This study will be conducted to investigate if there is any difference between starting rehabilitation program after ACL reconstruction with knee joint training followed by ankle joint training and starting it with ankle joint training followed by knee joint training (crossover effect) on gait parameters of the knee joint.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
48
Patients will start with knee exercise program that includes * Partial Squats: The exercise will be performed as 3 sets of 10 repetitions each day. * Toe Raises: The exercise will be performed as 3 sets of 10 repetitions each day. * Stationary bike will be used (10-15 minutes /day) when the patients can bend their knees at least 100 degrees, as cycling is considered as an excellent conditioning and building exercise for the quadriceps muscles. As the patient's ability to pedal the bike with the operative leg improved, the therapist will increase the resistance. * Hamstring exercises: After 6 weeks, the hamstring muscles will be exercised by the patient pulling the heel back producing a hamstring contraction. Then, Patients will start ankle exercises program that includes: * Standing calf raises * Foot lift * Ankle eversion exercises * Ankle Plantarflexion exercises
Patients will start ankle exercises program that includes: * Standing calf raises * Foot lift * Ankle eversion exercises * Ankle Plantarflexion exercises Then, Patients will start with knee exercise program that includes * Partial Squats: The exercise will be performed as 3 sets of 10 repetitions each day. * Toe Raises: The exercise will be performed as 3 sets of 10 repetitions each day. * Stationary bike will be used (10-15 minutes /day) when the patients can bend their knees at least 100 degrees, as cycling is considered as an excellent conditioning and building exercise for the quadriceps muscles. As the patient's ability to pedal the bike with the operative leg improved, the therapist will increase the resistance. * Hamstring exercises: After 6 weeks, the hamstring muscles will be exercised by the patient pulling the heel back producing a hamstring contraction.
October 6 University Hospital
Al Ḩayy Ath Thāmin, Giza Governorate, Egypt
RECRUITINGChange in Knee joint flexion torques (Nm/kg) in the supporting (stance) phase at baseline and 6 weeks posttreatment
Knee joint flexion torque (Nm/kg) in the supporting (stance) phase for each subject will be recorded using a 3D gait analysis system.
Time frame: baseline and 6 weeks posttreatment
Change in Knee joint extension torques (Nm/kg) in the supporting (stance) phase at baseline and 6 weeks posttreatment
Knee joint extension torque (Nm/kg) in the supporting (stance) phase for each subject will be recorded using a 3D gait analysis system.
Time frame: baseline and 6 weeks posttreatment
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