Clinic-based assessment of weight-bearing asymmetry during squatting in people with anterior cruciate ligament reconstruction using nintendo wii balance boards

Ross Clark; B Howells; J Feller; T Whitehead; K E Webster

doi:10.1016/j.apmr.2014.02.024

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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

Journal article

Peer reviewed

Clinic-based assessment of weight-bearing asymmetry during squatting in people with anterior cruciate ligament reconstruction using nintendo wii balance boards

Ross Clark, B Howells, J Feller, T Whitehead and K E Webster

Archives of Physical Medicine and Rehabilitation, Vol.95(6), pp.1156-1161

2014

DOI: https://doi.org/10.1016/j.apmr.2014.02.024

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Abstract

anterior cruciate ligament

anterior cruciate ligament reconstruction

injuries

knee

osteoarthritis

rehabilitation

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. Design Quantitative clinical study using a cross-sectional design. Setting Orthopedic clinic of a private hospital. Participants 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. Interventions 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. Results Significant (P<.05) increases in asymmetry in the ACLR group were found for all outcome measures except symmetry index relative to the 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. © 2014 by the American Congress of Rehabilitation Medicine.

Details

Title: Clinic-based assessment of weight-bearing asymmetry during squatting in people with anterior cruciate ligament reconstruction using nintendo wii balance boards
Authors: Ross Clark (Author) - Australian Catholic University
B Howells (Author) - La Trobe University
J Feller (Author) - Epworth HealthCare
T Whitehead (Author) - Epworth HealthCare
K E Webster (Author) - La Trobe University
Publication details: Archives of Physical Medicine and Rehabilitation, Vol.95(6), pp.1156-1161
Publisher: W.B. Saunders Co.
Date published: 2014
DOI: 10.1016/j.apmr.2014.02.024
ISSN: 0003-9993
Organisation Unit: University of the Sunshine Coast, Queensland; School of Health and Sport Sciences - Legacy; School of Health and Behavioural Sciences - Legacy; School of Health - Public Health
Language: English
Record Identifier: 99450581602621
Output Type: Journal article

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Collaboration types: Domestic collaboration
Web Of Science research areas: Rehabilitation; Sport Sciences