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Neuromuscular Training Versus Strength Training During First 6 Months After Anterior Cruciate Ligament Reconstruction: A Randomized Clinical Trial

MA Risberg, PT, PhD, is Associate Professor and Chairman, Norwegian Research Center for Active Rehabilitation (NAR), Orthopedic Center, Ullevaal University Hospital; Norwegian Sport Medicine Clinic (NMI); and Norwegian School of Sport Sciences, Oslo, Norway
I Holm, PT, PhD, is Professor, Rikshospitalet Medical Center, University of Oslo, Oslo, Norway
G Myklebust, PT, PhD, is Associate Professor, Norwegian Sport Medicine Clinic (NIMI) and Norwegian School of Sport Sciences, Oslo, Norway
L Engebretsen, MD, PhD, is Professor and Chairman, Division of Neuroscience and Musculoskeletal Medicine, Ullevaal University Hospital, and Faculty of Medicine, University of Oslo

Address all correspondence to Dr Risberg at: mayarnarisberg{at}hotmail.com

Background and Purpose: The purpose of this study was to determine the effect of a 6-month neuromuscular training (NT) program versus a traditional strength training (ST) program following anterior cruciate ligament (ACL) reconstruction.

Subjects: Seventy-four subjects with ACL reconstruction participated in the study.

Methods: The study was a randomized, single-blinded, controlled trial. The NT and ST groups were tested preoperatively and at 3 and 6 months. The main outcome measure was the Cincinnati Knee Score. Secondary outcome measures were visual analog scales (VASs) for pain and function, the 36-Item Short-Form Health Survey (SF-36), hop tests, isokinetic muscle strength, proprioception, and static and dynamic balance tests.

Results: The NT group demonstrated significantly improved Cincinnati Knee Scores and VAS scores for global knee function compared with the ST group at the 6-month follow-up. There were no significant differences between the groups for the other outcome measures (ie, hop, balance, proprioception, and muscle strength tests).

Discussion and Conclusion: The results of this study suggest that exercises included in the NT program should be part of the rehabilitation program following ACL reconstruction.

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