A study published in the latest issue of Physical Therapy, carried out by May Arna Risberg and co-workers, shows that neuromuscular training is better than traditional strength training following ACL reconstruction
Seventy-four subjects with ACL reconstruction participated in the study. The study was a randomized, single-blinded, controlled trial. The neuromuscular training (NT) and strength training (ST) groups were tested preoperatively and at 3 and 6 months. The main outcome measure was the Cincinnati Knee Score. Secondary outcome measures were visual analog scales (VASs) for pain and function, the 36-Item Short-Form Health Survey (SF-36), hop tests, isokinetic muscle strength, proprioception, and static and dynamic balance tests. The NT group demonstrated significantly improved Cincinnati Knee Scores and VAS scores for global knee function compared with the ST group at the 6-month followup. There were no significant differences between the groups for the other outcome measures (ie, hop, balance, proprioception, and muscle strength tests). The results of this study suggest that exercises included in the NT program should be part of the rehabilitation program following ACL reconstruction.
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