The above titled Research Article was published in the latest Physiotherapy Journal and can be accessed by following this link by CSP Members when logged in.
To compare water-based treadmill walking training with land-based treadmill walking training following anterior cruciate ligament (ACL) reconstruction.
Prospective, randomised, single-blind clinical trial.
Sixty patients undergoing rehabilitation following ACL reconstruction were assigned at random into two groups.
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.
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.
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.
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