The influence of functional shortening of hamstring muscles and rectus femoris muscle on proprioception of knee joint in patients after ACL rupture
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Department of Anatomy, School of Health Sciences in Katowice, Medical University of Silesia, Katowice, Poland
Fizjosport, Gliwice, Poland
The Jerzy Kukuczka Academy of Physical Education, Katowice, Poland
Audical sp. z o.o., Poland
Galen-Orthopaedics, Bierun, Poland
Ann. Acad. Med. Siles. 2018;72:95-100
The aim of this study is to demonstrate the relationship between functional shortening of the rectus femoris muscle, hamstring muscle and knee proprioception in patients after anterior cruciate ligament [ACL] rupture.

Material and methods:
A group of 35 men with ACL rupture (without ACL reconstruction), aged 18 to 43 years (28 ± 7.4 years) was enrolled in the study. Firstly, the functional shortening of above mentioned muscles was evaluated in both healthy and injured lower limbs. Knee joint proprioception was assessed using a BTE Primus RS by examining the angular deviation from the center of the kinetic range in the knee joint with and without visual inspection.

A statistically significant positive correlation was found between the functional shortening of the hamstrings and the proprioception of the flexion motion assessed under conditions without visual inspection. In addition, a statistically significant negative correlation was found between the functional shortening of the rectus femoris muscle of the injured lower limb and proprioception of the knee flexion movement assessed under conditions without visual inspection.

A deficit of knee proprioception correlates with the functional shortening of the thigh muscles. Patients with functional shortening of the rectus femoris have better knee proprioception. Patients with functional shortening of hamstrings have worse knee proprioception.

Lephart S., Fu F.H. Proprioception and Neuromuscular Control in Joint Stability. Human Kinetics. Champaign Illinois 2000.
Beard D., Kyberd P., Fergusson C., Dodd C.A. Proprioception after rupture of the anterior cruciate ligament: An objective indication of the need for surgery? J. Bone Joint Surg. 1993; 75(2): 311–315.
Evjenth O., Hamberg J. Muscle stretching in manual therapy. A Clinical Manual. Alfta Rehab. 1984.
Zembaty A. Szczegółowa metodyka badań i normy wybranych zakresów ruchów stawów skokowo-goleniowych i stopy. W: Kinezyterapia. Red. A. Zembaty. Tom I. Kasper. Kraków 2002, s. 542–546.
Arnold G., Kekkonen J. Anatomia stretchingu. Studio Astropsychologii. Wyd. I. Białystok 2010.
Bjorklund M., Hamberg J., Crenshaw A. Sensory adaptation after a 2-week stretching regimen of the rectus femoris muscle. Arch. Phys. Med. Rehabil. 2001; 82 (9): 1245–1250.
Ochi M., Iwasa J., Ucho Y., Adachi N., Sumen Y. The regeneration of sensory neurones in the reconstruction of the anterior cruciate ligament. J. Bone Joint Surg. Br. 1999; 81(5): 902–906.
Antolič V., Straž ar K., Pompe B., Pavlovcic V., Vengust R., Stanic U., Jeraj J. Increased muscle stiffness after anterior cruciate ligament reconstruction – memory on injury? Int. Orthop. 1999; 23(5): 268–270.
Kuszewski M., Saulicz E., Myśliwiec A., Knapik A., Wolny T. The role of passive stiffness of the hamstring muscles in body stability processes. Fizjoter. Pol. 2009; 9(3): 195–201.
Lee H., Cheng C., Liau J. Correlation between proprioception, muscle strength, knee laxity, and dynamic standing balance in patients with chronic anterior cruciate ligament deficiency, The Knee 2009; 16: 387–391.
Kuszewski M., Saulicz E., Gnat., Knapik H., Saulicz M., Kokosz M. Ocena skuteczności stretchingu mięśni kulszowo-goleniowych w oparciu na tzw. test dopełnienie kąta. Ann. Univ. Mariae Curie-Skłodowska. Sectio D: Medicina 2005; LX, Suppl.(272): 212–215.
Fremerey R., Lobenhoffer P., Zeichen J., Skutek M., Bosch U., Tscherne H. Proprioception after rehabilitation and reconstruction in knees with deficiency of the anterior cruciate ligament: a prospective, longitudinal study. J. Bone Joint. Surg. Br. 2000; 82(6): 801–806.
Roberts D., Friden T., Stomberg A., Lindstrand A., Moritz U. Bilateral proprioceptive defects in patients with a unilateral anterior cruciate ligament reconstruction: a comparison between patients and healthy individuals. J. Orthop. Res. 2000; 18(4): 565–571.
Markolf K., O’Neill G., Jackson S., McAllister Effects of applied quadriceps and hamstrings muscle loads on forces in the anterior and posterior cruciate ligaments. Am. J. Sport Med. 2004; 32(5); 1144–1149.
Larsen R., Lund H., Christensen R., Røgind H., Danneskiold-Samsøe B., Bliddal H. Effect of static stretching of quadriceps and hamstring muscle of knee join position sense. Br. J. Sports Med. 2005; 39(1): 43–46.
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