Effects of 2 different rehabilitation programs on jumping performance after ACL reconstruction: A randomized controlled trial

Background: Objective criteria-based rehabilitation (OCBR) has shown potential in improving muscle strength and reducing knee laxity following anterior cruciate ligament reconstruction (ACLR). Limited evidence exists regarding its effectiveness in restoring functional jumping capacity. The objective...

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Published inMedicine (Baltimore) Vol. 104; no. 27; p. e43111
Main Authors Jauregui Bidegain, Lucas, Izquierdo Redin, Mikel, Alfaro-Adrian, Jesus, Garcia-Arroyo, Jaime, Garcia-Tabar, Ibai, Sesma Mendaza, Andoni, Setuain Chourraut, Igor
Format Journal Article
LanguageEnglish
Published Hagerstown, MD Lippincott Williams & Wilkins 04.07.2025
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Online AccessGet full text
ISSN1536-5964
0025-7974
1536-5964
DOI10.1097/MD.0000000000043111

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Abstract Background: Objective criteria-based rehabilitation (OCBR) has shown potential in improving muscle strength and reducing knee laxity following anterior cruciate ligament reconstruction (ACLR). Limited evidence exists regarding its effectiveness in restoring functional jumping capacity. The objective of this study was to compare the effects of 2 rehabilitation programs on vertical and horizontal jumping performance at 3 to 6 and 12 months after ACLR. Methods: A longitudinal clinical double-blind randomized controlled trial was carried out. Forty recreational athletes (30 males, 10 females; age: 24 ± 6.9 years; height: 176.55 ± 6.6 cm; weight: 73.58 ± 12.3 kg), Tegner activity level of 7, were recruited. Participants were randomly assigned to either the OCBR or usual care rehabilitation (UCR) programs following primary ACLR. Vertical and horizontal jumping performance was assessed at 3-, 6-, and 12-month post-surgery. Results: OCBR group showed significantly better performance 6 months postoperatively among ACLR limbs in both vertical (unilateral drop jump 14.5 ± 3.6 vs 11.6 ± 4.6 cm, P < .05, ES = 0.7; bilateral drop jump 30.4 ± 6.4 vs 24.3 ± 6.0, P < .05, ES = 0.9) and horizontal jumping tasks (unilateral triple hop for distance 422.3 ± 52.3 vs 340.4 ± 53.1 cm, P < .05, ES = 1.5; unilateral cross over hop for distance 355.4 ± 52.0 vs309.7 ± 70.4 cm, P < .05, ES = 1.2). These differences remain consistent also at 12-months post-surgery compared to the UCR group between their operated limbs for vertical (unilateral drop jump 15.8 ± 3.2 vs 12.2 ± 3.3 cm, P < .05, ES = 1.1; bilateral drop jump 30.3 ± 4.9 vs 25.2 ± 6.5, P < .05, ES = 0.9) and horizontal maneuvers (unilateral triple hop for distance 452.1 ± 54.9 vs 385.0 51.9 cm, P < .05, ES = 1.6; unilateral cross over hop for distance 385.6 69.6 vs 285.1 60.3 70.4 cm, P < .05, ES = 1.5). Conclusion: The OCBR program led to superior functional performance outcomes at 6- and 12-months following ACL surgery, highlighting its potential as an effective rehabilitation strategy. Implementing an OCBR program post-ACL reconstruction improves functional performance in jumping tasks at 6 and 12 months compared with UCR rehabilitation.
AbstractList Objective criteria-based rehabilitation (OCBR) has shown potential in improving muscle strength and reducing knee laxity following anterior cruciate ligament reconstruction (ACLR). Limited evidence exists regarding its effectiveness in restoring functional jumping capacity. The objective of this study was to compare the effects of 2 rehabilitation programs on vertical and horizontal jumping performance at 3 to 6 and 12 months after ACLR. A longitudinal clinical double-blind randomized controlled trial was carried out. Forty recreational athletes (30 males, 10 females; age: 24 ± 6.9 years; height: 176.55 ± 6.6 cm; weight: 73.58 ± 12.3 kg), Tegner activity level of 7, were recruited. Participants were randomly assigned to either the OCBR or usual care rehabilitation (UCR) programs following primary ACLR. Vertical and horizontal jumping performance was assessed at 3-, 6-, and 12-month post-surgery. OCBR group showed significantly better performance 6 months postoperatively among ACLR limbs in both vertical (unilateral drop jump 14.5 ± 3.6 vs 11.6 ± 4.6 cm, P < .05, ES = 0.7; bilateral drop jump 30.4 ± 6.4 vs 24.3 ± 6.0, P < .05, ES = 0.9) and horizontal jumping tasks (unilateral triple hop for distance 422.3 ± 52.3 vs 340.4 ± 53.1 cm, P < .05, ES = 1.5; unilateral cross over hop for distance 355.4 ± 52.0 vs309.7 ± 70.4 cm, P < .05, ES = 1.2). These differences remain consistent also at 12-months post-surgery compared to the UCR group between their operated limbs for vertical (unilateral drop jump 15.8 ± 3.2 vs 12.2 ± 3.3 cm, P < .05, ES = 1.1; bilateral drop jump 30.3 ± 4.9 vs 25.2 ± 6.5, P < .05, ES = 0.9) and horizontal maneuvers (unilateral triple hop for distance 452.1 ± 54.9 vs 385.0 51.9 cm, P < .05, ES = 1.6; unilateral cross over hop for distance 385.6 69.6 vs 285.1 60.3 70.4 cm, P < .05, ES = 1.5). The OCBR program led to superior functional performance outcomes at 6- and 12-months following ACL surgery, highlighting its potential as an effective rehabilitation strategy.Implementing an OCBR program post-ACL reconstruction improves functional performance in jumping tasks at 6 and 12 months compared with UCR rehabilitation.
Objective criteria-based rehabilitation (OCBR) has shown potential in improving muscle strength and reducing knee laxity following anterior cruciate ligament reconstruction (ACLR). Limited evidence exists regarding its effectiveness in restoring functional jumping capacity. The objective of this study was to compare the effects of 2 rehabilitation programs on vertical and horizontal jumping performance at 3 to 6 and 12 months after ACLR.BACKGROUNDObjective criteria-based rehabilitation (OCBR) has shown potential in improving muscle strength and reducing knee laxity following anterior cruciate ligament reconstruction (ACLR). Limited evidence exists regarding its effectiveness in restoring functional jumping capacity. The objective of this study was to compare the effects of 2 rehabilitation programs on vertical and horizontal jumping performance at 3 to 6 and 12 months after ACLR.A longitudinal clinical double-blind randomized controlled trial was carried out. Forty recreational athletes (30 males, 10 females; age: 24 ± 6.9 years; height: 176.55 ± 6.6 cm; weight: 73.58 ± 12.3 kg), Tegner activity level of 7, were recruited. Participants were randomly assigned to either the OCBR or usual care rehabilitation (UCR) programs following primary ACLR. Vertical and horizontal jumping performance was assessed at 3-, 6-, and 12-month post-surgery.METHODSA longitudinal clinical double-blind randomized controlled trial was carried out. Forty recreational athletes (30 males, 10 females; age: 24 ± 6.9 years; height: 176.55 ± 6.6 cm; weight: 73.58 ± 12.3 kg), Tegner activity level of 7, were recruited. Participants were randomly assigned to either the OCBR or usual care rehabilitation (UCR) programs following primary ACLR. Vertical and horizontal jumping performance was assessed at 3-, 6-, and 12-month post-surgery.OCBR group showed significantly better performance 6 months postoperatively among ACLR limbs in both vertical (unilateral drop jump 14.5 ± 3.6 vs 11.6 ± 4.6 cm, P < .05, ES = 0.7; bilateral drop jump 30.4 ± 6.4 vs 24.3 ± 6.0, P < .05, ES = 0.9) and horizontal jumping tasks (unilateral triple hop for distance 422.3 ± 52.3 vs 340.4 ± 53.1 cm, P < .05, ES = 1.5; unilateral cross over hop for distance 355.4 ± 52.0 vs309.7 ± 70.4 cm, P < .05, ES = 1.2). These differences remain consistent also at 12-months post-surgery compared to the UCR group between their operated limbs for vertical (unilateral drop jump 15.8 ± 3.2 vs 12.2 ± 3.3 cm, P < .05, ES = 1.1; bilateral drop jump 30.3 ± 4.9 vs 25.2 ± 6.5, P < .05, ES = 0.9) and horizontal maneuvers (unilateral triple hop for distance 452.1 ± 54.9 vs 385.0 51.9 cm, P < .05, ES = 1.6; unilateral cross over hop for distance 385.6 69.6 vs 285.1 60.3 70.4 cm, P < .05, ES = 1.5).RESULTSOCBR group showed significantly better performance 6 months postoperatively among ACLR limbs in both vertical (unilateral drop jump 14.5 ± 3.6 vs 11.6 ± 4.6 cm, P < .05, ES = 0.7; bilateral drop jump 30.4 ± 6.4 vs 24.3 ± 6.0, P < .05, ES = 0.9) and horizontal jumping tasks (unilateral triple hop for distance 422.3 ± 52.3 vs 340.4 ± 53.1 cm, P < .05, ES = 1.5; unilateral cross over hop for distance 355.4 ± 52.0 vs309.7 ± 70.4 cm, P < .05, ES = 1.2). These differences remain consistent also at 12-months post-surgery compared to the UCR group between their operated limbs for vertical (unilateral drop jump 15.8 ± 3.2 vs 12.2 ± 3.3 cm, P < .05, ES = 1.1; bilateral drop jump 30.3 ± 4.9 vs 25.2 ± 6.5, P < .05, ES = 0.9) and horizontal maneuvers (unilateral triple hop for distance 452.1 ± 54.9 vs 385.0 51.9 cm, P < .05, ES = 1.6; unilateral cross over hop for distance 385.6 69.6 vs 285.1 60.3 70.4 cm, P < .05, ES = 1.5).The OCBR program led to superior functional performance outcomes at 6- and 12-months following ACL surgery, highlighting its potential as an effective rehabilitation strategy.Implementing an OCBR program post-ACL reconstruction improves functional performance in jumping tasks at 6 and 12 months compared with UCR rehabilitation.CONCLUSIONThe OCBR program led to superior functional performance outcomes at 6- and 12-months following ACL surgery, highlighting its potential as an effective rehabilitation strategy.Implementing an OCBR program post-ACL reconstruction improves functional performance in jumping tasks at 6 and 12 months compared with UCR rehabilitation.
Background: Objective criteria-based rehabilitation (OCBR) has shown potential in improving muscle strength and reducing knee laxity following anterior cruciate ligament reconstruction (ACLR). Limited evidence exists regarding its effectiveness in restoring functional jumping capacity. The objective of this study was to compare the effects of 2 rehabilitation programs on vertical and horizontal jumping performance at 3 to 6 and 12 months after ACLR. Methods: A longitudinal clinical double-blind randomized controlled trial was carried out. Forty recreational athletes (30 males, 10 females; age: 24 ± 6.9 years; height: 176.55 ± 6.6 cm; weight: 73.58 ± 12.3 kg), Tegner activity level of 7, were recruited. Participants were randomly assigned to either the OCBR or usual care rehabilitation (UCR) programs following primary ACLR. Vertical and horizontal jumping performance was assessed at 3-, 6-, and 12-month post-surgery. Results: OCBR group showed significantly better performance 6 months postoperatively among ACLR limbs in both vertical (unilateral drop jump 14.5 ± 3.6 vs 11.6 ± 4.6 cm, P < .05, ES = 0.7; bilateral drop jump 30.4 ± 6.4 vs 24.3 ± 6.0, P < .05, ES = 0.9) and horizontal jumping tasks (unilateral triple hop for distance 422.3 ± 52.3 vs 340.4 ± 53.1 cm, P < .05, ES = 1.5; unilateral cross over hop for distance 355.4 ± 52.0 vs309.7 ± 70.4 cm, P < .05, ES = 1.2). These differences remain consistent also at 12-months post-surgery compared to the UCR group between their operated limbs for vertical (unilateral drop jump 15.8 ± 3.2 vs 12.2 ± 3.3 cm, P < .05, ES = 1.1; bilateral drop jump 30.3 ± 4.9 vs 25.2 ± 6.5, P < .05, ES = 0.9) and horizontal maneuvers (unilateral triple hop for distance 452.1 ± 54.9 vs 385.0 51.9 cm, P < .05, ES = 1.6; unilateral cross over hop for distance 385.6 69.6 vs 285.1 60.3 70.4 cm, P < .05, ES = 1.5). Conclusion: The OCBR program led to superior functional performance outcomes at 6- and 12-months following ACL surgery, highlighting its potential as an effective rehabilitation strategy. Implementing an OCBR program post-ACL reconstruction improves functional performance in jumping tasks at 6 and 12 months compared with UCR rehabilitation.
Author Izquierdo Redin, Mikel
Alfaro-Adrian, Jesus
Jauregui Bidegain, Lucas
Garcia-Tabar, Ibai
Garcia-Arroyo, Jaime
Sesma Mendaza, Andoni
Setuain Chourraut, Igor
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Issue 27
Keywords anterior cruciate ligament reconstruction
ACL
functional progression
rehabilitation algorithm
objective criteria
Language English
License http://creativecommons.org/licenses/by-nc/4.0
Copyright © 2025 the Author(s). Published by Wolters Kluwer Health, Inc.
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Notes Received: 11 December 2024 / Received in final form: 14 May 2025 / Accepted: 13 June 2025 The authors have no funding and conflicts of interest to disclose. The datasets generated during and/or analyzed during the current study are not publicly available, but are available from the corresponding author on reasonable request. Supplemental Digital Content is available for this article. How to cite this article: Jauregui Bidegain L, Izquierdo Redin M, Alfaro-Adrian J, Garcia-Arroyo J, Garcia-Tabar I, Sesma Mendaza A, Setuain Chourraut I. Effects of 2 different rehabilitation programs on jumping performance after ACL reconstruction: A randomized controlled trial. Medicine 2025;104:27(e43111). *Correspondence: Igor Setuain Chourraut, TDN, Orthopedic Surgery and Advanced Rehabilitation Center, Clinical Research Department, Pol Mutilva C/V nave 3, 31192 Mutilva, Spain (e-mail: isetuain@tdnclinica.es).
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SSID ssj0013724
Score 2.4660232
Snippet Background: Objective criteria-based rehabilitation (OCBR) has shown potential in improving muscle strength and reducing knee laxity following anterior...
Objective criteria-based rehabilitation (OCBR) has shown potential in improving muscle strength and reducing knee laxity following anterior cruciate ligament...
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SourceType Open Access Repository
Aggregation Database
Index Database
Publisher
StartPage e43111
SubjectTerms Adult
Anterior Cruciate Ligament Injuries - rehabilitation
Anterior Cruciate Ligament Injuries - surgery
Anterior Cruciate Ligament Reconstruction - rehabilitation
Athletic Performance - physiology
Clinical Trial/Experimental Study
Double-Blind Method
Exercise Therapy - methods
Female
Humans
Longitudinal Studies
Male
Muscle Strength - physiology
Young Adult
Title Effects of 2 different rehabilitation programs on jumping performance after ACL reconstruction: A randomized controlled trial
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https://www.ncbi.nlm.nih.gov/pubmed/40629609
https://www.proquest.com/docview/3228525249
https://pubmed.ncbi.nlm.nih.gov/PMC12237395
https://doi.org/10.1097/md.0000000000043111
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