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Akhmetyanov R.R.

Chelyabinsk Regional Clinical Hospital;
South Ural State Medical University

Davydova E.V.

Chelyabinsk Regional Clinical Hospital;
South Ural State Medical University

Effectiveness of muscles’ preoperative preparation for reconstruction of anterior cruciate ligament of knee

Authors:

Akhmetyanov R.R., Davydova E.V.

More about the authors

Journal: Problems of Balneology, Physiotherapy and Exercise Therapy. 2025;102(1): 51‑57

DOI: 10.17116/kurort202510201151

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Table of contents

EFFECTIVENESS OF MUSCLES’ PREOPERATIVE PREPARATION FOR RECONSTRUCTION OF ANTERIOR CRUCIATE LIGAMENT OF KNEE
EFFECTIVENESS OF MUSCLES’ PREOPERATIVE PREPARATION FOR RECONSTRUCTION OF ANTERIOR CRUCIATE LIGAMENT OF KNEE

To cite this article:

Akhmetyanov RR, Davydova EV. Effectiveness of muscles’ preoperative preparation for reconstruction of anterior cruciate ligament of knee. Problems of Balneology, Physiotherapy and Exercise Therapy. 2025;102(1):51‑57. (In Russ.)
https://doi.org/10.17116/kurort202510201151

Подписка 2026 Вопросы курортологии, физиотерапии и лечебной физической культуры (Problems of Balneology, Physiotherapy and Exercise Therapy)
 
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

The most common knee injury in professional athletes is anterior cruciate ligament (ACL) trauma, requiring surgical intervention and subsequent long-term rehabilitation. Arthrogenic muscle inhibition, immediately following injury in some cases, leads to quadriceps muscle hypotrophy and weakness, that further embarrasses the athlete’s good-quality rehabilitation.

OBJECTIVE

To assess clinical and functional effectiveness of passive electrical myostimulation (EMS) as a muscle preoperative preparation to autotransplantation of knee anterior cruciate ligament.

MATERIAL AND METHODS

The study involved 47 male athletes with ACL injury. Summarized surface electromyography (EMG) was performed in all participants at admission, as a result of which 28 patients with reduced EMG parameters were selected. Among them, 14 patients received a course of passive EMS of quadriceps on physiotherapeutic INTELECT Advanced (Chattanooga (DJO), USA) hardware. All patients got passive EMS for 2 weeks after surgery and started active muscle training since 3rd week. Clinical and functional effectiveness was evaluated in dynamics in 2 and 7 weeks after surgery.

RESULTS

The 10-day preoperative course of EMS made it possible to significantly increase values of mean amplitude (MA) of muscle contraction before surgery and improve indicators of clinical and functional tests in 7 weeks after surgery up to level of healthy subjects and patients group with normal MA values at baseline compared to patients who did not have preoperative passive myostimulation.

CONCLUSION

The obtained data allow to recommend the inclusion of passive EMS method of quadriceps as a preoperative training of patients with ACL injury and reduced EMG.

Keywords:

rehabilitation
anterior cruciate ligament trauma
electromyography
electrical myostimulation

Authors:

Akhmetyanov R.R.

Chelyabinsk Regional Clinical Hospital;
South Ural State Medical University

Davydova E.V.

Chelyabinsk Regional Clinical Hospital;
South Ural State Medical University

Received:

05.01.2024

Accepted:

19.02.2024

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References:

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