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This study aims to investigate the effects of eccentric training on the functional rehabilitation of patients undergoing Anterior Cruciate Ligament Reconstruction (ACL-R). Thirty-four participants undergoing ACL-R will be randomly assigned to two groups: the Conventional Training Group (CTG) and the Eccentric Training Group (ETG). Both groups will adhere to the same post-surgical rehabilitation program, commencing in the first week after ACL-R and continuing until the criteria for sports resumption are achieved. The rehabilitation program will be structured into four phases: immediate post-operative, preparatory, general acquisition, and specific acquisition. The key distinction between the groups lies in their exercise regimen: ETG will prioritize the eccentric phase of movement, whereas CTG will engage in conventional exercises, maintaining uniform load across both movement phases. Assessment procedures will be conducted at three intervals for all participants: immediately post-operative, at 12 weeks post-ACL-R surgery (before the initiation of the training protocol), and at 25 weeks post-ACL-R surgery (upon completion of the training protocol). The primary outcome measure will be the maximum isometric strength of knee extensors. Secondary outcomes will encompass functional status, maximum isometric strength of knee flexors, peak dynamic strength during leg press, quadriceps muscle atrophy, performance in jump tests, and psychological readiness.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Conventional Training Group | Active Comparator | Conventional concentric and eccentric phases |
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| Eccentric Training Group | Experimental | Focus on the eccentric phase of movement |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Conventional Training | Other | Patients will execute the concentric and eccentric phases unilaterally, maintaining consistent load levels, with each phase lasting 2 seconds. |
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| Measure | Description | Time Frame |
|---|---|---|
| Maximal isometric strength of knee extensors | Assessed by manual isometric dynamometry | In the 12th and 25th weeks post-surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Maximum isometric strength of knee flexors | Assessed by manual isometric dynamometry | In the 12th and 25th weeks post-surgery |
| Maximum dynamic strength during leg press exercise | Assessed through the 1 maximum repetition test (1RM) |
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Inclusion Criteria:
- Individuals of both genders, aged between 18 and 40 years, scheduled for ACL reconstruction surgery during the data collection period.
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Gabriela Bissani Gasparin | Contact | +5554991296689 | gabriela.gasparin@hotmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Private Rehabilitation Center | Not yet recruiting | VeranĂ³polis | Rio Grande do Sul | 95330000 | Brazil |
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| Eccentric Training | Other | The concentric phase will be performed bilaterally in approximately 1 second, followed by the unilateral eccentric phase lasting approximately 3 seconds. |
|
| In the 12th and 25th weeks post-surgery |
| Muscle atrophy | The evaluation of muscle atrophy will be performed by measuring the circumference of the thigh (cm) | In the 12th and 25th weeks post-surgery |
| Self-reported functional impairments | Self-reported functional impairments will be assessed using the International Knee Documentation Committee (IKDC) | In the 12th and 25th weeks post-surgery. |
| Performance in jump tests | Measured through the Single and Triple Hop Tests | In the 12th and 25th weeks post-surgery |
| Psychological readiness to return to sport | Assessed by Return to Sport after Anterior Cruciate Ligament Reconstruction Surgery (RSI-ACL) | In the 12th and 25th weeks post-surgery. |
| Private Rehabilitation Center | Recruiting | VeranĂ³polis | Rio Grande do Sul | 95330000 | Brazil |
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