Contralateral Strength-training After Anterior Cruciate Ligament (ACL) Reconstruction
Study Details
Study Description
Brief Summary
The main aims of the study are (1) to examine the impact of contralateral strength training on the quadriceps muscle function after ACL surgery and (2) to compare the magnitude of cross-education induced by NMES versus eccentric strength training.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: NMES neuromuscular electrical stimulation (NMES) of the quadriceps muscle with Kneehab |
Behavioral: Neuromuscular electrical stimulation
|
Experimental: eccentric training unilateral eccentric resistance exercises |
Behavioral: eccentric training
|
Sham Comparator: sham NMES neuromuscular electrical stimulation of the quadriceps muscle with intensity which causes no visible contraction or displacement of the leg (activation below motor threshold) |
Behavioral: Neuromuscular electrical stimulation
|
Outcome Measures
Primary Outcome Measures
- Change in bilateral quadriceps muscle strength [Nm] [1-2weeks preoperative/ 2weeks/ 8weeks/ 6month]
- Change in quadriceps muscle activation [1-2 weeks preoperative/ 2weeks/ 8weeks/ 6month]
Secondary Outcome Measures
- Change in muscle architecture [1-2 weeks preoperative/ 2weeks/ 8weeks/ 6month]
- Change in self-reported questionnaire outcomes (KOOS, WOMAClk) [1-2weeks preoperative/ 2weeks/ 8weeks/ 6 month]
- functional test outcomes [6month postop]
Assessment of present functional status by means of hop tests
Eligibility Criteria
Criteria
Inclusion Criteria:
- patients scheduled for ACL reconstruction surgery
Exclusion Criteria:
-
Concomitant lower limb injury or disorder
-
previous lower extremity open surgery on the contralateral lower limb
-
cardiac disease
-
pregnancy
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Neuromuscular Research Laboratory, Schulthess Klinik | Zurich | ZH | Switzerland | 8008 |
Sponsors and Collaborators
- Schulthess Klinik
Investigators
- Principal Investigator: Nicola A Maffiuletti, PhD, Schulthess Klinik
Study Documents (Full-Text)
None provided.More Information
Publications
- Feil S, Newell J, Minogue C, Paessler HH. The effectiveness of supplementing a standard rehabilitation program with superimposed neuromuscular electrical stimulation after anterior cruciate ligament reconstruction: a prospective, randomized, single-blind study. Am J Sports Med. 2011 Jun;39(6):1238-47. doi: 10.1177/0363546510396180. Epub 2011 Feb 22.
- Hortobágyi T, Scott K, Lambert J, Hamilton G, Tracy J. Cross-education of muscle strength is greater with stimulated than voluntary contractions. Motor Control. 1999 Apr;3(2):205-19.
- Contralateral_01