Effect of stochastic resonance on proprioception and kinesthesia in anterior cruciate ligament reconstructed patients

• Published in: Journal of biomechanics 2019-02, Vol.84, p.52-57
• Main Authors: Zandiyeh, Payam, Küpper, Jessica C., Mohtadi, Nicholas George H., Goldsmith, Peter, Ronsky, Janet L.
• Format: Article
• Language: English
• Subjects: Acuity; Anterior cruciate ligament; anterior cruciate ligament (ACL) reconstruction surgery; Anterior Cruciate Ligament - physiology; Anterior Cruciate Ligament - physiopathology; Anterior Cruciate Ligament - surgery; Anterior Cruciate Ligament Injuries - physiopathology; Anterior Cruciate Ligament Injuries - surgery; Anterior Cruciate Ligament Reconstruction; Biocompatibility; Biomechanical Phenomena; Biomedical materials; Case-Control Studies; Cohort Studies; Conflicts of interest; Female; Females; Humans; Hypotheses; Injuries; joint position sense (JPS); Kinesthesia; Kinesthesis; Knee; knee joint; Mechanical Phenomena; Motion perception; Noise; Osteoarthritis; Patient satisfaction; Patients; Position measurement; Proprioception; Range of Motion, Articular; Signal-To-Noise Ratio; Statistical analysis; Statistics; Stochastic resonance; stochastic resonance (SR); Stochasticity; Surgeons; Surgery; threshold to detection of a passive movement (TDPM); Vibration; Young Adult
• ISSN: 0021-9290; 1873-2380
• DOI: 10.1016/j.jbiomech.2018.12.018

Low amplitude mechanical noise vibration has been shown to improve somatosensory acuity in various clinical groups with comparable deficiencies through a phenomenon known as Stochastic Resonance (SR). This technology showed promising outcomes in improving somatosensory acuity in other clinical patients (e.g., Parkinson’s disease and osteoarthritis). Some degree of chronic somatosensory deficiency in the knee has been reported following anterior cruciate ligament (ACL) reconstruction surgery. In this study, the effect of the SR phenomenon on improving knee somatosensory acuity (proprioception and kinesthesia) in female ACL reconstructed (ACLR) participants (n = 19) was tested at three months post-surgery, and the results were compared to healthy controls (n = 28). Proprioception was quantified by the measure of joint position sense (JPS) and kinesthesia with the threshold to detection of passive movement (TDPM). The results based on the statistical analysis demonstrated an overall difference between the somatosensory acuity in the ACLR limb compared to healthy controls (p = 0.007). A larger TDPM was observed in the ACLR limb compared to the healthy controls (p = 0.002). However, the JPS between the ACLR and healthy limbs were not statistically significantly different (p = 0.365). SR significantly improved JPS (p = 0.006) while the effect was more pronounced in the ACLR cohort. The effect on the TDPM did not reach statistical significance (p = 0.681) in either group. In conclusion, deficient kinesthesia in the ACLR limb was observed at three months post-surgery. Also, the positive effects of SR on somatosensory acuity in the ACL reconstructed group warrant further investigation into the use of this phenomenon to improve proprioception in ACLR and healthy groups.