oh-yun Kwon
author_sort Jin-seong Kim
collection DOAJ
description Background: Anterior cruciate ligament reconstruction (ACLR) causes a reduction in the balance of the lower extremities. Static and dynamic balance were evaluated separately to confirm the decrease in balance in patients underwent ACLR. The commonly used methods include the Biodex Balance System (BBS) for static balance and the Y balance test (YBT) for dynamic balance. No study has evaluated whether the static and dynamic balance of the involved side recovers as much as the uninvolved side one year after ACLR. Objects: The purpose of this study was to investigate the recovery of static and dynamic balance between the involved and the uninvolved sides. Methods: The BBS (overall, anteroposterior index, and mediolateral index) and YBT (anterior, posterolateral, and posteromedial) of 58 patients underwent ACLR were measured one year postoperation. Both sides of the BBS and the YBT were compared using the paired t-test. Results: All the index of the BBS showed no difference between the involved and the uninvolved sides, while all the scores of the YBT showed a significant difference in both sides. The YBT anterior result was 54.64 ± 5.62 cm in the involved side and 56.90 ± 5.41 cm in the uninvolved side (p = 0.001). The YBT posterolateral results were 90.12 ± 10.51 cm and 92.34 ± 9.85 cm (p = 0.013). The YBT posteromedial results were 93.72 ± 8.84 cm and 96.14 ± 9.37 cm (p = 0.002). Conclusion: A year after ACLR, the static balance showed no difference, while the dynamic balance showed a significant difference in the involved and the uninvolved sides. The static balance of the involved side recovered as much as the uninvolved side, but the dynamic balance did not. Therefore, dynamic balance training should be considered in the rehabilitation program for patients underwent ACLR.
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spelling doaj.art-318f9eef04644030a0efec953a394bcb2024-04-05T03:15:25ZengKorean Research Society of Physical TherapyPhysical Therapy Korea1225-89622287-982X2020-11-0127428629110.12674/ptk.2020.27.4.286Static and Dynamic Balance Comparison Between the Involved and Uninvolved Sides in Patients Who had Anterior Cruciate Ligament Reconstruction: Oneyear Follow-up StudyJin-seong Kim0https://orcid.org/0000-0002-6960-3593Moon-young Choi1https://orcid.org/0000-0002-1381-1166Doo-hwan Kong2https://orcid.org/0000-0002-8140-9937Kyu-sung Chung3https://orcid.org/0000-0002-2378-0359Ui-jae Hwang4https://orcid.org/0000-0002-2050-5503Oh-yun Kwon5https://orcid.org/0000-0002-9699-768XSports Medical Center, Seoul Paik Hospital, Inje University College of Medicine, Seoul, KoreaSports Medical Center, Seoul Paik Hospital, Inje University College of Medicine, Seoul, KoreaSports Medical Center, Seoul Paik Hospital, Inje University College of Medicine, Seoul, KoreaDepartment of Orthopedic Surgery, Seoul Paik Hospital, Inje University College of Medicine, Seoul, KoreaDepartment of Physical Therapy, College of Health Science, Yonsei University, Wonju, KoreaDepartment of Physical Therapy, College of Health Science, Yonsei University, Wonju, KoreaBackground: Anterior cruciate ligament reconstruction (ACLR) causes a reduction in the balance of the lower extremities. Static and dynamic balance were evaluated separately to confirm the decrease in balance in patients underwent ACLR. The commonly used methods include the Biodex Balance System (BBS) for static balance and the Y balance test (YBT) for dynamic balance. No study has evaluated whether the static and dynamic balance of the involved side recovers as much as the uninvolved side one year after ACLR. Objects: The purpose of this study was to investigate the recovery of static and dynamic balance between the involved and the uninvolved sides. Methods: The BBS (overall, anteroposterior index, and mediolateral index) and YBT (anterior, posterolateral, and posteromedial) of 58 patients underwent ACLR were measured one year postoperation. Both sides of the BBS and the YBT were compared using the paired t-test. Results: All the index of the BBS showed no difference between the involved and the uninvolved sides, while all the scores of the YBT showed a significant difference in both sides. The YBT anterior result was 54.64 ± 5.62 cm in the involved side and 56.90 ± 5.41 cm in the uninvolved side (p = 0.001). The YBT posterolateral results were 90.12 ± 10.51 cm and 92.34 ± 9.85 cm (p = 0.013). The YBT posteromedial results were 93.72 ± 8.84 cm and 96.14 ± 9.37 cm (p = 0.002). Conclusion: A year after ACLR, the static balance showed no difference, while the dynamic balance showed a significant difference in the involved and the uninvolved sides. The static balance of the involved side recovered as much as the uninvolved side, but the dynamic balance did not. Therefore, dynamic balance training should be considered in the rehabilitation program for patients underwent ACLR.anterior cruciate ligament reconstructionlower extremitypostural balance
spellingShingle Jin-seong Kim
Moon-young Choi
Doo-hwan Kong
Kyu-sung Chung
Ui-jae Hwang
Oh-yun Kwon
Static and Dynamic Balance Comparison Between the Involved and Uninvolved Sides in Patients Who had Anterior Cruciate Ligament Reconstruction: Oneyear Follow-up Study
Physical Therapy Korea
anterior cruciate ligament reconstruction
lower extremity
postural balance
title Static and Dynamic Balance Comparison Between the Involved and Uninvolved Sides in Patients Who had Anterior Cruciate Ligament Reconstruction: Oneyear Follow-up Study
title_full Static and Dynamic Balance Comparison Between the Involved and Uninvolved Sides in Patients Who had Anterior Cruciate Ligament Reconstruction: Oneyear Follow-up Study
title_fullStr Static and Dynamic Balance Comparison Between the Involved and Uninvolved Sides in Patients Who had Anterior Cruciate Ligament Reconstruction: Oneyear Follow-up Study
title_full_unstemmed Static and Dynamic Balance Comparison Between the Involved and Uninvolved Sides in Patients Who had Anterior Cruciate Ligament Reconstruction: Oneyear Follow-up Study
title_short Static and Dynamic Balance Comparison Between the Involved and Uninvolved Sides in Patients Who had Anterior Cruciate Ligament Reconstruction: Oneyear Follow-up Study
title_sort static and dynamic balance comparison between the involved and uninvolved sides in patients who had anterior cruciate ligament reconstruction oneyear follow up study
topic anterior cruciate ligament reconstruction
lower extremity
postural balance
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