The efficacy of 5 rehabilitation treatments after anterior cruciate ligament reconstruction

Wang, Congxiao; Ji, Zhonglei; Wang, Luyi; Zhang, Qiaorong; Wang, Hujun; Qie, Shuyan

doi:10.1097/md.0000000000027835

Medicine

2021

DOI: 10.1097/md.0000000000027835

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The efficacy of 5 rehabilitation treatments after anterior cruciate ligament reconstruction

Congxiao Wang

Zhonglei Ji

Luyi Wang

et al.

Abstract: Supplemental Digital Content is available in the text

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2024

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Anodal transcranial direct current stimulation (tDCS) modulates quadriceps motor cortex inhibition and facilitation during rehabilitation following anterior cruciate ligament (ACL) reconstruction: a triple-blind, randomised controlled proof of concept trial

Murphy,

Sylvester,

Whife

et al. 2024

BMJ Open Sport Exerc Med

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ObjectivesFollowing anterior cruciate ligament reconstruction (ACLR), maladaptive changes occur in the motor cortex representation of the quadriceps, evidenced by increases in intracortical inhibition and facilitation. The primary objective of this proof-of-concept study was to determine if anodal transcranial direct current stimulation (tDCS) can alter quadriceps intracortical inhibition and facilitation in an early-ACLR population after 6 weeks of application during exercise.MethodsWe performed a randomised, triple-blind controlled trial for proof of concept comparing anodal-tDCS to sham-tDCS following ACLR. Anodal-tDCS or sham-tDCS was delivered to the primary motor cortex for 20 min, three times per week, for 6 weeks from week 2 post ACLR. Transcranial magnetic stimulation quantified quadriceps short-interval intracortical inhibition (SICI), long-interval intracortical inhibition (LICI) and short-interval intracortical facilitation (SICF). Significance at p<0.05.ResultsParticipants were randomised to anodal (n=11) or sham (n=10) tDCS. Participants were predominantly male (n=13) and had a mean (SD) age of 24.4 (4.7) years. For SICI, there was a group-by-time effect for anodal-tDCS (β=0.519, 95% CI 0.057 to 0.981, p=0.028) and an effect for time (β=−1.421, 95% CI −1.919 to −0.923, p<0.001). For LICI, there was no group-by-time (β=−0.217, 95% CI −0.916 to 0.482, p=0.543) or time effect (β=0.039, 95% CI −0.815 to −0.893, p=0.928). For SICF, there was a group-by-time effect for anodal-tDCS (β=−0.764, 95%CI −1.407 to −0.120, p=0.020) but not time (β=0.504, 95% CI −0.627 to 1.635, p=0.383).ConclusionThis study provided proof of the efficacy of anodal-tDCS post ACLR in reducing maladaptive quadriceps inhibition and facilitation. We demonstrated anodal-tDCS improved facilitation and inhibition post ACLR, which are drivers of arthrogenic muscle inhibition.

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Anodal transcranial direct current stimulation (tDCS) modulates quadriceps motor cortex inhibition and facilitation during rehabilitation following anterior cruciate ligament (ACL) reconstruction: a triple-blind, randomised controlled proof of concept trial

Murphy,

Sylvester,

Whife

et al. 2024

BMJ Open Sport Exerc Med

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show abstract

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The efficacy of 5 rehabilitation treatments after anterior cruciate ligament reconstruction

Abstract: Supplemental Digital Content is available in the text

Cited by 1 publication

References 14 publications

Anodal transcranial direct current stimulation (tDCS) modulates quadriceps motor cortex inhibition and facilitation during rehabilitation following anterior cruciate ligament (ACL) reconstruction: a triple-blind, randomised controlled proof of concept trial

Anodal transcranial direct current stimulation (tDCS) modulates quadriceps motor cortex inhibition and facilitation during rehabilitation following anterior cruciate ligament (ACL) reconstruction: a triple-blind, randomised controlled proof of concept trial

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