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Knee Surgery, Sports Traumatology, Arthroscopy
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 7/2011

01-07-2011 | Knee

Is postural control restored following anterior cruciate ligament reconstruction? A systematic review

Authors: Brooke E. Howells, Clare L. Ardern, Kate E. Webster

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 7/2011

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Abstract

Purpose

The aim of this systematic review was to determine whether lower limb postural control is restored in patients following anterior cruciate ligament (ACL) reconstruction surgery when compared to healthy controls.

Methods

A systematic review was conducted. Electronic databases including Medline, Embase, SPORTDiscus and CINAHL were searched from the earliest possible entry to April 2010. Studies that evaluated postural control in patients following ACL reconstruction surgery with a control group using a force platform were included.

Results

Ten studies evaluating 644 participants at a mean 29 months follow-up were included in this review. In static balance tasks, there was a trend towards improved postural control in the control group for eyes-open but not eyes-closed conditions. Only four studies evaluated dynamic balance, and the results from these were somewhat mixed. Nonetheless, there was evidence to suggest impaired postural control in patients following ACL reconstruction surgery when compared to controls, particularly for more challenging tasks.

Conclusion

Although there appears to be a trend towards impaired static and dynamic postural control in patients following ACL reconstruction surgery, the limited number of studies and differing methodologies makes conclusions tentative. Deficits in dynamic tasks may be more relevant to people intending to return to sport following surgery due to the inherently dynamic nature of sport and should perhaps be the focus of future research.

Level of evidence

III.
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Metadata
Title
Is postural control restored following anterior cruciate ligament reconstruction? A systematic review
Authors
Brooke E. Howells
Clare L. Ardern
Kate E. Webster
Publication date
01-07-2011
Publisher
Springer-Verlag
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 7/2011
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-011-1444-x

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