Huang DD, Chen LH, Yu Z, Chen QJ, Lai JN, Li HH, Liu G. Effect of suspension training on neuromuscular function, postural control, and knee kinematics in anterior cruciate ligament reconstruction patients. World J Clin Cases 2021; 9(10): 2247-2258 [PMID: 33869600 DOI: 10.12998/wjcc.v9.i10.2247]
Corresponding Author of This Article
Gang Liu, PhD, Professor, Department of Rehabilitation Medicine, Nanfang Hospital, Southern Medical University, No. 1838 Guangzhou Dadao North, Guangzhou 510515, Guangdong Province, China. lg2781@smu.edu.cn
Research Domain of This Article
Rehabilitation
Article-Type of This Article
Prospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Apr 6, 2021; 9(10): 2247-2258 Published online Apr 6, 2021. doi: 10.12998/wjcc.v9.i10.2247
Effect of suspension training on neuromuscular function, postural control, and knee kinematics in anterior cruciate ligament reconstruction patients
Dong-Dong Huang, Liang-Hua Chen, Zhe Yu, Quan-Jun Chen, Jie-Nuan Lai, Hai-Hong Li, Gang Liu
Dong-Dong Huang, Liang-Hua Chen, Zhe Yu, Quan-Jun Chen, Jie-Nuan Lai, Hai-Hong Li, Department of Rehabilitation Medicine, The Third Affiliated Hospital of Southern Medical University, Guangzhou 510630, Guangdong Province, China
Gang Liu, Department of Rehabilitation Medicine, Nanfang Hospital, Southern Medical University, Guangzhou 510515, Guangdong Province, China
Author contributions: Liu G conceived the study and edited the manuscript; Yu Z, Chen QJ, and Lai JN performed the exercise training, conducted assessment before and after the intervention, and collected all outcome data; Huang DD and Chen LH analyzed the results and prepared and edited the manuscript.
Institutional review board statement: The study was reviewed and approved by the institutional review board of the Third Affiliated Hospital of Southern Medical University.
Informed consent statement: All study participants provided written consent prior to study enrollment.
Conflict-of-interest statement: We have no conflicts of interest to report.
Data sharing statement: The datasets used or analyzed during the study are available from the corresponding author on reasonable request.
CONSORT 2010 statement: The authors have read the CONSORT 2010 Statement, and the manuscript was prepared and revised according to the CONSORT 2010 Statement.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Gang Liu, PhD, Professor, Department of Rehabilitation Medicine, Nanfang Hospital, Southern Medical University, No. 1838 Guangzhou Dadao North, Guangzhou 510515, Guangdong Province, China. lg2781@smu.edu.cn
Received: October 21, 2020 Peer-review started: October 21, 2020 First decision: December 3, 2020 Revised: December 14, 2020 Accepted: January 27, 2021 Article in press: January 27, 2021 Published online: April 6, 2021 Processing time: 160 Days and 1.7 Hours
Abstract
BACKGROUND
Suspension training (SET) is a method of neuromuscular training that enables the body to carry out active training under unstable support through a suspension therapy system. However, there have been few reports in the literature on the application of SET to anterior cruciate ligament reconstruction (ACLR) patients. It is not clear what aspects of the patient's function are improved after SET.
AIM
To investigate the effect of SET on the neuromuscular function, postural control, and knee kinematics of patients after ACLR surgery.
METHODS
Forty participants were randomized to an SET group or a control group. The SET group subjects participated in a SET protocol over 6 wk. The control group subjects participated in a traditional training protocol over 6 wk. Isokinetic muscle strength of the quadriceps and hamstrings, static and dynamic posture stability test, and relative translation of the injured knee were assessed before and after training.
RESULTS
The relative peak torque of the quadriceps and hamstrings in both groups increased significantly (P < 0.001), and the SET group increased by a higher percentage than those in the control group (quadriceps: P = 0.004; hamstrings: P = 0.011). After training, both groups showed significant improvements in static and dynamic posture stability (P < 0.01), and the SET group had a greater change than the control group (P < 0.05). No significant improvement on the relative translation of the injured knee was observed after training in either group (P > 0.05).
CONCLUSION
Our findings show that SET promotes great responses in quadriceps and hamstring muscle strength and balance function in ACLR patients.
Core Tip: In our study, suspension training (SET) was applied to anterior cruciate ligament reconstruction (ACLR) post-rehabilitation as a new sports training method. First, this study provides the first evidence for the feasibility of SET in ACLR rehabilitation. Second, this study presents a detailed and ACLR-targeted SET program. Further, we demonstrated the effect of the SET on neuromuscular function, postural control, and knee kinematics in ACLR patients.
