지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
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PURPOSE: Recent evidence has linked neural changes in the brain, known as neuroplasticity, to anterior cruciate injury, possibly explaining why some patients suffer repetitive functional instability. Therefore, the purpose of this article was to review the manifestation of central nervous system reorganization following anterior cruciate ligament injury and establish further the application of neuroimaging assessment tools in the evaluation of neuroplasticity after ligamentous injury. METHODS: Previous research articles emphasizing neuromuscular deficits, functional joint instability, and anterior cruciate ligament injury and neuroimaging techniques searched from PubMed databases were reviewed. Additionally, more relevant research articles through a cited reference search from the original research articles were reviewed. RESULTS: Diminished neuromuscular control such as proprioception, muscle activation, and joint stiffness regulation appears to be indirect evidence of neural adaptations that may lead to persistent functional joint instability and future pathological complications. Results of direct measurement of the brain’s function using a variety of neuroimaging tools supports altered cortical activation in the brain corresponding to diminished knee function. CONCLUSIONS: Knee functional deficits after an anterior cruciate ligament injury may be associated with neural adaptations in the brain. Neuroimaging techniques that allow for examination of neural activity in the central nervous system help to better understand the neurophysiological mechanisms underlying the link between the brain’s function and functional joint instability, to develop more effective rehabilitation programs, and to improve patient outcomes.
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참고문헌 (83)
참고문헌 신청
Gobbi A / 2009 / Primary repair combined with bone marrow stimulation in acute anterior cruciate ligament lesions : results in a group of athletes / Am J Sports Med 37(3):571~578
Kaplan Y / 2011 / Identifying individuals with an anterior cruciate ligamentdeficient knee as copers and noncopers : a narrative literature review / J Orthop Sports Phys Ther 41(10):758~766
Dhillon MS / 2011 / Proprioception in anterior cruciate ligament deficient knees and its relevance in anterior cruciate ligament reconstruction / Indian J Orthop 45(4):294~300
Fitzgerald GK / 2000 / A decision-making scheme for returning patients to high-level activity with nonoperative treatment after anterior cruciate ligament rupture / Knee Surg Sports Traumatol Arthrosc 8(2):76~82
Grindem H / 2012 / A pair-matched comparison of return to pivoting sports at 1 year in anterior cruciate ligament-injured patients after a nonoperative versus an operative treatment course / Am J Sports Med 40(11):2509~2516
Kaplan Y / 2011 / Identifying individuals with an anterior cruciate ligamentdeficient knee as copers and noncopers : a narrative literature review / J Orthop Sports Phys Ther 41(10):758~766
Dhillon MS / 2011 / Proprioception in anterior cruciate ligament deficient knees and its relevance in anterior cruciate ligament reconstruction / Indian J Orthop 45(4):294~300
Fitzgerald GK / 2000 / A decision-making scheme for returning patients to high-level activity with nonoperative treatment after anterior cruciate ligament rupture / Knee Surg Sports Traumatol Arthrosc 8(2):76~82
Grindem H / 2012 / A pair-matched comparison of return to pivoting sports at 1 year in anterior cruciate ligament-injured patients after a nonoperative versus an operative treatment course / Am J Sports Med 40(11):2509~2516
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