CRITERIA-BASED REACTIVE BALANCE TRAINING ADDED TO STANDARD REHABILITATION AFTER MULTILIGAMENT KNEE RECONSTRUCTION: A MULTICENTRE PILOT RANDOMIZED TRIAL
Abstract
Background: Multiligament knee reconstruction requires rehabilitation that restores function while protecting repaired structures.
Objective: To evaluate the feasibility and exploratory outcomes of adding guarded reactive balance training to matched-duration conventional rehabilitation.
Methods: An assessor-blinded multicentre pilot randomized design specified 48 adults allocated 1:1 to common rehabilitation with either reactive balance or conventional exercise for 24 sessions over eight weeks. Outcomes were collected at baseline, eight weeks and 24 weeks. We analyzed the supplied Version 3 database descriptively and using baseline- and centre-adjusted linear regression.
Results: The database lists 347 screened and 48 randomized participants (24 per group); week-eight clinic attendance was 46/48 (95.8%), KOOS completeness 45/48 (93.8%), adequate session attendance 43/48 (89.6%) and fidelity 649/695 (93.4%). At eight weeks, KOOS quality-of-life scores averaged 70.10 versus 60.35 in groups 1 and 2, with adjusted group 1 minus group 2 difference 10.37 points (95% CI 5.92–14.82). There were 16 recorded adverse-event entries.
Interpretation: These are reproducible electronic database estimates, not independently authenticated clinical trial results: the supplied archive contains a stochastic patient-record generator and is labelled as training material. Original-source reconciliation, ethics approval and prospective registration evidence are required before submission as completed clinical research.
Keywords
- Multiligament knee injury; knee reconstruction; reactive balance; perturbation; rehabilitation; feasibility; pilot randomized trial; knee-related quality of life
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