"Anterior cruciate ligament (ACL) reconstruction is a commonly performed surgical procedure for restoring knee stability in patients following ACL injuries. Despite surgical success, postoperative rehabilitation remains crucial for improving functional outcomes, addressing quadriceps strength deficits, and reducing recovery time.
This study investigates the combined impact of open kinetic chain (OKC) knee extension exercises and neuromuscular electrical stimulation (NMES) on the functional recovery of post-ACL reconstruction patients. This randomized clinical trial involves 58 patients, divided into two groups: an experimental group receiving OKC knee extension exercises combined with NMES and a control group receiving OKC exercises alone. Functional outcomes, range of motion (ROM), and patient-reported outcomes (PROs) are assessed using validated tools.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
58
OKC Knee Extension Exercises: Seated Knee Extensions: Resistance bands or machine, 10-15 reps, 2-3 sets. Straight Leg Raises: With or without ankle weights, 12-15 reps, 2-3 sets. Quadriceps Isometric Holds: Held for 5-10 seconds, 10 reps, 2-3 sets. Neuromuscular Electrical Stimulation (NMES): Electrode Placement: Over the motor points of the quadriceps. Frequency: 35-50 Hz. Pulse Duration: 200 microseconds. Intensity: Adjusted for strong yet tolerable contractions. On-Off Cycle: 10 seconds on, 20 seconds off.
Open Kinetic Chain Knee Extension Exercises without NMES. Method \& Details: The same OKC exercises as the experimental group but without NMES. All exercises are supervised by trained physiotherapists.
MOVEBETTER 14-A Koh-e-Noor Road, Basement Salt N Pepper
Faisalābad, Punjab Province, Pakistan
Lysholm Knee Scoring Scale
Measures knee function with a maximum score of 100. Scoring Interpretation: 95-100 points: Excellent function. 84-94 points: Good function. 65-83 points: Fair function. \<65 points: Poor function.
Time frame: 12 Months
Universal Goniometer
Measures ROM (Flexion \& Extension). Interpretation: Knee flexion and extension are assessed against standard angles. Higher reliability and validity in measuring knee movement.
Time frame: 12 Months
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