The Effects of Eccentric and Plyometric Training Programs and Their Combination on Stability and the Functional Performance in the Post-ACL-Surgical Rehabilitation Period of Elite Female Athletes

Kasmi, Sofien; Zouhal, Hassane; Hammami, Raouf; Clark, Cain C. T.; Hackney, Anthony C.; Hammami, Amri; Chtara, Moktar; Chortane, Sabri Gaied; Salah, F.Z. Ben; Granacher, Urs; Ounis, Omar Ben

doi:10.3389/fphys.2021.688385

Cited by 11 publications

(29 citation statements)

References 45 publications

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“…Three studies141–143 investigated the effect of eccentric training in the rehabilitation protocol after ACL surgery. One study investigated if a 12-week quadriceps strength training with eccentric overload is more efficient to induce muscle regeneration than conventional concentric/eccentric strength training 141.…”

Section: Resultsmentioning

confidence: 99%

“…The second study evaluated the difference between concentric and eccentric training in an isokinetic cycle ergometer 143. The third study assessed the effect of 6 weeks (initiated at 3 months after ACLR) of eccentric training, plyometric training or a combination of these two modalities (eccentric/plyometric) on the outcomes after ACL surgery in elite female athletes 142…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Four studies compared a neuromuscular training programme that included plyometrics, agility and sports-specific exercises to the usual rehabilitation protocol (that included strength training) 142 156–158. One study additionally compared the combination of plyometric and eccentric training to a usual rehabilitation protocol 142. One study compared the effect of an 8-week programme of low-intensity and high-intensity plyometric exercises consisting of running, jumping and agility activities on knee function, articular cartilage metabolism and other clinically relevant measures 159…”

Section: Resultsmentioning

confidence: 99%

“…142 156-158 One study additionally compared the combination of plyometric and eccentric training to a usual rehabilitation protocol. 142 One study compared the effect of an 8-week programme of low-intensity and high-intensity plyometric exercises consisting of running, jumping and agility activities on knee function, articular cartilage metabolism and other clinically relevant measures.…”

Section: Plyometric and Agility Training Versus Usual Carementioning

confidence: 99%

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Aspetar clinical practice guideline on rehabilitation after anterior cruciate ligament reconstruction

et al. 2023

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This guideline was developed to inform clinical practice on rehabilitation after anterior cruciate ligament reconstruction (ACLR) and was performed in accordance with the Appraisal of Guidelines for REsearch & Evaluation II (AGREE II) instrument and used the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach. A Guideline Development Group systematically searched and reviewed evidence using randomised clinical trials and systematic reviews to evaluate the effectiveness of rehabilitation interventions and guide clinicians and patients on the content of the optimal rehabilitation protocol after ACLR.The guideline targets patients during rehabilitation after ACLR and investigates the effectiveness of the available interventions to the physiotherapist, alone or in combination (eg, exercise, modalities, objective progression criteria). Exercise interventions should be considered the mainstay of ACLR rehabilitation. However, there is little evidence on the dose–response relationship between volume and/or intensity of exercise and outcomes. Physical therapy modalities can be helpful as an adjunct in the early phase of rehabilitation when pain, swelling and limitations in range of motion are present. Adding modalities in the early phase may allow earlier pain-free commencement of exercise rehabilitation. Return to running and return to training/activity are key milestones for rehabilitation after ACLR. However, there is no evidence on which progression or discharge criteria should be used.While there is a very low level of certainty for most components of rehabilitation, most of the recommendations provided in this guideline were agreed to by expert clinicians. This guideline also highlights several new elements of ACLR management not reported previously.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Plyometric and Agility Training Versus Usual Carementioning

confidence: 99%

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Aspetar clinical practice guideline on rehabilitation after anterior cruciate ligament reconstruction

et al. 2023

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The effects of different rehabilitation training modalities on isokinetic muscle function and male athletes’ psychological status after anterior cruciate ligament reconstructions

Kasmi

Sariati

Hammami

et al. 2023

BMC Sports Sci Med Rehabil

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Background Previously, researchers reported performance enhancements following long-term plyometric training in athletes with anterior cruciate ligament reconstruction (LCA). However, the effects of combined eccentric and plyometric training on measures of isokinetic strength and psychological statues in male athletes have not been examined yet. Knowledge on the effects of combined eccentric and plyometric training help to better plan and program rehabilitations sessions and thus return-to-sports. Objective This study sought to compare the effects of three different rehabilitation training programs, eccentric training (ECC), plyometric training (PLYO), or combined eccentric and plyometric training (COMB), on psychological measures (kinesiophobia [TSK-CF], functional knee assessment, knee injury and osteoarthritis outcome score [KOOS], international knee documentation committee 2000 questionnaire [IKDC], and knee flexor and extensor isokinetic muscle performance (peak torque [PT], total work, ratio [R-HQ], and ratio of total work [R-TW]) at different angular velocities post ACL surgery in male elite athletes. Methods Forty elite male athletes from different sports (e.g., athletics, team sports) with ACL reconstruction participated in this study. The study started after a 14-weeks post-surgery rehabilitation program, which was identical for all subjects. After this initial rehabilitation period, athletes were randomly assigned to three experimental groups, ECC (n = 10), PLYO (n = 10), and COMB (n = 10), and a control group (CON: n = 10). Testing was conducted pre- and post-the 6-weeks intervention period and included the TSK-CF, KOOS, and IKDC. Peak torque of the knee extensors/flexors was tested at 90, 180, 240 °/s, after the 6-weeks training program only. Results Participants’ adherence rate was 100% across all groups and none reported any training or test-related injury. No significant between-group baseline differences (pre-6-weeks intervention) were observed for any of the reported psychological and muscle strength parameters. Significant group-by-time interactions were found for TSK-CF (p = 0.001, d = 2.85), KOOS (p = 0.001, d = 1.31), and IKDC (p = 0.001, d = 1.07). The post-hoc analyses indicated that COMB showed larger pre-post improvements for all psychological variables (p < 0.001, d = 2.95 to 13.15), compared with PLYO, ECC, and CON. Contrast analyses demonstrated that COMB yielded significantly greater improvements compared with CON, PLYO, ECC for all isokinetic parameters at all three angular velocities (all p < 0.001, d = 0.99 to 4.61). Conclusion The results showed that COMB induced greater gains for measures of psychological status and isokinetic muscle strength compared with single-mode PLYO and ECC in elite male athletes during a post-surgery ACL rehabilitation period. Accordingly, it is recommended to implement COMB as an effective rehabilitation means to improve knee function in male elite athletes. Trial registration This study does not report results related to health care interventions using human participants and therefore it was not prospectively registered.

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Effect of low-intensity plyometrics and eccentric training programs on pain, strength and function in patients with knee osteoarthritis: A randomized control trial protocol

Somaiya

Samal

2023

F1000Res

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Meniscus degeneration, synovial inflammation, subchondral bone changes, and cartilage loss serve as the best indicators of osteoarthritis (OA). The most prevalent type of joint conditions, OA, impairs mobility, lowers quality of life, and limits participation in social activities. Although pain is the primary concern for the majority of patients, clinical symptoms also include joint stiffness, discomfort, and dysfunction. There is enough data to draw the conclusion that physiotherapy treatments can reduce knee OA patients’ pain and enhance their functional capabilities. Two treatment methods that are particularly effective and advantageous for people with knee OA are plyometrics and eccentric training programmes. Our study will compare the impact of eccentric training programmes and low-intensity plyometric training programmed on pain, strength, and function in patients with Grade 1 and Grade 2 knee OA. In this study, the following outcome measures will be utilised: the Visual Analogue Scale (VAS), the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and the Two Minute Walk Test, as our final performance measures for pain and function, respectively. We will determine strength by using portable hand-held dynamometers. Through this study, we will be able to create a plyometric training regimen that can be given to individuals with knee osteoarthritis to improve their physical well-being and athletic performance. These training programmes would be highly effective in such patients, in addition to conventional treatment. Registration number: CTRI/2023/06/053657

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The Effects of Eccentric and Plyometric Training Programs and Their Combination on Stability and the Functional Performance in the Post-ACL-Surgical Rehabilitation Period of Elite Female Athletes

Cited by 11 publications

References 45 publications

Aspetar clinical practice guideline on rehabilitation after anterior cruciate ligament reconstruction

Aspetar clinical practice guideline on rehabilitation after anterior cruciate ligament reconstruction

The effects of different rehabilitation training modalities on isokinetic muscle function and male athletes’ psychological status after anterior cruciate ligament reconstructions

Effect of low-intensity plyometrics and eccentric training programs on pain, strength and function in patients with knee osteoarthritis: A randomized control trial protocol

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