Resistive Co-contraction Training After Anterior Cruciate Ligament Reconstruction
Study Details
Study Description
Brief Summary
This study investigates different resistive co-contraction trainings effect on knee strength recovery after ACL reconstruction. Participants will be divided into three groups. Group 1 will receive standard ACL rehabilitation with 8 week co-contraction training in open kinetic chain position, Group 2 will receive standard ACL rehabilitation with 8 week co-contraction training in open kinetic chain position and Group 3 (control group) will only receive standard ACL rehabilitation.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Detailed Description
Co-contraction trainings can enhance joint stability via improving proprioceptive ability and stimulates muscle activity after injury and/or surgery. The participants will be assigned to the different groups one month after surgery. They will receive 8-week-treatment. Isometric strength of quadriceps and hamstring muscles will be measured at first,third and sixth months after surgery. Concentric and eccentric strength of quadriceps and hamstring muscles will be measured only at sixth months after surgery.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Training: open kinetic Co-contraction training in open kinetic chain position 8 weeks, 3 days in a week |
Other: Training
Co-contraction training at 60 knee flexion angle by using isokinetic dynamometer
|
Experimental: Training: closed kinetic Co-contraction training in closed kinetic chain position 8 weeks, 3 days in a week |
Other: Training
Co-contraction training at 60 knee flexion angle by using leg press machine
|
Active Comparator: Training: Standard ACL rehabilitation Standard ACL rehabilitation 8 weeks, 3 days in a week |
Other: Training
Standard ACL rehabilitation
|
Outcome Measures
Primary Outcome Measures
- knee muscle strength recovery [8 weeks]
isometric, concentric and eccentric strength
Secondary Outcome Measures
- hamstring quadriceps ratio [6 months]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
ACL reconstruction with hamstring autograft
-
starting PT program within one week after surgery
Exclusion Criteria:
-
Revision surgery
-
serious cartilage damage and/or cartilage repair
-
ACL reconstruction with allograft and patellar tendon graft
-
Having systemic and/or neurological problems
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Hacettepe University, Department of Physiotherapy and Rehabilitation | Ankara | Turkey | 06100 |
Sponsors and Collaborators
- Hacettepe University
Investigators
- Principal Investigator: GULCAN HARPUT, MSc, Hacettepe University
Study Documents (Full-Text)
None provided.More Information
Publications
- Begalle RL, Distefano LJ, Blackburn T, Padua DA. Quadriceps and hamstrings coactivation during common therapeutic exercises. J Athl Train. 2012 Jul-Aug;47(4):396-405. doi: 10.4085/1062-6050-47.4.01.
- Biscarini A, Benvenuti P, Botti FM, Brunetti A, Brunetti O, Pettorossi VE. Voluntary enhanced cocontraction of hamstring muscles during open kinetic chain leg extension exercise: its potential unloading effect on the anterior cruciate ligament. Am J Sports Med. 2014 Sep;42(9):2103-12. doi: 10.1177/0363546514536137. Epub 2014 Jun 10.
- Cho SH, Bae CH, Gak HB. Effects of closed kinetic chain exercises on proprioception and functional scores of the knee after anterior cruciate ligament reconstruction. J Phys Ther Sci. 2013 Oct;25(10):1239-41. doi: 10.1589/jpts.25.1239. Epub 2013 Nov 20.
- Glass R, Waddell J, Hoogenboom B. The Effects of Open versus Closed Kinetic Chain Exercises on Patients with ACL Deficient or Reconstructed Knees: A Systematic Review. N Am J Sports Phys Ther. 2010 Jun;5(2):74-84.
- Lobb R, Tumilty S, Claydon LS. A review of systematic reviews on anterior cruciate ligament reconstruction rehabilitation. Phys Ther Sport. 2012 Nov;13(4):270-8. doi: 10.1016/j.ptsp.2012.05.001. Epub 2012 Jun 7. Review.
- Palmieri-Smith RM, McLean SG, Ashton-Miller JA, Wojtys EM. Association of quadriceps and hamstrings cocontraction patterns with knee joint loading. J Athl Train. 2009 May-Jun;44(3):256-63. doi: 10.4085/1062-6050-44.3.256.
- Tagesson S, Oberg B, Good L, Kvist J. A comprehensive rehabilitation program with quadriceps strengthening in closed versus open kinetic chain exercise in patients with anterior cruciate ligament deficiency: a randomized clinical trial evaluating dynamic tibial translation and muscle function. Am J Sports Med. 2008 Feb;36(2):298-307. Epub 2007 Oct 16.
- 014T03102002