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Knee Surgery, Sports Traumatology, Arthroscopy

, Volume 13, Issue 8, pp 638–648 | Cite as

Knee extensors kinetic chain training in anterior cruciate ligament deficiency

  • Mark C. Perry
  • Matthew C. Morrissey
  • Dylan Morrissey
  • Philippa R. Knight
  • Thomas B. McAuliffe
  • John B. King
Knee

Abstract

Open kinetic chain (OKC) knee extensor resistance training has lost favour in rehabilitation of patients with knee ACLD due to concerns that this exercise is harmful to the remaining portion of the ACL and its secondary stabilizers, and will be less effective in improving function. In this randomized, single-blind clinical trial, closed and OKC knee extensor training were compared for their effects on knee laxity and function in patients with ACLD knees. Sixty-four patients with a diagnosis of knee ACLD (49 M, 15 F; mean age=30 years) were measured for knee laxity, using a ligament arthrometer, and function with the Hughston Clinic knee self-assessment questionnaire and maximal effort single leg jump testing. Between the above tests and identical tests carried out 6 weeks later, subjects trained using either open or closed kinetic chain resistance of their knee and hip extensors as part of formal physical therapy sessions three times per week for 6 weeks. The groups exhibited no statistically significant differences (p<0.083) in outcome. These results indicate that knee extensor OKC training, as used in this study, can be safely applied to patients with knee ACL deficiency, and shows no superiority to CKC training.

Keywords

Resistance Exercise Quadriceps Rehabilitation 

Notes

Acknowledgements

This study was supported by grants from Action Medical Research and the Special Trustees of the Royal London Hospitals Trust. The authors thank the following for their assistance with this project: Renata Vauhnik, Ivy Man, Peter Milligan, Bruce Paton, Jo Jones and Technogym UK.

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Copyright information

© Springer-Verlag 2005

Authors and Affiliations

  • Mark C. Perry
    • 1
  • Matthew C. Morrissey
    • 1
  • Dylan Morrissey
    • 1
  • Philippa R. Knight
    • 2
  • Thomas B. McAuliffe
    • 2
  • John B. King
    • 3
  1. 1.Division of Applied Biomedical Research, GKT School of Biomedical SciencesKing’s College LondonLondonUK
  2. 2.Forest Healthcare TrustLondonUK
  3. 3. Academic Department of Sports MedicineQueen Mary, University of LondonLondonUK

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