Neuromuscular training versus strength training during first 6 months after anterior cruciate ligament reconstruction: a randomized clinical trial

Phys Ther. 2007 Jun;87(6):737-50. doi: 10.2522/ptj.20060041. Epub 2007 Apr 18.

Abstract

Background and purpose: The purpose of this study was to determine the effect of a 6-month neuromuscular training (NT) program versus a traditional strength training (ST) program following anterior cruciate ligament (ACL) reconstruction.

Subjects: Seventy-four subjects with ACL reconstruction participated in the study.

Methods: The study was a randomized, single-blinded, controlled trial. The NT and ST groups were tested preoperatively and at 3 and 6 months. The main outcome measure was the Cincinnati Knee Score. Secondary outcome measures were visual analog scales (VASs) for pain and function, the 36-Item Short-Form Health Survey (SF-36), hop tests, isokinetic muscle strength, proprioception, and static and dynamic balance tests.

Results: The NT group demonstrated significantly improved Cincinnati Knee Scores and VAS scores for global knee function compared with the ST group at the 6-month follow-up. There were no significant differences between the groups for the other outcome measures (ie, hop, balance, proprioception, and muscle strength tests).

Discussion and conclusion: The results of this study suggest that exercises included in the NT program should be part of the rehabilitation program following ACL reconstruction.

Publication types

  • Controlled Clinical Trial
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Anterior Cruciate Ligament / surgery
  • Anterior Cruciate Ligament Injuries*
  • Exercise Therapy
  • Female
  • Humans
  • Joint Instability / rehabilitation*
  • Knee Injuries / rehabilitation*
  • Knee Injuries / surgery
  • Male
  • Muscle Strength
  • Pain Measurement
  • Physical Therapy Modalities*
  • Range of Motion, Articular
  • Recovery of Function
  • Single-Blind Method
  • Treatment Outcome