Imaging, brain stimulation, and behavioural studies show that exercise of a muscle in one limb improves function of the same muscle in the other, non-exercised limb. The possibility exists that XED can reduce strength and functional losses and help ACL-reconstructed patients recover faster. Keywords: - Cross-Education - ACL reconstruction - Muscle strength - Knee function Trefwoorden: - Cross-Educatie - Voorste kruisband reconstructie - Spierkracht - Kniefunctie
Conditions
Interventions
This study involves 2 rehab programs, focusing on the 4-week-long period immediately after ACL reconstruction surgery. For ~2 days after surgery, all patients follow standard care at home. Then formal
cold therapy for 10-15 minutes after training if swelling is present
stationary cycling (10-20 min)
walking exercises on the floor and treadmill (5-10 min)
squat exercises with or without counter weights, heel rises, single leg stance exercise on non-operated (3 sets of 6 reps) and operated leg (one leg squat) and reach exercise on non-operated and opera
anterior, anterior/lateral, lateral, posterior/lateral, and posterior lunges on non-operated and operated leg
anterior, lateral, and posterior step-up exercises, starting with non-operated leg). Patients perform 3 sets of 4-8 reps of the exercises, 2-3x per week for 4 weeks.
Standard care + XED group:
This g
3 sets of 6 to 10 reps of single leg squats with 10-20% body weight added in a backpack with eyes closed
3 sets of 6 to 10 hops forward
3 sets of 6 to 10 hops on mini trampoline or balance mat. Week 1: 2 set of 6 reps
Week 2: 2
Sponsors
University Medical Center Groningen
Eligibility
Inclusion criteria
Inclusion criteria: Patients awaiting an ACL reconstruction surgery will be included: male, female, age 20 to 60, any race, BMI < 30 kg/m2, time between injury and surgery < 1 year, ACL tear to the dominant or non-dominant leg with or without meniscal excision, hamstring autograft, allograft of any source, signed informed consent, and follow study protocol.
Exclusion criteria
Exclusion criteria: If they are pregnant (surgeon will look in the medical record of the patient), have an injury to the other leg, a meniscal tear requiring repair, additional interventions that interfere with standard rehab (e.g., cartilage lesion treatment), multiple serious injuries to target leg (ACL tear+meniscus tear, ACL+plus collateral ligament tear, prior major surgery to legs, pelvis), revision ACL reconstruction on the same knee, degenerative arthritis on radiographs or articular cartilage fissures extending to subchondral bone, or exposed bone as seen in arthroscopy (grade IV), current or prior neurological conditions (Parkinson’s disease, stroke, dementia).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| a) Return to sport or work status at 6 months and b) Cincinnati Knee Score | — |
Secondary
| Measure | Time frame |
|---|---|
| hop test, balance, proprioception, force control, and maximal quadriceps torque | — |
Contacts
Public ContactT. Zult
A. Deusinglaan 1, FA23
Outcome results
None listed