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Clinic-Based Assessment of Weight-Bearing Asymmetry During Squatting in People With Anterior Cruciate Ligament Reconstruction Using Nintendo Wii Balance Boards / Ross A. Clark in Archives of Physical Medicine and Rehabilitation, 2014/6 (2014)
Titre : Clinic-Based Assessment of Weight-Bearing Asymmetry During Squatting in People With Anterior Cruciate Ligament Reconstruction Using Nintendo Wii Balance Boards Type de document : Article Auteurs : Ross A. Clark ; Brooke Howells ; Julian Feller Article en page(s) : p. 1156-1161 Langues : Anglais (eng) Descripteurs : HE Vinci
Gonarthrose ; Rééducation et réadaptation
Mots-clés : Anterior Cruciate Ligament Ligament croisé antérieur Anterior cruciate ligament reconstruction Reconstruction du ligament croisé antérieur Osteoarthritis Knee Résumé : Objective
To use low-cost Nintendo Wii Balance Boards (NWBB) to assess weight-bearing asymmetry (WBA) in people who have undergone anterior cruciate ligament reconstruction (ACLR), and to compare their results with a matched control group.
Quantitative clinical study using a cross-sectional design.
Orthopedic clinic of a private hospital.
ACLR participants (n=41; mean age + SD, 26.0+9.8y; current Cincinnati sports activity level, 75.3+19.8) performed testing in conjunction with their routine 6- or 12-month clinical follow-up, and a control group (n=41) was matched for age, height, body mass, and physical activity level.
Participants performed double-limb squats while standing on 2 NWBBs, 1 under each foot.
Main Outcome Measures
The WBA variables mean mass difference as a percentage of body mass, time favoring a single limb by >5% body mass, absolute symmetry index, and symmetry index relative to the operated or matched control limb were derived. Mann-Whitney U tests were performed to assess between-group differences.
Significant (P<.05 increases in asymmetry the aclr group were found for all outcome measures except symmetry index relative to operated limb.> Conclusions
People who have undergone ACLR are likely to possess WBA during squats, and this can be assessed using low-cost NWBBs in a clinical setting. Interestingly, the observed asymmetry was not specific to the surgical limb. Future research is needed to assess the relationship between WBA early in the rehabilitation process and long-term outcomes.
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in Archives of Physical Medicine and Rehabilitation > 2014/6 (2014) . - p. 1156-1161[article]