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Research Paper | Physiotherapy | India | Volume 13 Issue 2, February 2024
A Study to Compare the Effectiveness of Ultrasound Therapy with Plyometric Exercise versus Ultrasound Therapy with Neuromuscular Training for Grade 1 Anterior Cruciate Ligament (ACL) Injury for Athletes
Abstract: ACL tears typically present with acute injury, sometimes with a loud "pop" a sensation of tearing the immediate onset of effusion. ACL plays a crucial role in knee joint stability. The fibers of the ligaments are stretched but didn?t quite tear, little tenderness and swelling may present and the pattern of injury is twisting and hyperextension its an important factor in sports performance especially in young athletes. Ultrasound reduce a inflammation of the joint and increased tissue blood flow and reduced viscosity of fluid elements in the tissues and the plyometric training leads to strengthen the muscle growth by proprioception reaction enhancement and inhibitory function debilitation of Golgi tendon organs. neuromuscular training aims to improve neuromuscular control, thus increasing functional joint stability, which may have a protective effect against injury. However, the NMT has efficiency in improving the joint control and stability. The purpose of the study is to compare the effect of ultrasound therapy with plyometric exercise versus ultrasound therapy with neuromuscular training for grade 1ACL injury. Materials Used and Methodology: An experimental study was done to compare the effect of ultrasound therapy with plyometric exercise versus ultrasound therapy with neuromuscular training for grade 1ACL injury for young athletes (18-24 yrs).Group A consist of 15 subjects with plyometric exercise and Group B consist of 15 subjects with NMT. outcome measures is KUJALA scale, ROM, VAS. it is based on inclusion and exclusion criteria. Ultrasound, Couch, Plyometric box sets , Plyometric hurdles, Jump rope these are the materials were required during the treatment. Result: On comparing pre test and post value within Group A and Group B and post test value between the groups on KUJALA scale, ROM, VAS shows a highly significant difference in mean value at P <0.0001. Conclusion: The study resulted in statistically significant improvements in NMT program in overall lower limb alignment hamstrings and quadriceps strength. The trained athletes had a significant reduction in the noncontact grade 1 ACL injury incidence rate compared with group. The neuromuscular retraining program was effective in reducing noncontact ACL injury rate and improving athletic performance indicators.
Keywords: Anterior cruciate ligament, plyometric exercise, neuromuscular training, Kujala scale, Rrange of motion, Visual analogue scale
Edition: Volume 13 Issue 2, February 2024,
Pages: 833 - 835