Original Research

Comparison of Effects of Open Kinetic Chain Exercises with Closed Kinetic Chain Exercises on Quadriceps Strength and Knee Functional Activity Level after ACL Reconstruction; A Randomized Controlled Trial

Nimra Nadeem1
Khadija Polyclinic/hospital Sheikhupura
Hafiz Muhammad Uzair Asghar2
Lahore college of physical therapy-LMDC, Lahore
Ishrat Fatima3
khtar Saeed College of Rehabilitation Sciences
Muhammad Irfan Fazal4
Mayo Hospital, Lahore
Ahmad Humayun Sarfraz4
Mayo Hospital, Lahore
Sania Maqbool5
University of Management and Technology, Lahore

✉ Correspondence: Nimra Nadeem Email: nadeemnimra26@gmail.com

DOI https://doi.org/10.70302/jpsim.v3i2.2225
Volume: 3, Issue 2 Pages: 129–134 Published: 15 Jun 2022
Received: 29 Dec 2021 Accepted: 01 Apr 2022 Published Online: 15 Jun 2022

Abstract

Objective

Comparison of open kinetic chain exercises and closed kinetic chain exercises on strength of quadriceps and knee functional activity level after reconstruction of ACL.

Methods

The study design is randomized controlled trial. Data of 36 patients was collected with subjective consent: 36 patients were distributed in 3 groups and each group had 12 patients with age limit from 17-39 years, treatment was given for 6 weeks including 3 days a week with conventional RICE therapy, conventional treatment with open kinetic chain exercises and conventional treatment with closed kinetic chain exercises. Outcome measures used in this study were KOOS, and Manual Muscle Testing, which were evaluated at Day 0, Week 3, Week 6.

Results

SPSS 21 is used to generate results. Significant p value for post treatment One Way Anova showed for knee injury and osteoarthritis outcome score is less than 0.05 which means the treatment technique is effective in reducing pain and disability in patients after ACL reconstruction. Group A treated with conventional treatment, Group B & Group C having conventional treatment with open kinetic chain exercises and closed kinetic chain exercises respectively. Significant difference was showed by One Way Anova post treatment values for strength of all the muscles of quadriceps and knee functional activity in GROUP A, GROUP B and GROUP C. Vastus Medialis muscle showed p value 0.000, vastus lateralis muscle showed p value 0.000, vastus intermedius and rectus femoris both muscles showed p value 0.000 which are less than 0.05 showing significant difference between three groups.

Conclusion

Closed kinetic chain exercises are conclusively better in improving quadriceps strength and Functional status of patients suffering from Anterior cruciate ligament reconstruction than open kinetic chain exercises.

Keywords
Open Kinetic chain Exercises Closed Kinetic chain Exercises Anterior Cruciate Ligament.

How to Cite This Article

Nadeem N, Asghar HMU, Fatima I, Fazal MI, Sarfraz AH, Maqbool S. Comparison of Effects of Open Kinetic Chain Exercises with Closed Kinetic Chain Exercises on Quadriceps Strength and Knee Functional Activity Level after ACL Reconstruction; A Randomized Controlled Trial. J Pak Soc Intern Med. 2022;3(2):129–134. doi:10.70302/jpsim.v3i2.2225

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Conflict of Interest

All authors declare no competing interests.

Disclosed in accordance with ICMJE and COPE guidelines.

Funding

No specific funding was received for this research.

Funder information follows the Crossref Funder Registry standard.

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Reference list indexed for Google Scholar and ResearchGate. DOI links resolve via doi.org.

CC BY CC BY 4.0 This article is published under the Creative Commons Attribution 4.0 International License. May be shared and adapted with attribution. © 2022 Journal of Pakistan Society of Internal Medicine.
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