Exercise With Audible Cues on Motor Unit Behavior in Athletes With Anterior Cruciate Ligament Reconstruction

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-35
SponsorMahidol University

About this trial

The closed kinetic chain (CKC) of terminal knee extension exercise (TKE) is designed to activate VM activity for knee injury training. This CKC exercise is effective for highest recruiting muscle activity, especially safe for post-operative knee surgery. The study of ACL reconstruction rehabilitation guideline suggests that exercises can be applied within the early phase of rehabilitation to prevent knee laxity and less knee pain compared to open chain exercise. Therefore, it is interesting to investigate the effects of TKE exercise synchronized with metronome pace on change of VM motor unit behavior in post operative ACL reconstruction. This study focuses on the immediate effect of 1-seesion TKE and expects that adding metronome during TKE will enhance neuromuscular control of VM and may change motor unit behavior.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Male or female participants who receive primary ACL reconstruction within 2 weeks with or without meniscus repair

No or mild resting pain (Numeric rating scale ≤ 3)

Reconstruction procedures using autograft including hamstrings or bone-patella bone grafts

Age range 18-35 years (33).

Disqualifiers

Non-weight bearing within 2 weeks after the operation (prescription from surgeon)

Hearing problem, such as being unable to hear the metronome sound or being unable to synchronize exercises with the metronome correctly

Limitations in knee extension range caused by joint stiffness evaluated by using passive knee range of motion

Unable to perform active and passive ≥ 30º knee flexion on the operative side

Trial design

Design model

Parallel

Treatments tested in this trial

  • audible cues

    Behavioral

    Terminal knee extension exercise with audible cues

  • Exercise

    Behavioral

    Terminal knee extension exercise

Treatment groups

40 Participants
are divided into 2 treatment groups
Group A: Exercise without audible cuesActive comparator 1 intervention
Group B: Exercise with audible cuesExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Average motor unit firing rate (pulse per second, pps)

Motor unit behavior of vastus medialis muscle: Average motor unit firing rate (pulse per second, pps)

Time frame
From enrollment to the end of treatment at 2 weeks

Secondary outcomes

1

Peak motor unit action potential (mV)

Motor unit behavior of vastus medialis muscle: Peak motor unit action potential (mV)

Time frame
From enrollment to the end of treatment at 2 weeks

Other outcomes

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