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Review Papers | Orthopedic | India | Volume 12 Issue 1, January 2023

Importance of Quadriceps Strength and Postural Balance in Rehabilitation after Anterior Cruciate Ligament Reconstruction

Pabitra Kumar Sahoo | Mamata Manjari Sahu

Abstract: Introduction: Rehabilitation of patients with anterior cruciate ligament (ACL) injury has begun to emphasize evaluating and treating proprioception in addition to strength and motion impairments. Proprioception, or joint awareness, is diminished following ACL injury and may not recover fully even after surgical reconstruction. Postural balance: A loss of afferent information from the injured ACL mechanoreceptors presumably results in poorer balance and insufficient proprioceptive feedback mechanisms, thereby reducing function and motor control during activity. Postural stability and balance play a significant role in decision-making for return to play.Balance, proprioception, and coordination training are integral parts of the rehabilitation protocols in patients undergoing ACL reconstruction. Quadriceps facilitation: Combination of early knee extension, weight bearing, and close kinetic quadriceps strengthening facilitate postoperative rehabilitation without putting a load on ligament stability. Close Kinetic Chain exercises are safer than Open Kinetic Chains because they are more functional and impose less strain on reconstructed grafts. Conclusion: The motor programs of existing rehabilitation protocol need to be modified by learning new coordinated movement patterns. CKC exercises minimize shear forces and are useful for simulating functional activities. Early balance and proprioception training on a balance board influences proprioception, muscle strength, posture control and full return to activity.

Keywords: Anterior Cruciate Ligament, proprioception, balance, postural stability

Edition: Volume 12 Issue 1, January 2023,

Pages: 798 - 801