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The Effects of Strengthening Exercise of Hip Abductors on Muscle Strength and Ambulation in Patient with ACL Reconstruction  

Park, Byung-Joon (Department of Physical Therapy, Graduate School, Catholic University of Daegu)
Kim, Joong-Hwi (Department of Physical Therapy, College of Medical Science, Catholic University of Daegu)
Publication Information
The Journal of Korean Physical Therapy / v.26, no.5, 2014 , pp. 296-301 More about this Journal
Abstract
Purpose: The purpose of this study was to investigate the effect of strengthening exercises of hip abductors on muscle strength and ambulation for patients with ACL reconstruction. Methods: The subjects were randomly assigned to the intervention group (general exercise plus strengthening of hip abductors) or the control group (general exercise without the strengthening of hip abductors). Both groups participated in a six-week exercise protocol after the surgery for ACL reconstruction. The knee strength test (quadriceps, hamstring, hip abductor) and gait analysis were performed in pretest and post-test. Results: Muscle strength was measured using the Biodex system III model (Biodex Medical System, Inc, NY, US). The results showed no significant difference in knee strength (quadriceps, hamstring) between the two groups (p>0.05), however, there was a significant difference in hip abductors (p<0.05). The gait analysis was measured with Gaitrite system (CIR System Inc, US). Results of comparison between groups showed a significant increase in the step length of both groups. (p<0.05), and there was a significant difference in the affected leg of the intervention group(p<0.05). Conclusion: Exercise of hip abductors for patients with ACL reconstruction provides significant benefits with respect to improvement of muscle strength in hip abductors, increasing the stride. This result indicates that a training program designed for ACL reconstruction patients should include strengthening of the hip abductor. We think that further study is needed to determine the relationship of hip muscles and knee joint for patients with ACL reconstruction.
Keywords
ACL reconstruction; Hip abductors; Biodex system; Gaitrite system;
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Times Cited By KSCI : 4  (Citation Analysis)
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