Treadmill training with partial body-weight support after anterior cruciate ligament reconstruction: a randomized controlled trial
[Purpose] To compare the effects of treadmill training with partial body weight support (TTPBWS) and conventional physical therapy (PT) on subjects with anterior cruciate ligament reconstructions. [Subjects and Methods] A total of 40 subjects were randomly allocated to either a treatment group or a...
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| Published in | Journal of Physical Therapy Science Vol. 28; no. 12; pp. 3325 - 3329 |
|---|---|
| Main Authors | , , , |
| Format | Journal Article |
| Language | English |
| Published |
Japan
The Society of Physical Therapy Science
01.12.2016
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0915-5287 2187-5626 2187-5626 |
| DOI | 10.1589/jpts.28.3325 |
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| Abstract | [Purpose] To compare the effects of treadmill training with partial body weight support (TTPBWS) and conventional physical therapy (PT) on subjects with anterior cruciate ligament reconstructions. [Subjects and Methods] A total of 40 subjects were randomly allocated to either a treatment group or a control group. Subjects received either treadmill training with partial body weight support (treatment group) or conventional physical therapy (control group). The circumferences of the lower extremities, Holden classifications, 10-meter walking times and the International Knee Documentation Committee (IKDC) scores were compared at 12 and 24 weeks post-operation. The knee joint stability was tested at 24 weeks post-operation using a KT-1000. [Results] Significant differences were found between the two groups at the 12 weeks post-operation. For most of the measures, there was no significant difference between the groups at 24 weeks post-operation. Interestingly, for most of the measures, there was no significant difference between their values in the treatment group at 12 weeks and their values in the control group at 24 weeks post-operation. [Conclusion] The function of a subject’s lower extremities can be improved and the improvement was clearly accelerated by the intervention of treadmill training with partial body weight support, without compromising the stability of the knee joints in a given follow-up period. |
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| AbstractList | Purpose: To compare the effects of treadmill training with partial body weight support (TTPBWS) and conventional physical therapy (PT) on subjects with anterior cruciate ligament reconstructions. Subjects and Methods: A total of 40 subjects were randomly allocated to either a treatment group or a control group. Subjects received either treadmill training with partial body weight support (treatment group) or conventional physical therapy (control group). The circumferences of the lower extremities, Holden classifications, 10-meter walking times and the International Knee Documentation Committee (IKDC) scores were compared at 12 and 24 weeks post-operation. The knee joint stability was tested at 24 weeks post-operation using a KT-1000. Results: Significant differences were found between the two groups at the 12 weeks post-operation. For most of the measures, there was no significant difference between the groups at 24 weeks post-operation. Interestingly, for most of the measures, there was no significant difference between their values in the treatment group at 12 weeks and their values in the control group at 24 weeks post-operation. Conclusion: The function of a subject's lower extremities can be improved and the improvement was clearly accelerated by the intervention of treadmill training with partial body weight support, without compromising the stability of the knee joints in a given follow-up period. [Purpose] To compare the effects of treadmill training with partial body weight support (TTPBWS) and conventional physical therapy (PT) on subjects with anterior cruciate ligament reconstructions. [Subjects and Methods] A total of 40 subjects were randomly allocated to either a treatment group or a control group. Subjects received either treadmill training with partial body weight support (treatment group) or conventional physical therapy (control group). The circumferences of the lower extremities, Holden classifications, 10-meter walking times and the International Knee Documentation Committee (IKDC) scores were compared at 12 and 24 weeks post-operation. The knee joint stability was tested at 24 weeks post-operation using a KT-1000. [Results] Significant differences were found between the two groups at the 12 weeks post-operation. For most of the measures, there was no significant difference between the groups at 24 weeks post-operation. Interestingly, for most of the measures, there was no significant difference between their values in the treatment group at 12 weeks and their values in the control group at 24 weeks post-operation. [Conclusion] The function of a subject’s lower extremities can be improved and the improvement was clearly accelerated by the intervention of treadmill training with partial body weight support, without compromising the stability of the knee joints in a given follow-up period. [Purpose] To compare the effects of treadmill training with partial body weight support (TTPBWS) and conventional physical therapy (PT) on subjects with anterior cruciate ligament reconstructions. [Subjects and Methods] A total of 40 subjects were randomly allocated to either a treatment group or a control group. Subjects received either treadmill training with partial body weight support (treatment group) or conventional physical therapy (control group). The circumferences of the lower extremities, Holden classifications, 10-meter walking times and the International Knee Documentation Committee (IKDC) scores were compared at 12 and 24 weeks post-operation. The knee joint stability was tested at 24 weeks post-operation using a KT-1000. [Results] Significant differences were found between the two groups at the 12 weeks post-operation. For most of the measures, there was no significant difference between the groups at 24 weeks post-operation. Interestingly, for most of the measures, there was no significant difference between their values in the treatment group at 12 weeks and their values in the control group at 24 weeks post-operation. [Conclusion] The function of a subject’s lower extremities can be improved and the improvement was clearly accelerated by the intervention of treadmill training with partial body weight support, without compromising the stability of the knee joints in a given follow-up period. [Purpose] To compare the effects of treadmill training with partial body weight support (TTPBWS) and conventional physical therapy (PT) on subjects with anterior cruciate ligament reconstructions. [Subjects and Methods] A total of 40 subjects were randomly allocated to either a treatment group or a control group. Subjects received either treadmill training with partial body weight support (treatment group) or conventional physical therapy (control group). The circumferences of the lower extremities, Holden classifications, 10-meter walking times and the International Knee Documentation Committee (IKDC) scores were compared at 12 and 24 weeks post-operation. The knee joint stability was tested at 24 weeks post-operation using a KT-1000. [Results] Significant differences were found between the two groups at the 12 weeks post-operation. For most of the measures, there was no significant difference between the groups at 24 weeks post-operation. Interestingly, for most of the measures, there was no significant difference between their values in the treatment group at 12 weeks and their values in the control group at 24 weeks post-operation. [Conclusion] The function of a subject's lower extremities can be improved and the improvement was clearly accelerated by the intervention of treadmill training with partial body weight support, without compromising the stability of the knee joints in a given follow-up period.[Purpose] To compare the effects of treadmill training with partial body weight support (TTPBWS) and conventional physical therapy (PT) on subjects with anterior cruciate ligament reconstructions. [Subjects and Methods] A total of 40 subjects were randomly allocated to either a treatment group or a control group. Subjects received either treadmill training with partial body weight support (treatment group) or conventional physical therapy (control group). The circumferences of the lower extremities, Holden classifications, 10-meter walking times and the International Knee Documentation Committee (IKDC) scores were compared at 12 and 24 weeks post-operation. The knee joint stability was tested at 24 weeks post-operation using a KT-1000. [Results] Significant differences were found between the two groups at the 12 weeks post-operation. For most of the measures, there was no significant difference between the groups at 24 weeks post-operation. Interestingly, for most of the measures, there was no significant difference between their values in the treatment group at 12 weeks and their values in the control group at 24 weeks post-operation. [Conclusion] The function of a subject's lower extremities can be improved and the improvement was clearly accelerated by the intervention of treadmill training with partial body weight support, without compromising the stability of the knee joints in a given follow-up period. |
| Author | Luo, Yuan Jiang, Zhong Shen, Weizhong Sha, Jiao |
| Author_xml | – sequence: 1 fullname: Shen, Weizhong organization: Departments of Orthopedics, The Affiliated Taicang Hospital of Soochow University, China – sequence: 1 fullname: Luo, Yuan organization: Departments of Orthopedics, The Affiliated Taicang Hospital of Soochow University, China – sequence: 1 fullname: Jiang, Zhong organization: Departments of Orthopedics, The Affiliated Taicang Hospital of Soochow University, China – sequence: 1 fullname: Sha, Jiao organization: Departments of Rehabilitation, The Affiliated Taicang Hospital of Soochow University: No.58 Chang Sheng Road, TaiCang, Soochow 215400, China |
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| Cites_doi | 10.1186/1745-6215-13-1 10.1016/S0003-9993(03)00434-9 10.1589/jpts.26.1875 10.1016/j.gaitpost.2013.07.120 10.1589/jpts.25.1239 10.1016/j.csm.2014.12.008 10.1161/01.STR.29.6.1122 10.1016/j.clinbiomech.2005.12.017 10.1177/036354659001800313 10.1177/0363546508317717 10.1046/j.1468-1331.2002.00492.x 10.1016/0003-9993(94)90083-3 10.1016/j.jelekin.2010.09.008 10.1016/j.arthro.2009.09.002 10.1097/00005768-199810000-00003 10.1177/036354659502300613 10.1589/jpts.26.1923 10.1177/036354658601400602 |
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| Keywords | Partial body-weight support Anterior cruciate ligament Rehabilitation |
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| References | 11) Thikey H, Grealy M, Wijck FV, et al.: Augmented visual feedback of movement performance to enhance walking recovery after stroke: study protocol for a pilot randomized controlled trial. Trials, 2012, 13: 1–7. 1) Brophy RH, Zeltser D, Wright RW, et al.: Anterior cruciate ligament reconstruction and concomitant articular cartilage injury: incidence and treatment. Arthroscopy, 2010, 26: 112–120. 9) Shelbourne KD, Nitz P: Accelerated rehabilitation after anterior cruciate ligament reconstruction. Am J Sports Med, 1990, 18: 292–299. 15) Kostogiannis I, Ageberg E, Neuman P, et al.: Clinically assessed knee joint laxity as a predictor for reconstruction after an anterior cruciate ligament injury: a prospective study of 100 patients treated with activity modification and rehabilitation. Am J Sports Med, 2008, 36: 1528–1533. 6) Baker PA, Evans OM, Lee C: Treadmill gait retraining following fractured neck-of-femur. Arch Phys Med Rehabil, 1991, 72: 649–652. 5) Visintin M, Barbeau H, Korner-Bitensky N, et al.: A new approach to retrain gait in stroke patients through body weight support and treadmill stimulation. Stroke, 1998, 29: 1122–1128. 18) McFarland EG, Morrey BF, An KN, et al.: The relationship of vascularity and water content to tensile strength in a patellar tendon replacement of the anterior cruciate in dogs. Am J Sports Med, 1986, 14: 436–448. 16) Werner C, Bardeleben A, Mauritz KH, et al.: Treadmill training with partial body weight support and physiotherapy in stroke patients: a preliminary comparison. Eur J Neurol, 2002, 9: 639–644. 8) Yasuda K, Tsujino J, Ohkoshi Y, et al.: Graft site morbidity with autogenous semitendinosus and gracilis tendons. Am J Sports Med, 1995, 23: 706–714. 13) DeVita P, Hortobagyi T, Barrier J: Gait biomechanics are not normal after anterior cruciate ligament reconstruction and accelerated rehabilitation. Med Sci Sports Exerc, 1998, 30: 1481–1488. 14) Li L, Rong W, Ke Z, et al.: Muscle activation changes during body weight support treadmill training after focal cortical ischemia: a rat hindlimb model. J Electromyogr Kinesiol, 2011, 21: 318–326. 3) Failla MJ, Arundale AJ, Logerstedt DS, et al.: Controversies in knee rehabilitation: anterior cruciate ligament injury. Clin Sports Med, 2015, 34: 301–312. 4) Hesse S, Bertelt C, Schaffrin A, et al.: Restoration of gait in nonambulatory hemiparetic patients by treadmill training with partial body-weight support. Arch Phys Med Rehabil, 1994, 75: 1087–1093. 7) Hesse S, Werner C, Seibel H, et al.: Treadmill training with partial body-weight support after total hip arthroplasty: a randomized controlled trial. Arch Phys Med Rehabil, 2003, 84: 1767–1773. 12) Lu TW, Lin HC, Hsu HC: Influence of functional bracing on the kinetics of anterior cruciate ligament-injured knees during level walking. Clin Biomech (Bristol, Avon), 2006, 21: 517–524. 10) Biggs A, Jenkins WL, Urch SE, et al.: Rehabilitation for patients following ACL reconstruction: a knee symmetry model. N Am J Sports Phys Ther, 2009, 4: 2–12. 19) Uçar M, Koca I, Eroglu M, et al.: Evaluation of open and closed kinetic chain exercises in rehabilitation following anterior cruciate ligament reconstruction. J Phys Ther Sci, 2014, 26: 1875–1878. 2) Cho SH, Bae CH, Gak HB: Effects of closed kinetic chain exercises on proprioception and functional scores of the knee after anterior cruciate ligament reconstruction. J Phys Ther Sci, 2013, 25: 1239–1241. 17) Kim K, Lee S, Lee K: Effects of progressive body weight support treadmill forward and backward walking training on stroke patients’ affected side lower extremity’s walking ability. J Phys Ther Sci, 2014, 26: 1923–1927. 20) Burnfield JM, Irons SL, Buster TW, et al.: Comparative analysis of speed’s impact on muscle demands during partial body weight support motor-assisted elliptical training. Gait Posture, 2014, 39: 314–320. 12 13 14 15 16 17 18 19 1 2 3 4 5 (11) 2012; 13 6 7 8 9 20 10 |
| References_xml | – reference: 7) Hesse S, Werner C, Seibel H, et al.: Treadmill training with partial body-weight support after total hip arthroplasty: a randomized controlled trial. Arch Phys Med Rehabil, 2003, 84: 1767–1773. – reference: 17) Kim K, Lee S, Lee K: Effects of progressive body weight support treadmill forward and backward walking training on stroke patients’ affected side lower extremity’s walking ability. J Phys Ther Sci, 2014, 26: 1923–1927. – reference: 6) Baker PA, Evans OM, Lee C: Treadmill gait retraining following fractured neck-of-femur. Arch Phys Med Rehabil, 1991, 72: 649–652. – reference: 8) Yasuda K, Tsujino J, Ohkoshi Y, et al.: Graft site morbidity with autogenous semitendinosus and gracilis tendons. Am J Sports Med, 1995, 23: 706–714. – reference: 9) Shelbourne KD, Nitz P: Accelerated rehabilitation after anterior cruciate ligament reconstruction. Am J Sports Med, 1990, 18: 292–299. – reference: 2) Cho SH, Bae CH, Gak HB: Effects of closed kinetic chain exercises on proprioception and functional scores of the knee after anterior cruciate ligament reconstruction. J Phys Ther Sci, 2013, 25: 1239–1241. – reference: 14) Li L, Rong W, Ke Z, et al.: Muscle activation changes during body weight support treadmill training after focal cortical ischemia: a rat hindlimb model. J Electromyogr Kinesiol, 2011, 21: 318–326. – reference: 10) Biggs A, Jenkins WL, Urch SE, et al.: Rehabilitation for patients following ACL reconstruction: a knee symmetry model. N Am J Sports Phys Ther, 2009, 4: 2–12. – reference: 12) Lu TW, Lin HC, Hsu HC: Influence of functional bracing on the kinetics of anterior cruciate ligament-injured knees during level walking. Clin Biomech (Bristol, Avon), 2006, 21: 517–524. – reference: 4) Hesse S, Bertelt C, Schaffrin A, et al.: Restoration of gait in nonambulatory hemiparetic patients by treadmill training with partial body-weight support. Arch Phys Med Rehabil, 1994, 75: 1087–1093. – reference: 13) DeVita P, Hortobagyi T, Barrier J: Gait biomechanics are not normal after anterior cruciate ligament reconstruction and accelerated rehabilitation. Med Sci Sports Exerc, 1998, 30: 1481–1488. – reference: 16) Werner C, Bardeleben A, Mauritz KH, et al.: Treadmill training with partial body weight support and physiotherapy in stroke patients: a preliminary comparison. Eur J Neurol, 2002, 9: 639–644. – reference: 20) Burnfield JM, Irons SL, Buster TW, et al.: Comparative analysis of speed’s impact on muscle demands during partial body weight support motor-assisted elliptical training. Gait Posture, 2014, 39: 314–320. – reference: 11) Thikey H, Grealy M, Wijck FV, et al.: Augmented visual feedback of movement performance to enhance walking recovery after stroke: study protocol for a pilot randomized controlled trial. Trials, 2012, 13: 1–7. – reference: 19) Uçar M, Koca I, Eroglu M, et al.: Evaluation of open and closed kinetic chain exercises in rehabilitation following anterior cruciate ligament reconstruction. J Phys Ther Sci, 2014, 26: 1875–1878. – reference: 3) Failla MJ, Arundale AJ, Logerstedt DS, et al.: Controversies in knee rehabilitation: anterior cruciate ligament injury. Clin Sports Med, 2015, 34: 301–312. – reference: 18) McFarland EG, Morrey BF, An KN, et al.: The relationship of vascularity and water content to tensile strength in a patellar tendon replacement of the anterior cruciate in dogs. Am J Sports Med, 1986, 14: 436–448. – reference: 5) Visintin M, Barbeau H, Korner-Bitensky N, et al.: A new approach to retrain gait in stroke patients through body weight support and treadmill stimulation. Stroke, 1998, 29: 1122–1128. – reference: 1) Brophy RH, Zeltser D, Wright RW, et al.: Anterior cruciate ligament reconstruction and concomitant articular cartilage injury: incidence and treatment. Arthroscopy, 2010, 26: 112–120. – reference: 15) Kostogiannis I, Ageberg E, Neuman P, et al.: Clinically assessed knee joint laxity as a predictor for reconstruction after an anterior cruciate ligament injury: a prospective study of 100 patients treated with activity modification and rehabilitation. Am J Sports Med, 2008, 36: 1528–1533. – volume: 13 start-page: 1 issn: 1745-6215 year: 2012 ident: 11 publication-title: Trials doi: 10.1186/1745-6215-13-1 – ident: 7 doi: 10.1016/S0003-9993(03)00434-9 – ident: 19 doi: 10.1589/jpts.26.1875 – ident: 20 doi: 10.1016/j.gaitpost.2013.07.120 – ident: 2 doi: 10.1589/jpts.25.1239 – ident: 3 doi: 10.1016/j.csm.2014.12.008 – ident: 5 doi: 10.1161/01.STR.29.6.1122 – ident: 10 – ident: 12 doi: 10.1016/j.clinbiomech.2005.12.017 – ident: 9 doi: 10.1177/036354659001800313 – ident: 15 doi: 10.1177/0363546508317717 – ident: 16 doi: 10.1046/j.1468-1331.2002.00492.x – ident: 4 doi: 10.1016/0003-9993(94)90083-3 – ident: 14 doi: 10.1016/j.jelekin.2010.09.008 – ident: 1 doi: 10.1016/j.arthro.2009.09.002 – ident: 6 – ident: 13 doi: 10.1097/00005768-199810000-00003 – ident: 8 doi: 10.1177/036354659502300613 – ident: 17 doi: 10.1589/jpts.26.1923 – ident: 18 doi: 10.1177/036354658601400602 |
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| Title | Treadmill training with partial body-weight support after anterior cruciate ligament reconstruction: a randomized controlled trial |
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