Comparative Analysis of Dual-Task and Single-Task Balance Exercises in Improving Static Balance in Individuals with Anterior Cruciate Ligament Reconstruction
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Abstract
Background: Various balance exercises have been employed to enhance functional stability and balance in individuals who have undergone anterior cruciate ligament (ACL) reconstruction. However, no study has explored the use of dual-task balance exercises for these patients. This study aims to compare the effects of dual motor task balance exercises and single-task exercises on the static balance indices of individuals with ACL reconstruction.
Materials and Methods: In a single-blind randomized controlled trial (IRCT20180925041138N2), 27 subjects who had undergone ACL reconstruction were randomly divided into two groups: dual-task and single-task balance exercises. Both groups performed their exercises three days a week for one month. Static balance indicators were assessed at the beginning and end of the treatment.
Results: The results demonstrated that after the treatment, there was a statistically significant decrease in various Center of Pressure variables, including mean displacement in the anterior-posterior and medial-lateral directions, total path length, mean velocity of displacement, root mean square of displacement, and velocity. Furthermore, the Knee Injury and Osteoarthritis Outcome Score (KOOS) significantly increased in both groups (P < 0.05). However, when comparing the two groups, no significant difference was observed after the treatment (P > 0.05).
Conclusions: Both dual-task and single-task motor exercises lead to improvements in static stability and knee function levels in patients who have undergone ACL reconstruction. It is noteworthy that the effectiveness of these exercise types does not significantly differ from each other.
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11. Mohammadi-Rad S, Salavati M, Ebrahimi-Takamjani I, Akhbari B, Sherafat S, Negahban H, et al. Dual-Tasking Effects on Dynamic Postural Stability in Athletes With and Without Anterior Cruciate Ligament Reconstruction. Journal of sport rehabilitation. 2016;25(4):324-9.
12. Needle AR, Lepley AS, Grooms DR. Central nervous system adaptation after ligamentous injury: a summary of theories, evidence, and clinical interpretation. Sports Medicine. 2017;47(7):1271-88.
13. Ghai S, Ghai I, Effenberg AO. effects of dual tasks and dual-task training on postural stability: a systematic review and meta-analysis. Clinical interventions in aging. 2017;12:557.
14. Fraizer E, Mitra S. Methodological and interpretive issues in posture-cognition dual-tasking in upright stance. Gait & posture. 2008;27(2):271-9.
15. Monjezi S, Negahban H, Tajali S, Yadollahpour N, Majdinasab N. Effects of dual-task balance training on postural performance in patients with Multiple Sclerosis: a double-blind, randomized controlled pilot trial. Clinical rehabilitation. 2017;31(2):234-41.
16. Conradsson D, Löfgren N, Nero H, Hagströmer M, Ståhle A, Lökk J, et al. The effects of highly challenging balance training in elderly with Parkinson’s disease: a randomized controlled trial. Neurorehabilitation and neural repair. 2015;29(9):827-36.
17. Konak H, Kibar S, Ergin E. The effect of single-task and dual-task balance exercise programs on balance performance in adults with osteoporosis: a randomized controlled preliminary trial. Osteoporosis International. 2016;27(11):3271-8.
18. Elhinidi EIM, Ismaeel MMI, El-Saeed TM. Effect of dual-task training on postural stability in children with infantile hemiparesis. Journal of physical therapy science. 2016;28(3):875-80.
19. Strobach T, Torsten S. Mechanisms of practice-related reductions of dual-task interference with simple tasks: data and theory. Advances in cognitive psychology. 2017;13(1):28.
20. Salavati M, Mazaheri M, Negahban H, Sohani S, Ebrahimian M, Ebrahimi I, et al. Validation of a Persian-version of Knee injury and Osteoarthritis Outcome Score (KOOS) in Iranians with knee injuries. Osteoarthritis and Cartilage. 2008;16(10):1178-82.
21. Kisner C, Colby LA, Borstad J. Therapeutic exercise: foundations and techniques: Fa Davis; 2017.
22. Cornwall MW. Electrotherapy Explained: Principles and Practice, ed 4. Physical Therapy. 2007;87(8):1088-.
23. Brotzman SB, Manske RC. Clinical orthopaedic rehabilitation e-book: An evidence-based approach-expert consult: Elsevier Health Sciences; 2011.
24. Roos EM, Roos HP, Lohmander LS, Ekdahl C, Beynnon BD. Knee Injury and Osteoarthritis Outcome Score (KOOS)—development of a self-administered outcome measure. Journal of Orthopaedic & Sports Physical Therapy. 1998;28(2):88-96.
25. Roos EM, Lohmander LS. The Knee injury and Osteoarthritis Outcome Score (KOOS): from joint injury to osteoarthritis. Health and quality of life outcomes. 2003;1(1):1-8.
26. Palmieri RM, Ingersoll CD, Stone MB, Krause BA. Center-of-pressure parameters used in the assessment of postural control. Journal of Sport Rehabilitation. 2002;11(1):51-66.
27. Eils E, Rosenbaum D. A multi-station proprioceptive exercise program in patients with ankle instability. Medicine and science in sports and exercise. 2001;33(12):1991-8.
28. Kidgell DJ, Horvath DM, Jackson BM, Seymour PJ. Effect of six weeks of dura disc and mini-trampoline balance training on postural sway in athletes with functional ankle instability. Journal of strength and conditioning research. 2007;21(2):466.
29. Conceição JS, Schaefer de Araújo FG, Santos GM, Keighley J, dos Santos MJ. Changes in postural control after a ball-kicking balance exercise in individuals with chronic ankle instability. Journal of athletic training. 2016;51(6):480-90.
30. Kim D, Ko J, Woo Y. Effects of dual task training with visual restriction and an unstable base on the balance and attention of stroke patients. Journal of physical therapy science. 2013;25(12):1579-82.
31. Pellecchia GL. Dual-task training reduces impact of cognitive task on postural sway. Journal of motor behavior. 2005;37(3):239-46.
32. Onegh A, Akbari A, Ghiasi F, Hosseinifar M, Asgari A. The Effect of Dual-Task Training on Dynamic Postural Control in the Subjects with Functional Ankle Instability. Journal of Biochemical Technology. 2020;11(3):115-22.
33. Sinaei E, Kamali F, Nematollahi A, Etminan Z. Comparing the effects of balance training with and without cognitive tasks on the quality of life and balance performance in community-dwelling older adults: a single-blind randomized clinical trial. Journal of Rehabilitation Sciences & Research. 2016;3(4):91-6.
34. Shin S-S, An D-H. The effect of motor dual-task balance training on balance and gait of elderly women. Journal of physical therapy science. 2014;26(3):359-61.
35. Wang J, Severin AC, Mears SC, Stambough JB, Barnes CL, Mannen EM. Changes in Mediolateral Postural Control Mechanisms During Gait After Total Knee Arthroplasty. The Journal of Arthroplasty. 2021.
2. Cooper R, Taylor N, Feller J. A systematic review of the effect of proprioceptive and balance exercises on people with an injured or reconstructed anterior cruciate ligament. Research in sports medicine. 2005;13(2):163-78.
3. Mostafaee N, Yazdi MJS, Negahban H, Goharpey S, Mehravar M, Pirayeh N. Responsiveness of Static and Dynamic Postural Balance Measures in Patients with Anterior Cruciate Ligament Reconstruction Following Physiotherapy Intervention. Archives of Bone and Joint Surgery. 2017;5(3):153.
4. Pezzullo DJ, Fadale P. Current controversies in rehabilitation after anterior cruciate ligament reconstruction. Sports medicine and arthroscopy review. 2010;18(1):43-7.
5. Akbari A, Ghiasi F, Mir M, Hosseinifar M. The effects of balance training on static and dynamic postural stability indices after acute ACL reconstruction. Global journal of health science. 2016;8(4):68.
6. Stensdotter A-K, Tengman E, Häger C. Altered postural control strategies in quiet standing more than 20 years after rupture of the anterior cruciate ligament. Gait & posture. 2016;46:98-103.
7. Howells BE, Clark RA, Ardern CL, Bryant AL, Feller JA, Whitehead TS, et al. The assessment of postural control and the influence of a secondary task in people with anterior cruciate ligament reconstructed knees using a Nintendo Wii Balance Board. Br J Sports Med. 2013;47(14):914-9.
8. Kapreli E, Athanasopoulos S, Gliatis J, Papathanasiou M, Peeters R, Strimpakos N, et al. Anterior cruciate ligament deficiency causes brain plasticity: a functional MRI study. The American journal of sports medicine. 2009;37(12):2419-26.
9. Stone AE, Roper JA, Herman DC, Hass CJ. Cognitive Performance and Locomotor Adaptation in Persons With Anterior Cruciate Ligament Reconstruction. Neurorehabilitation and neural repair. 2018:1545968318776372.
10. Baumeister J, Reinecke K, Schubert M, Weiß M. Altered electrocortical brain activity after ACL reconstruction during force control. Journal of orthopaedic research. 2011;29(9):1383-9.
11. Mohammadi-Rad S, Salavati M, Ebrahimi-Takamjani I, Akhbari B, Sherafat S, Negahban H, et al. Dual-Tasking Effects on Dynamic Postural Stability in Athletes With and Without Anterior Cruciate Ligament Reconstruction. Journal of sport rehabilitation. 2016;25(4):324-9.
12. Needle AR, Lepley AS, Grooms DR. Central nervous system adaptation after ligamentous injury: a summary of theories, evidence, and clinical interpretation. Sports Medicine. 2017;47(7):1271-88.
13. Ghai S, Ghai I, Effenberg AO. effects of dual tasks and dual-task training on postural stability: a systematic review and meta-analysis. Clinical interventions in aging. 2017;12:557.
14. Fraizer E, Mitra S. Methodological and interpretive issues in posture-cognition dual-tasking in upright stance. Gait & posture. 2008;27(2):271-9.
15. Monjezi S, Negahban H, Tajali S, Yadollahpour N, Majdinasab N. Effects of dual-task balance training on postural performance in patients with Multiple Sclerosis: a double-blind, randomized controlled pilot trial. Clinical rehabilitation. 2017;31(2):234-41.
16. Conradsson D, Löfgren N, Nero H, Hagströmer M, Ståhle A, Lökk J, et al. The effects of highly challenging balance training in elderly with Parkinson’s disease: a randomized controlled trial. Neurorehabilitation and neural repair. 2015;29(9):827-36.
17. Konak H, Kibar S, Ergin E. The effect of single-task and dual-task balance exercise programs on balance performance in adults with osteoporosis: a randomized controlled preliminary trial. Osteoporosis International. 2016;27(11):3271-8.
18. Elhinidi EIM, Ismaeel MMI, El-Saeed TM. Effect of dual-task training on postural stability in children with infantile hemiparesis. Journal of physical therapy science. 2016;28(3):875-80.
19. Strobach T, Torsten S. Mechanisms of practice-related reductions of dual-task interference with simple tasks: data and theory. Advances in cognitive psychology. 2017;13(1):28.
20. Salavati M, Mazaheri M, Negahban H, Sohani S, Ebrahimian M, Ebrahimi I, et al. Validation of a Persian-version of Knee injury and Osteoarthritis Outcome Score (KOOS) in Iranians with knee injuries. Osteoarthritis and Cartilage. 2008;16(10):1178-82.
21. Kisner C, Colby LA, Borstad J. Therapeutic exercise: foundations and techniques: Fa Davis; 2017.
22. Cornwall MW. Electrotherapy Explained: Principles and Practice, ed 4. Physical Therapy. 2007;87(8):1088-.
23. Brotzman SB, Manske RC. Clinical orthopaedic rehabilitation e-book: An evidence-based approach-expert consult: Elsevier Health Sciences; 2011.
24. Roos EM, Roos HP, Lohmander LS, Ekdahl C, Beynnon BD. Knee Injury and Osteoarthritis Outcome Score (KOOS)—development of a self-administered outcome measure. Journal of Orthopaedic & Sports Physical Therapy. 1998;28(2):88-96.
25. Roos EM, Lohmander LS. The Knee injury and Osteoarthritis Outcome Score (KOOS): from joint injury to osteoarthritis. Health and quality of life outcomes. 2003;1(1):1-8.
26. Palmieri RM, Ingersoll CD, Stone MB, Krause BA. Center-of-pressure parameters used in the assessment of postural control. Journal of Sport Rehabilitation. 2002;11(1):51-66.
27. Eils E, Rosenbaum D. A multi-station proprioceptive exercise program in patients with ankle instability. Medicine and science in sports and exercise. 2001;33(12):1991-8.
28. Kidgell DJ, Horvath DM, Jackson BM, Seymour PJ. Effect of six weeks of dura disc and mini-trampoline balance training on postural sway in athletes with functional ankle instability. Journal of strength and conditioning research. 2007;21(2):466.
29. Conceição JS, Schaefer de Araújo FG, Santos GM, Keighley J, dos Santos MJ. Changes in postural control after a ball-kicking balance exercise in individuals with chronic ankle instability. Journal of athletic training. 2016;51(6):480-90.
30. Kim D, Ko J, Woo Y. Effects of dual task training with visual restriction and an unstable base on the balance and attention of stroke patients. Journal of physical therapy science. 2013;25(12):1579-82.
31. Pellecchia GL. Dual-task training reduces impact of cognitive task on postural sway. Journal of motor behavior. 2005;37(3):239-46.
32. Onegh A, Akbari A, Ghiasi F, Hosseinifar M, Asgari A. The Effect of Dual-Task Training on Dynamic Postural Control in the Subjects with Functional Ankle Instability. Journal of Biochemical Technology. 2020;11(3):115-22.
33. Sinaei E, Kamali F, Nematollahi A, Etminan Z. Comparing the effects of balance training with and without cognitive tasks on the quality of life and balance performance in community-dwelling older adults: a single-blind randomized clinical trial. Journal of Rehabilitation Sciences & Research. 2016;3(4):91-6.
34. Shin S-S, An D-H. The effect of motor dual-task balance training on balance and gait of elderly women. Journal of physical therapy science. 2014;26(3):359-61.
35. Wang J, Severin AC, Mears SC, Stambough JB, Barnes CL, Mannen EM. Changes in Mediolateral Postural Control Mechanisms During Gait After Total Knee Arthroplasty. The Journal of Arthroplasty. 2021.
| Issue | Articles in Press | |
| Section | Research Article(s) | |
| Keywords | ||
| Anterior cruciate ligament deficiency, dual-task exercises, balance | ||
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How to Cite
1.
Oraei Eslami F, Ahadi J, Hallaj Mazidluie M, Ghanavati T, Moradi A. Comparative Analysis of Dual-Task and Single-Task Balance Exercises in Improving Static Balance in Individuals with Anterior Cruciate Ligament Reconstruction. jmr. 2024;(-).
