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Effect of water-based walking exercise on rehabilitation of patients following ACL reconstruction: a prospective, randomised, single-blind clinical trial

  • Author Footnotes
    1 These authors contributed equally to this work.
    Desheng Li
    Footnotes
    1 These authors contributed equally to this work.
    Affiliations
    Department of Rehabilitation, Affiliated Zhongshan Hospital of Dalian University, Dalian, People’s Republic of China

    Department of Rehabilitation, People's Hospital of Longhua District of Shenzhen, Shenzhen, People’s Republic of China
    Search for articles by this author
  • Author Footnotes
    1 These authors contributed equally to this work.
    Qi Zhang
    Footnotes
    1 These authors contributed equally to this work.
    Affiliations
    Department of Rehabilitation, Affiliated Zhongshan Hospital of Dalian University, Dalian, People’s Republic of China
    Search for articles by this author
  • Xuguang Liu
    Affiliations
    Department of Rehabilitation, Affiliated Zhongshan Hospital of Dalian University, Dalian, People’s Republic of China
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  • Chen Chen
    Affiliations
    Department of Anatomy, Medical College of Dalian University, Dalian, People’s Republic of China
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  • Jiani Lu
    Affiliations
    Department of Rehabilitation, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, People’s Republic of China
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  • Dongmei Ye
    Correspondence
    Corresponding authors at: Department of Rehabilitation, Affiliated Zhongshan Hospital of Dalian University, Dalian, People’s Republic of China.
    Affiliations
    Department of Rehabilitation, Affiliated Zhongshan Hospital of Dalian University, Dalian, People’s Republic of China
    Search for articles by this author
  • Yangjun Li
    Affiliations
    Department of Rehabilitation, Affiliated Zhongshan Hospital of Dalian University, Dalian, People’s Republic of China
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  • Wei Wang
    Affiliations
    Department of Rehabilitation, Affiliated Zhongshan Hospital of Dalian University, Dalian, People’s Republic of China
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  • Mei Shen
    Correspondence
    Corresponding authors at: Department of Rehabilitation, Affiliated Zhongshan Hospital of Dalian University, Dalian, People’s Republic of China.
    Affiliations
    Department of Rehabilitation, Affiliated Zhongshan Hospital of Dalian University, Dalian, People’s Republic of China

    Department of Rehabilitation, People's Hospital of Longhua District of Shenzhen, Shenzhen, People’s Republic of China
    Search for articles by this author
  • Author Footnotes
    1 These authors contributed equally to this work.
Published:December 01, 2021DOI:https://doi.org/10.1016/j.physio.2021.11.003

      Abstract

      Objectives

      To compare water-based treadmill walking training with land-based treadmill walking training following anterior cruciate ligament (ACL) reconstruction.

      Design

      Prospective, randomised, single-blind clinical trial.

      Setting

      Single-centre study.

      Participants

      Sixty patients undergoing rehabilitation following ACL reconstruction were assigned at random into two groups.

      Interventions

      Patients in the water-based training group (WBG) underwent treadmill training in water, and patients in the land-based training group (LBG) underwent treadmill training on land.

      Main outcome measures

      Muscle strength was evaluated using the ratio of peak torque to body weight (PT/BW) before and after 3 weeks of training.

      Results

      After 3 weeks of training, both groups had significantly higher PT/BW ratios, passive position sense (PAPS) and Lysholm scores compared with pre-treatment levels. In the affected leg, the PT/BW ratio for the knee extensor muscles, PAPS and Lysholm scores showed significantly greater improvement in the WBG than in the LBG. No significant differences in the PT/BW ratio, single leg balance index and stability limit index of the knee flexor muscles at different angular velocities were seen between the two groups.

      Conclusion

      The results suggest that water-based walking exercise could lead to greater improvements in extensor muscle strength, proprioception and knee performance compared with land-based training following ACL reconstruction.

      Clinical Trial Registration number

      ChiCTR1900025930.

      Keywords

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