Resistive Co-contraction Training After Anterior Cruciate Ligament Reconstruction

NCT ID: NCT02300636

Last Updated: 2015-03-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

52 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-02-28

Study Completion Date

2015-03-31

Brief Summary

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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.

Detailed Description

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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.

Conditions

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Muscle Weakness

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Training: open kinetic

Co-contraction training in open kinetic chain position

8 weeks, 3 days in a week

Group Type EXPERIMENTAL

Training

Intervention Type OTHER

Co-contraction training at 60 knee flexion angle by using isokinetic dynamometer

Training: closed kinetic

Co-contraction training in closed kinetic chain position

8 weeks, 3 days in a week

Group Type EXPERIMENTAL

Training

Intervention Type OTHER

Co-contraction training at 60 knee flexion angle by using leg press machine

Training: Standard ACL rehabilitation

Standard ACL rehabilitation

8 weeks, 3 days in a week

Group Type ACTIVE_COMPARATOR

Training

Intervention Type OTHER

Standard ACL rehabilitation

Interventions

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Training

Co-contraction training at 60 knee flexion angle by using isokinetic dynamometer

Intervention Type OTHER

Training

Co-contraction training at 60 knee flexion angle by using leg press machine

Intervention Type OTHER

Training

Standard ACL rehabilitation

Intervention Type OTHER

Eligibility Criteria

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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
Minimum Eligible Age

17 Years

Maximum Eligible Age

40 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Hacettepe University

OTHER

Sponsor Role lead

Responsible Party

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GULCAN HARPUT

PT, MSc

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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GULCAN HARPUT, MSc

Role: PRINCIPAL_INVESTIGATOR

Hacettepe University

Locations

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Hacettepe University, Department of Physiotherapy and Rehabilitation

Ankara, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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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.

Reference Type BACKGROUND
PMID: 24259766 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 23068905 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 22889655 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 21589664 (View on PubMed)

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. doi: 10.1177/0363546507307867. Epub 2007 Oct 16.

Reference Type BACKGROUND
PMID: 17940146 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 24918112 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 19478837 (View on PubMed)

Other Identifiers

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014T03102002

Identifier Type: -

Identifier Source: org_study_id

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