Standing balance and inter-limb balance asymmetry at one year post primary anterior cruciate ligament reconstruction: Sex differences in a cohort study of 414 patients

Ross Clark; Stuart W Bell; Julian A Feller; Timothy S Whitehead; Kate E Webster

doi:10.1016/j.gaitpost.2016.12.016

Back

Standing balance and inter-limb balance asymmetry at one year post primary anterior cruciate ligament reconstruction: Sex differences in a cohort study of 414 patients

Journal article

Peer reviewed

Standing balance and inter-limb balance asymmetry at one year post primary anterior cruciate ligament reconstruction: Sex differences in a cohort study of 414 patients

Ross Clark, Stuart W Bell, Julian A Feller, Timothy S Whitehead and Kate E Webster

Gait & Posture, Vol.52, pp.318-324

2017

DOI: https://doi.org/10.1016/j.gaitpost.2016.12.016

Files and links (1)

url

https://doi.org/10.1016/j.gaitpost.2016.12.016View

Published Version

Abstract

ACL reconstruction

balance

Background Static standing balance can be safely assessed early following anterior cruciate ligament reconstruction (ACLR), and deficits may have important implications for long-term outcomes. This study includes a large cohort of people post-ACLR and has the primary aim of establishing whether inter-limb and sex differences exist, with a secondary aim of assessing the association between static balance variables and other outcome measures. Methods A total of 414 patients with a primary ACLR performed a 30-s static single leg balance test. Centre of pressure (COP) path length, antero-posterior (AP) and medio-lateral (ML) sway range and slow and fast speed COP path-length were examined. Additional measures included single and triple hop distance and symmetry, knee flexion range of motion, ligament laxity and the International Knee Documentation Committee (IKDC) subjective knee evaluation form. Results No significant inter-limb balance differences were present in females. Significant, yet small to negligible effect size (ES) differences were present in males for ML range (ES = 0.19), and AP and ML axis slow speed path length (ES = 0.11 and 0.23 respectively). Significant, negligible to moderate effect size (ES range = <0.01 to 0.60) sex differences were observed, with females showing reduced sway compared to males. No balance variables had associations with any other variable that were greater than weak. Discussion Our findings provide evidence that primary ACLR does not appear to negatively impact single leg standing balance on the operated limb more than the non-operated side. The lack of association with other outcome measures warrants further longitudinal examination into the utility of static standing balance assessment. © 2016 Elsevier B.V.

Details

Title: Standing balance and inter-limb balance asymmetry at one year post primary anterior cruciate ligament reconstruction: Sex differences in a cohort study of 414 patients
Authors: Ross Clark (Author) - University of the Sunshine Coast - Faculty of Science, Health, Education and Engineering
Stuart W Bell (Author) - Deakin University
Julian A Feller (Author) - Deakin University
Timothy S Whitehead (Author) - Deakin University
Kate E Webster (Author) - La Trobe University
Publication details: Gait & Posture, Vol.52, pp.318-324
Publisher: Elsevier BV
Date published: 2017
DOI: 10.1016/j.gaitpost.2016.12.016
ISSN: 0966-6362
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: 99450549302621
Output Type: Journal article

Metrics

6 File views/ downloads

629 Record Views

10 Times Cited - Web of Science

InCites Highlights

These are selected metrics from InCites Benchmarking & Analytics tool, related to this output

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