Quadriceps muscle strength recovery with the use of high tone power therapy after anterior cruciate ligament reconstruction: a randomized controlled trial

Abstract Background There are no scientific reports clearly describing the effectiveness of the High Tone Power Therapy in patients after ACL reconstruction. This caused that in own research an attempt was made to present the possibilities of using the selected method of electrical stimulation in th...

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Main Authors: Katarzyna Ogrodzka-Ciechanowicz, Grzegorz Głąb, Jakub Ślusarski, Artur Gądek
Format: Article
Language:English
Published: BMC 2021-11-01
Series:BMC Musculoskeletal Disorders
Subjects:
Online Access:https://doi.org/10.1186/s12891-021-04862-w
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author Katarzyna Ogrodzka-Ciechanowicz
Grzegorz Głąb
Jakub Ślusarski
Artur Gądek
author_facet Katarzyna Ogrodzka-Ciechanowicz
Grzegorz Głąb
Jakub Ślusarski
Artur Gądek
author_sort Katarzyna Ogrodzka-Ciechanowicz
collection DOAJ
description Abstract Background There are no scientific reports clearly describing the effectiveness of the High Tone Power Therapy in patients after ACL reconstruction. This caused that in own research an attempt was made to present the possibilities of using the selected method of electrical stimulation in the treatment of an orthopaedic patient. The aim was to assess the effectiveness of electro stimulation of the quadriceps muscle in patients after ACL reconstruction, with the use of High Tone Power Therapy. Methods In randomized controlled trial took part thirty-five men, aged 21–50, after ACL reconstruction. The tests were carried prior to and 6 months following the ACL reconstruction. After the surgery, the patients were randomly divided into experimental group (17 patients) with the High Tone Power Therapy in rehabilitation and control group (18 patients) without the High Tone Power Therapy. Patients were subjected to 6-month rehabilitation. Research tools included the measurement of muscle strength torque, ROM, knee and thigh circumference measurements, the Lysholm and the VAS scale. Results After applying HiToP, the analysis showed a statistically significant improvement of muscle torque (p = 0.041, Es = 3.71), knee circumference (p = 0.039, Es = 1.65), thigh circumference (p = 0.049, Es = 1.26), knee extension (p < 0.001, Es = 2.20) in Experimental group compared to the control group. Only the results of the VAS scale did not differ statistically significantly both within a given group and between groups. Conclusions The results confirm the hypothesis that the use of HiToP in patients after ACLr have a beneficial effect on muscle strength, reduction of joint effusion, muscle mass gain and joint function. The assumption that HiToP significantly reduces pain levels is not supported - the results in both groups are statistically insignificant. Trial registration The research project was retrospectively registered in the Australian New Zealand Clinical Trials Registry (ANZCTR). Date of first registration 11.10.2016. Registration number: ACTRN12616001416482 .
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spelling doaj.art-c5fe73d867264ee9a744aeb74e2f09db2022-12-21T22:55:58ZengBMCBMC Musculoskeletal Disorders1471-24742021-11-0122111010.1186/s12891-021-04862-wQuadriceps muscle strength recovery with the use of high tone power therapy after anterior cruciate ligament reconstruction: a randomized controlled trialKatarzyna Ogrodzka-Ciechanowicz0Grzegorz Głąb1Jakub Ślusarski2Artur Gądek3Institute of Clinical Rehabilitation, Faculty of Motor Rehabilitation, University of Physical Education in KrakowInstitute of Clinical Rehabilitation, Faculty of Motor Rehabilitation, University of Physical Education in KrakowTrauma and Orthopaedics Clinical Department, University Hospital in KrakowTrauma and Orthopaedics Clinical Department, University Hospital in KrakowAbstract Background There are no scientific reports clearly describing the effectiveness of the High Tone Power Therapy in patients after ACL reconstruction. This caused that in own research an attempt was made to present the possibilities of using the selected method of electrical stimulation in the treatment of an orthopaedic patient. The aim was to assess the effectiveness of electro stimulation of the quadriceps muscle in patients after ACL reconstruction, with the use of High Tone Power Therapy. Methods In randomized controlled trial took part thirty-five men, aged 21–50, after ACL reconstruction. The tests were carried prior to and 6 months following the ACL reconstruction. After the surgery, the patients were randomly divided into experimental group (17 patients) with the High Tone Power Therapy in rehabilitation and control group (18 patients) without the High Tone Power Therapy. Patients were subjected to 6-month rehabilitation. Research tools included the measurement of muscle strength torque, ROM, knee and thigh circumference measurements, the Lysholm and the VAS scale. Results After applying HiToP, the analysis showed a statistically significant improvement of muscle torque (p = 0.041, Es = 3.71), knee circumference (p = 0.039, Es = 1.65), thigh circumference (p = 0.049, Es = 1.26), knee extension (p < 0.001, Es = 2.20) in Experimental group compared to the control group. Only the results of the VAS scale did not differ statistically significantly both within a given group and between groups. Conclusions The results confirm the hypothesis that the use of HiToP in patients after ACLr have a beneficial effect on muscle strength, reduction of joint effusion, muscle mass gain and joint function. The assumption that HiToP significantly reduces pain levels is not supported - the results in both groups are statistically insignificant. Trial registration The research project was retrospectively registered in the Australian New Zealand Clinical Trials Registry (ANZCTR). Date of first registration 11.10.2016. Registration number: ACTRN12616001416482 .https://doi.org/10.1186/s12891-021-04862-wACL injuriesPhysical therapy modalitiesMuscle strength dynamometer
spellingShingle Katarzyna Ogrodzka-Ciechanowicz
Grzegorz Głąb
Jakub Ślusarski
Artur Gądek
Quadriceps muscle strength recovery with the use of high tone power therapy after anterior cruciate ligament reconstruction: a randomized controlled trial
BMC Musculoskeletal Disorders
ACL injuries
Physical therapy modalities
Muscle strength dynamometer
title Quadriceps muscle strength recovery with the use of high tone power therapy after anterior cruciate ligament reconstruction: a randomized controlled trial
title_full Quadriceps muscle strength recovery with the use of high tone power therapy after anterior cruciate ligament reconstruction: a randomized controlled trial
title_fullStr Quadriceps muscle strength recovery with the use of high tone power therapy after anterior cruciate ligament reconstruction: a randomized controlled trial
title_full_unstemmed Quadriceps muscle strength recovery with the use of high tone power therapy after anterior cruciate ligament reconstruction: a randomized controlled trial
title_short Quadriceps muscle strength recovery with the use of high tone power therapy after anterior cruciate ligament reconstruction: a randomized controlled trial
title_sort quadriceps muscle strength recovery with the use of high tone power therapy after anterior cruciate ligament reconstruction a randomized controlled trial
topic ACL injuries
Physical therapy modalities
Muscle strength dynamometer
url https://doi.org/10.1186/s12891-021-04862-w
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AT jakubslusarski quadricepsmusclestrengthrecoverywiththeuseofhightonepowertherapyafteranteriorcruciateligamentreconstructionarandomizedcontrolledtrial
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