The usefulness of tuning-fork-assisted vibration sensation as a proprioceptive measurement method in cases of acute anterior talofibular ligament rupture: A single-center study Akut anterior talofibular ligament rüptürü olgularında diapozon yardımlı vibrasyon duyusunun proprioseptif ölçüm yöntemi olarak kullanılabilirliği: Tek merkezli çalışma
Ulusal Travma ve Acil Cerrahi Dergisi, cilt.31, sa.12, ss.1203-1211, 2025 (SCI-Expanded, Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 31 Sayı: 12
- Basım Tarihi: 2025
- Doi Numarası: 10.14744/tjtes.2025.48242
- Dergi Adı: Ulusal Travma ve Acil Cerrahi Dergisi
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CINAHL, EMBASE, MEDLINE, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.1203-1211
- Anahtar Kelimeler: Anterior talofibular ligament (ATFL), tuning fork, proprioception, vibration
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
BACKGROUND: This study aimed to investigate changes in vibration sensation in patients with anterior talofibular ligament (ATFL) rupture following acute ankle sprain and to assess its potential use as a proprioceptive assessment tool. METHODS: A 128 Hz tuning fork was applied to the ATFL region—identified as ruptured via ultrasound—while the ankle was positioned in inversion and plantar flexion. Vibration duration was measured using a stopwatch. Data were compared with those from a healthy population and from patients with lateral ankle edema following acute sprain without rupture. The study was prospectively designed. RESULTS: A total of 81 patients (48 male, 33 female) were included, with a mean age of 29.19 years. Among the 27 patients with ATFL rupture, nine had an additional calcaneofibular ligament (CFL) injury and five had an additional posterior talofibular ligament (PTFL) injury (Grade 2–3). The mean vibration duration in ATFL rupture patients was 5.72 seconds on the injured side and 7.87 seconds on the uninjured side, showing a statistically significant difference (p=0.001). At the 12-week follow-up, the mean vibration time improved to 7.65 seconds, which was also statistically significant (p=0.001). CONCLUSION: Proprioceptive impairment due to acute ATFL rupture was associated with reduced vibration sensation at the rupture site. As proprioception improved, vibration sensation also recovered. Therefore, vibration measurement using a tuning fork may serve as a practical proprioceptive assessment tool and an adjunctive diagnostic method.