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Patients with ACL injury demonstrate altered postural orientation, manifested as observable \u201csubstitution patterns\u201d (SPs) but no one has applied a clinically useful method to systematically study postural orientation in these patients. Here, we investigated the presence of such patterns in 24 adults with ACL injury and in 49 controls, in parallel with the development and a first evaluation of a new test battery, test for SPs. The rationale behind the test for SPs was to characterize postural orientation as the ability to maintain appropriate relationships between body segments and environment during weight\u2010bearing movements. In this first study, patients displayed SPs more frequently and\/or more clearly on their injured, but also their uninjured side than did controls. Inter\u2010rater and intra\u2010rater reproducibility was good at a group level. Future studies of validity, responsiveness and including other subgroups of patients with ACL injury will have to prove if the test for SPs can be used in the diagnostics of defective neuromuscular function following knee injury, when planning and carrying out training and rehabilitation and when deciding appropriate time to return to activity and sports after ACL injury.<\/jats:p>","DOI":"10.1007\/s00167-009-0959-x","type":"journal-article","created":{"date-parts":[[2009,10,22]],"date-time":"2009-10-22T13:41:39Z","timestamp":1256218899000},"page":"814-823","source":"Crossref","is-referenced-by-count":32,"title":["Postural orientation in subjects with anterior cruciate ligament injury: development and first evaluation of a new observational test battery"],"prefix":"10.1002","volume":"18","author":[{"given":"Anna","family":"Trulsson","sequence":"first","affiliation":[{"name":"Department of Health Sciences Division of Physical Therapy Lund University Lund Sweden"},{"name":"Unit for Specialized Pain Rehabilitation Department of Rehabilitation Lund University Hospital 221 85 Lund Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Garwicz","sequence":"additional","affiliation":[{"name":"Neuronano Research Center Department of Experimental Medical Science Lund University Lund Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eva","family":"Ageberg","sequence":"additional","affiliation":[{"name":"Department of Health Sciences Division of Physical Therapy Lund University Lund Sweden"},{"name":"Department of Orthopedics Clinical Sciences Lund University Lund Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2009,10,23]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1050\u20106411(02)00022\u20106"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00421\u2010002\u20100787\u2010x"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0268\u20100033(02)00098\u20100"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/036354658801600205"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010005\u20100658\u20101"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471\u20102474\u20106\u201017"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/74.1.17"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20102007\u20101021069"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0268\u20100033(01)00050\u2010X"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2005.10.015"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/71.6.465"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600\u20100838.2000.010002114.x"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s001670050190"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546506286866"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tins.2005.08.003"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010006\u20100045\u20106"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546504269591"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2005.018572"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/77.5.517"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2006.07.001"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0030\u20105898(02)00028\u20107"},{"key":"e_1_2_7_23_1","first-page":"161","article-title":"A sensory role for the cruciate ligaments","volume":"268","author":"Johansson H","year":"1991","journal-title":"Clin Orthop Relat Res"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546507307396"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jelekin.2004.08.006"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546504266484"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/74.9.861"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546503261724"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.2165\/00007256\u2010199111060\u201000005"},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ptsp.2004.02.003"},{"key":"e_1_2_7_31_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.bor.0000151406.64393.00"},{"key":"e_1_2_7_32_1","doi-asserted-by":"publisher","DOI":"10.1007\/s001670000166"},{"key":"e_1_2_7_33_1","doi-asserted-by":"publisher","DOI":"10.1007\/s001670000130"},{"key":"e_1_2_7_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jelekin.2004.03.002"},{"key":"e_1_2_7_35_1","first-page":"158","volume-title":"Motor control. 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