Can we strengthen the anterior cruciate ligament with passive knee joint loading?

Jelen, Matic (avtor), Vauhnik, Renata (avtor)

Passive knee joint loading has been proposed as a safe method to enhance knee stability during early postoperative rehabilitation following anterior cruciate ligament (ACL) reconstruction. However, its effects on anterior and mediolateral rotational laxity remain unexplored. Evaluating whether passive knee joint loading in the direction of anterior tibial translation improves knee stability post-surgery is essential. Current research primarily focuses on active loading, such as quadriceps strengthening exercises, but concerns about excessive anterior tibial translation and graft compromise make early postoperative loading controversial. Our review builds on previous studies on passive knee joint loading in healthy individuals and post-ACL reconstruction cases. Unlike active loading, passive anterior tibial translation via the DYNEELAX® arthrometer enables controlled mechanical stimulation within a safe force range, potentially aiding early graft adaptation. Preliminary findings suggest passive loading could be a valuable addition to ACL rehabilitation, though further research is needed to determine optimal parameters such as force magnitude, frequency, and duration. Methodological challenges complicate the study of passive loading in clinical trials. Future research should focus on integrating controlled passive loading into rehabilitation protocols while distinguishing its contribution to recovery. Understanding the biomechanical effects of passive loading will help refine ACL rehabilitation and broader musculoskeletal treatment strategies, ultimately improving long-term knee stability and reducing graft failure risk.

• Jezik: Angleški jezik
• Ključne besede: knee, ACL reconstruction, passive loading, stability, postoperative rehabilitation, joint mechanics
• Vrsta gradiva: Znanstveno delo
• Tipologija: 1.08 - Objavljeni znanstveni prispevek na konferenci
• Organizacija: ZF - Zdravstvena fakulteta
• Status publikacije: Objavljeno
• Različica publikacije: Objavljena publikacija
• Leto izida: 2025
• Št. strani: Str. 174-177
• PID: 20.500.12556/RUL-168405
• UDK: 615.82/.84
• DOI: 10.55295/PSL.12.2025.II18
• COBISS.SI-ID: 232301571
• Datum objave v RUL: 11.04.2025

Gradivo je del monografije

• Naslov: Socratic Lectures : 12th international symposium, Ljubljana, January 11, 2025
• Uredniki: Veronika Kralj-Iglič, Anna Romolo, Yelena Istileulova
• Kraj izida: Ljubljana
• Založnik: University of Ljubljana Press
• Leto izida: 2025
• ISBN: 978-961-297-551-7
• COBISS.SI-ID: 228834307

Licence

• Licenca: CC BY 4.0, Creative Commons Priznanje avtorstva 4.0 Mednarodna
• Povezava: http://creativecommons.org/licenses/by/4.0/deed.sl
• Opis: To je standardna licenca Creative Commons, ki daje uporabnikom največ možnosti za nadaljnjo uporabo dela, pri čemer morajo navesti avtorja.

Projekti

• Financer: ARIS - Javna agencija za znanstvenoraziskovalno in inovacijsko dejavnost Republike Slovenije
• Številka projekta: P3-0388-2022
• Naslov: Mehanizmi varovanja zdravja