Evidence map›Paper›PMID 40713700›Full record

Trial reportTrials2025

Effects of isoinertial training on muscle power, endurance, isometric strength, and balance: randomized clinical trial in patients with post-ACL reconstruction.

Ramesh Chandra Patra, Som Gupta, A Yashudas, Sanjeev Mahajan

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Ramesh Chandra Patra *Department of Physiotherapy, School of Allied Medical Science, Lovely Professional University, Phagwara, Punjab, India. rameshpatra2208@gmail.com.ORCID http://orcid.org/0000-0001-5287-8833
Som Gupta *Department of Physiotherapy, School of Allied Medical Science, Lovely Professional University, Phagwara, Punjab, India.
A YashudasDepartment of Physiotherapy, School of Allied Medical Science, Lovely Professional University, Phagwara, Punjab, India.
Sanjeev MahajanFortis Hospital, Ludhiana, Punjab, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundACL reconstruction surgery leads to temporary limitations in knee movement due to weakness in the quadriceps, swelling, and stiffness. Effective therapy is necessary to regain strength and functionality. While flywheel resistance training enhances strength and eccentric loading, there is limited knowledge about its effectiveness in conjunction with conventional rehabilitation methods. This study evaluates the impact of both conventional rehabilitation and isoinertial therapy on muscle power, endurance, isometric strength, and balance in patients following ACL repair.

methodsA total of 96 out of 136 patients aged 18 to 45 who had been randomly assigned to groups were included 3 weeks post-procedure. Over 6 weeks, 47 patients in group A (n = 47) participated in both isoinertial training and conventional therapy protocals while in group B (n = 49) followed a conventional rehabilitation protocol for just 30 min daily. To assess the patients' muscle power, endurance, isometric strength, and balance, a flywheel ergometer (D11 Plus; Desmotec, Biella, Italy) was utilized both before and after the 6-week treatment period.

resultsGroup A had statistically significant increases in eccentric muscular power (p = 0.0001), whereas there was no noticeable difference between the two groups in isometric strength, balance, or concentric power (p = 0.731, p = 0.786, and p = 0.815, respectively).

conclusionThe finding indicates that isometric strength, balance, and both concentric and eccentric muscular power were successfully improved by both 6-week interventions: traditional rehabilitation alone and in conjunction with isoinertial training. But when compared to traditional therapy alone, the isoinertial training group showed better gains in muscular endurance. There were no discernible variations in the groups' isometric strength or balance results. The study also emphasizes how isoinertial training can effectively increase eccentric power.

trial registrationThe ethics approval number is LPU/IEC/2018/01/09. Registered in the Clinical Trials Registry of India under CTRI/2019/06/019858 dated 23/09/2021.

Indexed as

Anterior Cruciate Ligament InjuriesAnterior Cruciate Ligament ReconstructionExercise TherapyIsometric ContractionKnee JointMuscle StrengthPhysical EndurancePostural BalanceResistance TrainingAdolescentAdultFemaleHumansMaleMiddle AgedRecovery of FunctionACL reconstructionConventional rehabilitationIsoinertial trainingMuscle power

Identifiers

PMID40713700
PMCPMC12297821

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.