Overview
The primary goal of this RCT is to evaluate the effects of isokinetic training compared to plyometric training in patients aged 18-40 years who have undergone ACLR surgery.
The primary question to answer is which of the two interventions (isokinetic or plyometrics) has superior effect in the improvement of muscular strength, functional performance and patient-reported outcomes in ACLR patients.
Participants will be divided into two groups. Both groups received standard rehabilitation for 16 weeks, followed by adding for 8 weeks: Group 1: receives isokinetic training, Group 2: receives plyometric training (total=24 weeks).
Description
Isokinetic and plyometric training represent two distinct approaches used in ACLR rehabilitation. Based on evidence, both showed significant improvements when performed postoperatively. However, there is no randomized controlled trial that has directly compared their effects on the comprehensive outcomes required for RTS clearance.
This study hypothesizes that both interventions will improve muscular strength, functional performance and patient related outcomes, with no significance of one over the other.
Eligibility
Inclusion Criteria:
- Age 18-40 years
- Primary unilateral ACL reconstruction
- Reconstruction using bone-patellar tendon-bone (BPTB) or hamstring tendon (HT) autograft
- Cleared by operating surgeon for progressive resistance and functional training
- Able to perform full weight-bearing ambulation without assistive devices
Exclusion Criteria:
- Revision ACL reconstruction
- Associated grade III ligament injury
- Meniscal repair (meniscectomy is not an exclusion)
- Concomitant chondral defect requiring surgical intervention or cartilage repair
- Contralateral lower limb injury within the preceding 12 months
- Body mass index (BMI) \> 35 kg/m²
