head JofIMAB
Journal of IMAB
Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2024, vol. 30, issue2
Subject Area: Public Health
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DOI: 10.5272/jimab.2024302.5593
Published online: 26 June 2024

Original article
J of IMAB. 2024 Apr-Jun;30(2):5593-5596
SENSORIMOTOR STIMULATION AFTER ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION
David Kantchev1ORCID logo, Gergana Nenova2ORCID logoCorresponding Autoremail, Mina Ivelinova3ORCID logo, Nadya Manova1ORCID logo, Konstantin Dobrev1ORCID logo,
1) Department of Physiotherapy, Faculty of Public Health, Medical University of Sofia, Bulgaria.
2) Department of Kinesitherapy, Faculty of Public Health, Medical University - Varna, Bulgaria.
3) Specialty "Medicine", Faculty of Medicine, Medical University - Varna, Bulgaria.

ABSTRACT:
Introduction: postural balance is a concept that refers to the body's ability to maintain its center of gravity while relying on a support area.
Purpose: to develop and implement a combined physiotherapy programme with sensorimotor exercises and to monitor its effectiveness after anterior cruciate ligament reconstruction.
Material and methods:
Material: 15 men (mean age 25.16) were observed after anterior cruciate ligament reconstruction. They underwent a physiotherapy programme combined with additional exercises for sensorimotor stimulation. The sensorimotor stimulation exercises were specifically tailored to overcome muscle imbalance and pathological proprioceptive information from the operated knee joint. 
Methods: Functional methods include lower extremity centimetry, range of motion in the knee joint, manual muscle testing, static and dynamic balance tests, and postural control tests. Statistical methods: statistical data grouping; Cronbach's test; descriptive method; statistical hypotheses testing; correlation analysis. The data was processed with SPSS v.24.0 for Windows.
Results: according to the literature, the main cause of impaired proprioception and mechanoreception is the loss of mechanoreceptive afferency due to tissue damage in the knee joint. This requires an income of sensory information from neighboring healthy structures. The inclusion of sensorimotor exercises helps build new motor skills, activity, and regulation that require peripheral stimuli. The results from the static and dynamic portions of the test show the possibility of restoring impaired sensorimotor information.
Conclusion: the combination of classic physiotherapy and sensorimotor stimulation influences the support and motor function of the lower extremities.

Keywords: surgical treatment, anterior cruciate ligament, physiotherapy, sensorimotor stimulation,

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Please cite this article as: Kantchev D, Nenova G, Ivelinova M, Manova N, Dobrev K. Sensorimotor Stimulation After Anterior Cruciate Ligament Reconstruction. J of IMAB. 2024 Apr-Jun;30(2):5593-5596. [Crossref - 10.5272/jimab.2024302.5593]

Corresponding AutorCorrespondence to: Gergana Boncheva Nenova, Department of Kinesitherapy, Faculty of Public Health, Medical University – Varna; 1, Hristo Smirnenski Str., 9002 Varna, Bulgaria; E-mail: geri_nenova@yahoo.com

REFERENCES:
1. Musselman KE, Unger J, Lemay JF. Chapter 16 - Assessment of postural control after spinal cord injury or disease: A narrative review. In: Diagnosis and Treatment of Spinal Cord Injury. Section C: Diagnosis and evaluation.The Neuroscience of Spinal Cord Injury. 2022; 199-213. [Crossref ]
2. Jahn K, Wühr M. 6.24 - Postural Control Mechanisms in Mammals, Including Humans. The Senses: A Comprehensive Reference (Second Edition). 2020; 6:344-370. [Crossref]
3.Kim HJ, Lee JH, Lee DH. Proprioception in Patients With Anterior Cruciate Ligament Tears: A Meta-analysis Comparing Injured and Uninjured Limbs. Am J Sports Med. 2017 Jan;45(12):2916–22. [PubMed]
4. Kanchev D, Nenova G, Ivelinova M, Popova D. Improvement of Postural Function of the Lower Extremity after Total Hip Replacement. J of IMAB. 2023 Apr-Jun;29(2):4920-4923. [Crossref]
5. Kanchev D. [Possibilties for application of a combined test to assess the posture, dynamic balance and posture control after a reconstruction of the anterior cruciate ligament.] Physiotherpy. 2016; 15(3-4):8-12. [in Bulgarian]
6. Akbari A, Ghiasi F, Mir M, Hosseinifar M. The Effects of Balance Training on Static and Dynamic Postural Stability Indices After Acute ACL Reconstruction. Glob J Health Sci. 2015 Jul 31;8(4):68-81. [PubMed]

Received: 06 March 2024
Published online: 26 June 2024

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