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AuthorBeck, Markusdc.contributor.author
Date of accession2016-03-15T06:25:20Zdc.date.accessioned
Available in OPARU since2016-03-15T06:25:20Zdc.date.available
Year of creation2011dc.date.created
AbstractThe anterior cruciate ligament (ACL) rupture is a very common injury in the young and active patient. It results in a feeling of instability which can be divided in mechanical und functional instability. The mechanical instability is caused by an increased anterior translation of the tibia whereas the functional instability is the result of a proprioceptive deficit which leads to an altered reflex activity of the hamstring muscles. Some patients reach their former level of activity after ACL rupture; those are referred to as Copers, meanwhile Non-Copers cannot compensate the injury. Former studies revealed hints of a potential differentiation of Copers and Non-Copers via prolonged onset of muscle activity (MLR = Medium Latency Response) after anterior tibial translation in the EMG. In our study we were able to prove that a differentiation between Coper/Non-Coper by EMG analysis is possible. Because of the connatural ranges of both groups we compared the injured vs. the uninjured leg of each single patient in an additional intraindividual analysis approach and could find no difference in the Coper group but a significant difference in the Non-Coper. A further investigation even showed a correlation of the EMG findings with the screening examination used to differentiate between Copers and Non-Copers. In addition we figured out that and how the screening examination could be simplified. Based on our findings it is now possible to receive an accurate impression of a patient’s proprioceptive abilities by simply using two of the four screening tests used in this study (Activities of Daily Living Scale Questionnaire and 6m-timed-hop-test). Since the EMG is a very time consuming and complex examination method it is of great value to have an easy-to-perform test which correlates with the EMG results. These findings can serve as a basis for the decision making which treatment method would be the most promising one for each individual patient.dc.description.abstract
Languagededc.language.iso
PublisherUniversität Ulmdc.publisher
LicenseStandarddc.rights
Link to license texthttps://oparu.uni-ulm.de/xmlui/license_v3dc.rights.uri
KeywordCoperdc.subject
KeywordHamstringsdc.subject
KeywordMLRdc.subject
KeywordNon-Coperdc.subject
KeywordVKB-Rupturdc.subject
Dewey Decimal GroupDDC 610 / Medicine & healthdc.subject.ddc
MeSHKnee injuriesdc.subject.mesh
TitleDifferenzierung der funktionellen Instabilität des Kniegelenks nach Ruptur des vorderen Kreuzbandes anhand des Kreuzband-Hamstring-Reflexesdc.title
Resource typeDissertationdc.type
DOIhttp://dx.doi.org/10.18725/OPARU-2316dc.identifier.doi
PPN687454719dc.identifier.ppn
URNhttp://nbn-resolving.de/urn:nbn:de:bsz:289-vts-78727dc.identifier.urn
GNDKniegelenkdc.subject.gnd
GNDPropriozeptiondc.subject.gnd
FacultyMedizinische Fakultätuulm.affiliationGeneral
Date of activation2012-02-20T07:31:02Zuulm.freischaltungVTS
Peer reviewneinuulm.peerReview
Shelfmark print versionW: W-H 12.840uulm.shelfmark
DCMI TypeTextuulm.typeDCMI
VTS ID7872uulm.vtsID
CategoryPublikationenuulm.category
Bibliographyuulmuulm.bibliographie


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