ArticleUlusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES2025
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.
Article in Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundThis 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.
methodsA 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.
resultsA 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).
conclusionProprioceptive 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.
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