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Evaluation of the Application of BOth Sides Up Ball Training Combined With Resistance Training in Joint Stability Improvement Following Anterior Cruciate Ligament Reconstruction Surgery in Teenage Athletes.

Journal of sport rehabilitation
February 13, 2025
Xiaodong Cao et al. (5 authors)
Journal ArticleHuman Study
Study Details

Study Goal

The researchers aimed to evaluate the effectiveness of combining BOSU ball exercises with conventional resistance training in improving joint stability and function after ACL reconstruction in adolescent athletes.

Results Summary

The intervention group showed significantly better knee joint stability, balance, strength ratios, and functional outcomes compared to the control group at 6 and 12 months post-surgery. The combination of BOSU ball training and resistance exercises was more effective than traditional rehabilitation alone.

Population

Adolescent athletes (ages 14-18) who underwent ACL reconstruction.

Effective Dosage

Not specified

Duration

12 months (assessed at 3, 6, and 12 months post-operation)

Interactions

None mentioned

Extracted Claims (5)
InterventionDirectionEndpointPopulationDosageImpactClaim #
combining BOSU ball exercises with conventional resistance training
increase
anterior-posterior knee joint stability
adolescent athletes who underwent ACLR
P < .05
demonstrated notably better
#1
combining BOSU ball exercises with conventional resistance training
increase
Star Excursion Balance Test
adolescent athletes who underwent ACLR
P < .05
greater reach distances
#2
combining BOSU ball exercises with conventional resistance training
increase
quadriceps and hamstring strength ratios
adolescent athletes who underwent ACLR
P < .05
higher
#3
combining BOSU ball exercises with conventional resistance training
increase
ACL-RSI scores
adolescent athletes who underwent ACLR
P < .01
superior
#4
incorporating BOSU ball training with resistance exercises
increase
enhancing joint stability and neuromuscular control after ACLR
adolescent athletes
-
appears to be more effective
#5
Abstract

Adolescent athletes participating in sports involving sudden directional changes, pivoting, and jumping frequently sustain anterior cruciate ligament (ACL) ruptures. ACL reconstruction (ACLR) surgery is often required, followed by a lengthy rehabilitation period. This study aims to evaluate the effectiveness of combining BOth Sides Up (BOSU) ball exercises with conventional resistance training in the recovery of joint stability and function after ACLR in adolescent athletes. Thirty adolescent athletes (ages 14-18) who underwent ACLR were randomly allocated to either the control group receiving traditional postoperative rehabilitation (n = 15) or the intervention group combining BOSU ball training with resistance exercises (n = 15). Joint stability, proprioception, strength, and functional outcomes were assessed before the procedure, as well as 3, 6, and 12 months after the operation using the KT-1000 arthrometer, Y-balance test, isokinetic dynamometry, and the ACL-Return to Sport after Injury ACL-Return to Sport after Injury (ACL-RSI) scale. The intervention group demonstrated notably better anterior-posterior knee joint stability (P < .05) than the control group at the 6-month and 12-month follow-ups after the surgery, greater reach distances in the Star Excursion Balance Test (P < .05), higher quadriceps and hamstring strength ratios (P < .05), and superior ACL-RSI scores (P < .01). Incorporating BOSU ball training with resistance exercises appears to be more effective than traditional rehabilitation alone in enhancing joint stability and neuromuscular control after ACLR in adolescent athletes. These results provide evidence supporting the incorporation of unstable surfaces into a comprehensive rehabilitation program to optimize recovery and safe return to sports.

Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality80/10
Research Impact Scores
APT Score0.05
Weight Score2.60
Normalized Score0.70
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