Sensomotorics of the Knee Joint

R. Fremerey; N. Freitag; M. Stalp; H. Tscherne

doi:10.1055/s-2004-832345

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Osteosynthesis and Trauma Care 2004; 12(4): 219-223
DOI: 10.1055/s-2004-832345

Original Article

Sensomotorics of the Knee Joint

R. Fremerey¹ , N. Freitag¹ , M. Stalp¹ , H. Tscherne¹

¹Trauma Department, Hannover Medical School, Hannover, Germany

Further Information

Publication History

Publication Date:
30 November 2004 (online)

Abstract
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Abstract

This neurophysiological study reports on the sensomotoric potential of the anterior cruciate ligament (ACL), the posterior cruciate ligament (PCL), the medial collateral ligament (MCL), and the lateral collateral ligament (LCL) in a sheep model. The results confirm the hypothesis of the existence of a ligamentomuscular reflex loop between ligamentary mechanoreceptors and the joint-stabilising muscles. The mechanical loading of the ACL triggered mainly the activity of the hamstrings, whereas the loading of the PCL led to the activation of the quadriceps. The loading of the collateral ligaments led to a weaker and less constant triggering of the ligamentomuscular reflex arch.

Key words

Sensomotoric system - knee ligaments - neurophysiology - muscular reflex

References

1 Ageberg E. Consequences of a ligament injury on neuromuscular function and relevance to rehabilitation - using the anterior cruciate ligament injured knee as model. J Electromyogr Kinesiol. 2002; 12 205-212

Crossref PubMed Search in Google Scholar
2 Andrew B L, Dodt E. The development of sensory nerve endings at the knee joint of the cat. Acta Physiol Scand. 1954; 28 287-296

PubMed Search in Google Scholar
3 Barrack R L, Skinner H B, Buckley S L. Proprioception in the anterior cruciate deficient knee. Am J Sports Med. 1989; 2 1-6

PubMed Search in Google Scholar
4 Barrett D S. Proprioception and function after anterior cruciate reconstruction. J Bone Joint Surg [Br]. 1991; 73 833-837

PubMed Search in Google Scholar
5 Basmajian J V, DeLuca C. Muscles alive: their functions revealed in electromyography. 5th ed. Williams & Wilkins, Baltimore 1985
6 Biedert R M, Stauffer E, Friedrich N F. Occurrence of free nerve endings in the soft tissue of the joint. A histological investigation. Am J Sports Med. 1992; 20 430-433

Crossref PubMed Search in Google Scholar
7 Biedert R M, Zwick E B. Ligament-muscle reflex arc after anterior cruciate ligament reconstruction: Electromyographic evaluation. Arch Orthop Trauma Surg. 1998; 118 81-84

Crossref PubMed Search in Google Scholar
8 Boyd I A. The histological structure of the receptors in the knee joint of the cat correlated with their physiological response. J Physiol. 1954; 124 476-488

PubMed Search in Google Scholar
9 Burgess R C, Clark F J. Characteristics of knee joint receptors in the cat. JÂ’Physiol. 1969; 203 317-335

PubMed Search in Google Scholar
10 Clark F J, Burgess R C. Slowly adapting receptors in cat knee joint: can they signal joint angle?. J Neurophysiol. 1975; 38 1448-1463

PubMed Search in Google Scholar
11 Craske B. Perception of impossible limp positions induced by tendon vibration. Science. 1977; 196 71-73

PubMed Search in Google Scholar
12 Freeman M AR, Wyke B. The innervation of the knee joint. An anatomical and histological study in the cat. J Anat. 1967; 101 505-532

PubMed Search in Google Scholar
13 Freiwald J, Engelhardt M, Reuter I, Konrad R, Gnewuch A. Die nervöse Versorgung der Kniegelenke. WMW Themenheft Kniegelenk. 1997; 23/24 531-541

PubMed Search in Google Scholar
14 Fremerey R, Lobenhoffer P, Zeichen J, Skutek M, Bosch U. Proprioception after rehabilitation and reconstruction in anterior cruciate ligament deficient knees. J Bone Joint Surg [Br]. 2000; 82 801-806

PubMed Search in Google Scholar
15 Fujita I, Nishikawa T, Kambic H E, Andrish J T, Grabiner M D. Characterization of hamstring reflexes during anterior cruciate ligament disruption: in vivo results from a goat model. J Orthop Res. 2000; 18 83-189

PubMed Search in Google Scholar
16 Goodwin G, McCloskey D I, Matthews P BC. The contribution of muscle afferents to kineasthesia shown by vibration induced illusions of movement and by the effects of paralyzing joint afferents. Brain. 1972; 95 705-748

PubMed Search in Google Scholar
17 Grigg P, Finerman G A, Riley L H. Joint position sense after total hip replacement. J Bone Joint Surg [Am]. 1973; 55 1016-1025

PubMed Search in Google Scholar
18 Grigg P. Mechanical factors influencing response of joint afferent neurons from cat knee. J Neurophysiol. 1975; 38 1473-1484

PubMed Search in Google Scholar
19 Grigg P, Hoffman A H, Fogarty K E. Properties of Ruffini afferents revealed by stress analysis of isolated section of cat knee capsule. J Neurophysiol. 1982; 47 41-54

Crossref PubMed Search in Google Scholar
20 Grüber J, Wolter D, Lierse W. Der vordere Kreuzbandreflex (LCA-Reflex). Unfallchirurg. 1986; 89 551-554

PubMed Search in Google Scholar
21 Haus J, Halata Z, Refior H J. Propriozeption im vorderen Kreuzband des menschlichen Kniegelenks - morphologische Grundlagen. Z Orthop. 1992; 130 484-494

PubMed Search in Google Scholar
22 Heimer M. The human brain and spinal cord. Springer, New York 1983
23 Johansson H, Sjölander P, Sojka P. Reflex actions on the χ-muscle spindle system of muscles acting at the knee joint elicited by stretch of the posterior cruciate ligament. Neuroorthopedics. 1989; 8 9

PubMed Search in Google Scholar
24 Johansson H, Sjolander P, Sojka P. Activity in receptor afferents from the anterior cruciate ligament evokes reflex effects on fusimotor neurones. Neurosci Res. 1990; 8 54-59

Crossref PubMed Search in Google Scholar
25 Johansson H. Role of knee ligaments in proprioception and regulation of muscle stiffness. J Electromyogr Kinesiol. 1991; 1 158-176

PubMed Search in Google Scholar
26 Johannson H, Sjölander P, Sojka P. Receptors in the knee joint ligaments and their role in the biomechanics of the joint. Crit Rev Biomed Eng. 1991; 18 341-368

PubMed Search in Google Scholar
27 Johansson H, Sjölander P, Sojka P. A sensory role for the cruciate ligaments. Clin Orthop. 1991; 268 161-178

PubMed Search in Google Scholar
28 Kaplan F S, Nixon J E, Reitz M, Rindfleisch L, Tucker J. Age-related changes in joint proprioception and sensation of joint position. Acta Orthop Scand. 1985; 56 72-74

PubMed Search in Google Scholar
29 Kennedy J C, Weinberg H W, Wilson A S. The anatomy and function of the anterior cruciate ligament. As determined by clinical and morphological studies. J Bone Joint Surg [Am]. 1974; 56 223-235

PubMed Search in Google Scholar
30 Kennedy J C, Alexander I J, Hayes K C. Nerve supply of the human knee and its functional importance. Am J Sports Med. 1982; 10 329-335

Crossref PubMed Search in Google Scholar
31 Khalsa P S, Hoffman A H, Grigg P. Mechanical states encoded by stretch sensitive neurons in feline joint capsule. J Neurophysiol. 1996; 761 175-187

PubMed Search in Google Scholar
32 Knash M E, Kido A, Gorassini M, Chan K M, Stein R B. Electrical stimulation of the human common peroneal nerve elicits lasting facilitation of cortical motor-evoked potentials. Exp Brain Res. 2003; 153 366-377

Crossref PubMed Search in Google Scholar
33 McCloskey D I. Differences between the senses of movement and position shown by the effects of loading and vibration of muscle in man. Brain Res. 1973; 61 119-131

Crossref PubMed Search in Google Scholar
34 Morton S M, Bastian A J. Cerebellar control of balance and locomotion. Neuroscientist. 2004; 10 247-259

Crossref PubMed Search in Google Scholar
35 Mountcastle V B, Poggio G F, Werner G. The relationship of thalamic cell response to peripheral stimuli varied over an intensive continuum. J Neurophysiol. 1959; 26 807-834

PubMed Search in Google Scholar
36 Nieuwenhuys R, Voogd J, van Huijzen C. The human central nervous system. 3rd ed. Springer, Berlin, Heidelberg, New York, Tokyo 1988
37 Petersen I, Stener B. Experimental evaluation of the hypothesis of ligament-muscular protective reflexes - part II. Acta Physiol Scand. 1959; 166 51

PubMed Search in Google Scholar
38 Raunest J, Sager M, Bürgener E. Proprioceptive mechanisms in the cruciate ligaments: An electromyographic study on reflex activity in the thigh muscles. J Trauma. 1996; 41 488-493

PubMed Search in Google Scholar
39 Reider B, Arcand M A, Diehl L H, Mroczek K, Abulencia A, Stroud C, Palm M, Gilbertson J, Staszak P. Proprioception of the knee before and after anterior cruciate ligament reconstruction. Arthroscopy. 2003; 19 2-12

PubMed Search in Google Scholar
40 Roberts D, Andersson G, Friden T. Knee joint proprioception in ACL-deficient knees is related to cartilage injury, laxity and age: a retrospective study of 54 patients. Acta Orthop Scand. 2004; 75 78-83

Crossref PubMed Search in Google Scholar
41 Schultz R A, Miller D C, Kerr C S, Micheli L. Mechanoreceptors in human cruciate ligaments. A histological study. J Bone Joint Surg [Am]. 1984; 66 1072-1076

PubMed Search in Google Scholar
42 Schutte M J, Dabezies E J, Zimny M L, Happel L T. Neural anatomy of the human anterior cruciate ligament. J Bone Joint Surg [Am]. 1987; 69 243-247

PubMed Search in Google Scholar
43 Shoemaker S C, Daniel D M. The limits of knee motion. In: Knee Ligaments: Structure, Function, Injury and Repair. Daniel D, Akeson W, O'Connor J (ed). Ravenpress, New York 1990
44 Sojka P, Johansson H, Sjölander P, Lorentzon R, Djupsjobacka M. Fusimotor neurones can be reflexly influenced by activity in receptor afferents from the posterior cruciate ligament. Brain Res. 1989; 483 177-183

Crossref PubMed Search in Google Scholar
45 Solomonow M, Barratta R, Zhou B H, Shoji H, Bose W, Beck C, D'Ambrosia R. The synergistic action of the anterior cruciate ligament and thigh muscles in maintaining joint stability. Am J Sports Med. 1987; 15 207-213

Crossref PubMed Search in Google Scholar
46 Somjen G, Carpenter D, Henneman E. Selective depression of alpha motoneurons of small size by ether. J Pharmacol Exp Ther. 1965; 148 380

PubMed Search in Google Scholar
47 Taylor R G, Abresch R T, Lieberman J S, Fowler W M, Portwood M M. Effect of pentobarbital on contractility of mouse skeletal muscle. Exp Neurol. 1984; 83 254-263

PubMed Search in Google Scholar
48 Winter D A, Yack H J. EMG profiles during normal walking: stride-to-stride and inter-subject variability. Electroencephalogr Clin Neurophysiol. 1987; 67 402-411

PubMed Search in Google Scholar
49 Zimny M L. Mechanoreceptors in articular tissues. Am J Anat. 1988; 182 16-32

Crossref PubMed Search in Google Scholar
50 Zimny M L, Wink C S. Neuroreceptors in the tissues of the knee joint. J Electromyogr Kinesiol. 1991; 1 148-157

Crossref PubMed Search in Google Scholar

PD Dr. Reinhard Fremerey

Trauma Department · Städtisches Krankenhaus Hildesheim GmbH

Weinberg 1

31141 Hildesheim

Germany

Phone: +49/51 21-89-45 56

Fax: +49/51 21-45 97

Email: ReinhardFremerey@t-online.de

Email: R.-WFremerey@stk-hildesheim.de