The Evaluation of Proprioceptive Function and Effectiveness of Joint Position Sense Test after Meniscal Allograft Transplantation

Mi Young Lee; Sang Jin Yang; Jeong Ku Ha; Jin Goo Kim

doi:10.5763/kjsm.2011.29.1.58

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Lee, Yang, Ha, and Kim: The Evaluation of Proprioceptive Function and Effectiveness of Joint Position Sense Test after Meniscal Allograft Transplantation

Clinical Article

Korean J Sports Med 2011;29(1):58-63.

Published online: 20 January 2011

DOI: https://doi.org/10.5763/kjsm.2011.29.1.58

The Evaluation of Proprioceptive Function and Effectiveness of Joint Position Sense Test after Meniscal Allograft Transplantation

Mi Young Lee, MS¹, Sang Jin Yang, MS¹, Jeong Ku Ha, MD², Jin Goo Kim, MD²

¹Sports Medical Center, Seoul Paik Hospital, Inje University, Seoul, Korea

²Department of Orthopedic Surgery, Seoul Paik Hospital, Inje University, Seoul, Korea

Received 15 March 2011 Revised 12 April 2011 Accepted 13 May 2011

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

To evaluate the effects on the restoration of proprioception, we compared joint position sense (JPS) after meniscal allograft transplantation. Nine patients who underwent meniscal allograft transplantation between March 2008 and January 2010 were evaluated at preoperation and 6 months post-operation. International Knee Documentation Committee (IKDC) subjective score and Lysholm score were evaluated. The peak torque of the isokinetic flexor and extensor strength test was performed using Biodex system III. Passive JPS was assessed to evaluate proprioceptive function. In the results, IKDC subjective score and Lysholm score were improved (p=0.05). The flexor and extensor power decreased, however there was no statistically significant difference. In the assessment of JPS, there was improvement from 6.56^o and 4.11^o to 4.89^o and 1.89^o, however, this was not statistically significant. Although, proprioception was improved in JPS at 6 months after meniscus transplantation, it did not show statistic significance. Therefore, future studies using combined methods will be needed to evaluate proprioceptive function after meniscal allograft transplantation.

Keywords: Menisci, Meniscal allograft transplantation, Proproception, Knee joint position sense

References

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Fig. 1.

The evaluation of passive joint position sense was performed at 45^o in a sitting position. The subject has earplugs and blindfold covering his eyes.

Table 1.

Demographic information

Case	Age	Height (cm)	Weight (kg)	Sex (M/F)	MM/LM
1	25	173.6	75.3	M	LM
2	45	164	64	M	MM
3	46	172	78	M	LM
4	41	173	86	M	MM
5	39	162.9	69.6	M	LM
6	32	162	53	F	LM
7	27	164	64	F	LM
8	33	165	61	F	LM
9	37	170	76.3	M	LM

M: Male, F: Female, MM: Medial meniscus, LM: Lateral meniscus.

Table 2.

Clinical result

	Pre-operative score	6 month postoperative score	p-value
IKDC subjective knee score	67.4±13.3	78.3±11.4	0.086
Lysolm knee score	73.4±14.9	81.7±29.4	0.138

Values are mean±SD: p＜0.05. IKDC: International Knee Documentation Committee.

Table 3.

Isokinetic strength test resut-peak torque

60 ^o/s	Preoperative results	6 month postoperative results	p-value
Extensor
Operated knee	112.7±52.6	92.2±38.9	0.269
(Nm)
Intact knee	167±35.4	173.9±42.1	0.139
(Nm)
Flexor
Operated knee	67.8±32.2	63.7±19.7	0.953
(Nm)
Intact knee	85.5±29.0	90.4±30.8	0.086
(Nm)

Values are mean±SD: p＜0.05. Nm: newton meter.

Table 4.

Proprioception evaluation result

	Preoperative results	6 month	p-value
Passive JPS
Operated knee (^o)	6.56±3.74	4.89±5.44	0.074
Intact knee (^o)	4.11±4.13	1.89±1.26	0.137

Values are mean±SD: p＜0.05. JPS: joint position sense.

Table 5.

Correlation between Joint position sense in operative knee and index

Variable	Duration	JPS passive ext	JPS passive flex
IKDC	Pre	–0.099	–0.216
		0.800	0.577
	6 month	0.269	–0.119
		0.483	0.761
Lysholm	Pre	–0.203	0.040
		0.600	0.918
	6 month	–0.625	0.032
		0.072	0.935
60 ^o/s	Pre	0.139	0.216
extension		0.721	0.577
NM	6 month	–0.592	–0.599
		0.093	0.089
60 ^o/s	Pre	–0.008	0.149
flexion		0.984	0.703
NM	6 month	–406	–0.285
		0.279	0.457

Values are mean±SD: p＜0.05. JPS: joint position sense, IKDC: International Knee Docu-mentation Committee, NM: newton meter.

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