While surgical anterior cruciate ligament reconstruction (ACLR) of the knee restores passive stability, studies are showing consistently poor long-term outcomes. Unusually high risks of early-onset osteoarthritis and re-injury, and low rate of return to sport following ACLR all seem to be related to a chronic tendency to land stiff-legged from a jump or hop, which itself may be due to fear of re-injury. Decreased knee bending for force absorption simultaneously decreases performance level and increases risk for injury and arthritic changes. The purpose of the proposed study is to compare a current best-practice plyometric training program to one utilizing body weight support to increase repetition and improve performance in the initial phases. The investigators hypothesize that we will see larger improvements in absorptive capacity of the knee and better confidence in activity immediately following body weight support training, as well as improved retention of training effects after a two-month period.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
47
Participants will undergo individualized practice exercises of jumping, hopping, and cutting tasks consistent with standard published exercises.
Participants will undergo individualized practice exercises of jumping, hopping, and cutting tasks consistent with standard published exercises while their body weight is supported via adjustable harness.
University of Montana, Movement Science Laboratory
Missoula, Montana, United States
Change in sagittal plane knee kinetics and kinematics
Time frame: Baseline and after 8 weeks of training
Change in psychological readiness for sports activities via survey scores
Time frame: baseline and after 8 weeks of training
Change in motor patterning via electromyography of quadriceps and hamstring muscles
Time frame: Baseline and after 8 weeks of training
Retention of Biomechanical Adaptions in Knee kinetics and kinematics
Time frame: Change from end of 8 weeks of training to 2 month follow-up
Retention of adaptations in Psychological Readiness for Sport via survey
Time frame: Change from end of 8 weeks of training to 2 month follow-up
Retention of adaptations in motor patterning via electromyography
Time frame: Change from end of 8 weeks of training to 2 month follow-up
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