Assessment of active stabilizators in capsular-ligamentous injuries of knee joint

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Abstract

Clinical and instrumental testing technique of active stabilizators in capsular-ligamentous injuries of knee joint is presented. The score for the assessment of subjective and objective clinical signss of knee instability is shown in detail. It’s peculiarities consist of unification of these sings and their evaluation by 6-point scale. Test gives the integral index of the type form of knee instability. Protocols of knee joint function using «Biodex» are given. The testing is used to assess the function of periarticular muscles. Standard isokinetic test is used to examine the force and endurance, modified isometric test is used to evaluate the proprioception state and ability to response under different forces. Complex examination of 67 patients with various capsular-ligamentous injuries of knee joint confirms the high reliability and trustworthiness of data obtained.

About the authors

M. B. Tsykunov

Central Institute of Traumatology and Orthopedics named after N.N. Priorov; Center for Sports and Ballet Trauma and Rehabilitation

Author for correspondence.
Email: info@eco-vector.com
Russian Federation, Moscow; Moscow

A. K. Orletsky

Central Institute of Traumatology and Orthopedics named after N.N. Priorov; Center for Sports and Ballet Trauma and Rehabilitation

Email: info@eco-vector.com
Russian Federation, Moscow; Moscow

I. S. Kosov

Central Institute of Traumatology and Orthopedics named after N.N. Priorov; Center for Sports and Ballet Trauma and Rehabilitation

Email: info@eco-vector.com
Russian Federation, Moscow; Moscow

References

  1. Краснов А.Ф., Котельников Г.П. //Реабилитация больных с посттравматической нестабильностью коленного сустава. — Куйбышев, 1990. — С. 34—51.
  2. Миронов С.П., Орлецкий А.К., Цыкунов М.Б. //Вестн. травматол. ортопед. — 1994. — N 1. — С. 28—33.
  3. Уфлянд Ю.М. //Физиология двигательного аппарата человека. — Л., 1965. — С. 219—223.
  4. Kevin Е. //BIODEX Evaluation & Management. — 1991. — Р. 1—8.
  5. Lisholm J., Gillquist J. //Amer. J. Sports Med. — 1982.— Vol. 3. — P. 150.

Supplementary files

Supplementary Files
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2. Fig. 1. Results of isokinetic testing (explanation in text). Here and in the upper graphs of Fig. 3-5: along the y-axis - muscle work (in N∙m); 60 and 120 deg/s — movement speed.

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3. Fig. 2. The results of isometric testing (explanation in the text). On the y-axis - muscle work (in N∙m), on the abscissa - time (in s).

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4. Fig. 3. The results of testing patient M. Here and in fig. 4 and 5: a — healthy, b — diseased limb.

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5. Fig. 4. The test results of the patient K.

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6. Fig. 5. The test results of the patient N.

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Copyright (c) 1997 Eco-Vector



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