| Titre : | Local vibration training improves the recovery of quadriceps strength in early rehabilitation after anterior cruciate ligament reconstruction: A feasibility randomised controlled trial (2022) |
| Auteurs : | Claire Coulondre ; Robin Souron ; Alexandre Rambaud ; Étienne Dalmais ; Loïc Espeit ; Thomas Neri ; Alban Pinaroli ; Gilles Estour ; Guillaume Y. Millet ; Thomas Rupp ; Léonard Feasson ; Pascal Edouard ; Thomas Lapole |
| Type de document : | Article |
| Dans : | Annals of Physical and Rehabilitation Medicine (Vol. 65, n° 4, June 2022) |
| Article en page(s) : | 101441 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Essais cliniques comme sujet ; Force musculaire ; Ligament croisé antérieur ; Mise en condition physique de l'homme ; Réadaptation |
| Résumé : | Background After anterior cruciate ligament reconstruction (ACLR), quadriceps strength must be maximised as early as possible. Objectives We tested whether local vibration training (LVT) during the early post-ACLR period (i.e., ?10 weeks) could improve strength recovery. Methods This was a multicentric, open, parallel-group, randomised controlled trial. Thirty individuals attending ACLR were randomised by use of a dedicated Web application to 2 groups: vibration (standardised rehabilitation plus LVT, n=16) or control (standardised rehabilitation alone, n=14). Experimenters, physiotherapists and participants were not blinded. Both groups received 24 sessions of standardised rehabilitation over ?10 weeks. In addition, the vibration group received 1 hour of vibration applied to the relaxed quadriceps of the injured leg at the end of each rehabilitation session. The primary outcome ? maximal isometric strength of both injured and non-injured legs (i.e., allowing for limb asymmetry measurement) ? was evaluated before ACLR (PRE) and after the 10-week rehabilitation (POST). Results Seven participants were lost to follow-up, so data for 23 participants were used in the complete-case analysis. For the injured leg, the mean (SD) decrease in maximal strength from PRE to POST was significantly lower for the vibration than control group (n=11, ?16% [10] vs. n=12, ?30% [11]; P=0.0045, Cohen's d effect size=1.33). Mean PRE?POST change in limb symmetry was lower for the vibration than control group (?19% [11] vs. ?29% [13]) but not significantly (P=0.051, Cohen's d effect size=0.85). Conclusion LVT improved strength recovery after ACLR. This feasibility study suggests that LVT applied to relaxed muscles is a promising modality of vibration therapy that could be implemented early in ACLR. Trial registration ClinicalTrials.gov: NCT02929004. |
| Disponible en ligne : | Non |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S187706572030172X |
Bibliothèques HE Vinci
