Dynamic stability drills versus plyometric training to reduce knee extension lag after ACL reconstruction
Official title: Comparative Effects of Dynamic Stability Drills and Plyometric Training on Terminal Extension Lag After Anterior Cruciate Ligament Reconstruction
Run by Riphah International University · NCT07578935 · Data updated 2026-11-12
This trial will test whether dynamic stability drills or plyometric training better reduce terminal knee extension lag in people aged 20–40 who had ACL reconstruction 1–3 years ago.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 20 Years to 40 Years |
| Sex | All |
| Enrollment | 48 (estimated) |
| Sponsor | Riphah International University Academic / other |
| Locations | 1 site (Lahore, Punjab Province) |
| Status | Recruiting |
| Started | January 15, 2026 |
| Main results expected | May 15, 2026 |
| Study ends | June 15, 2026 |
| Registry record updated | May 11, 2026 |
| Trial ID | NCT07578935 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults 20–40 years old with an ACL reconstruction performed 1–3 years ago and a moderate terminal extension lag of 5–10°, without significant comorbid knee or systemic conditions.
✕Probably not a fit
Patients with prior major knee injuries or surgeries other than the index ACL reconstruction, active infection or tumors, neurological or systemic inflammatory diseases, BMI ≥30, pregnancy, or other red-flag conditions are unlikely to qualify or benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This randomized clinical trial will assign adults with moderate terminal extension lag after ACL reconstruction to either a program of dynamic stability drills (DSD) or a plyometric training (PT) program. Eligible participants are men and women aged 20–40 with a history of ACL reconstruction 1–3 years prior and a measured terminal extension lag of 5–10°. Interventions will be delivered at the Rabiya Noor site in Lahore and outcomes will focus on change in active knee extension and related functional measures. The trial directly compares two rehabilitation approaches commonly used in sports physical therapy to see which more effectively restores full active extension.
Why it matters
Potential benefit: If one approach is superior, it could help patients regain fuller active knee extension and improve functional recovery and return-to-activity after ACL reconstruction.
How similar studies have gone: Neuromuscular and plyometric programs have shown benefits for strength, neuromuscular control, and return-to-sport after ACL injury, but direct head-to-head evidence specifically targeting terminal extension lag is limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age 20-40 * Both Genders (male \& female) * History of Anterior Cruciate Ligament Reconstruction (ACLR) between 1-3 years * Moderate stage (5 to 10 ˚) of terminal extension lag after ACL reconstruction Exclusion Criteria: * Any other previously serious knee pain and/or surgery limiting of knee range of motion(2) * Any traumatic conditions around the knee, or any infectious or tumors conditions i.e. meniscus injury, fracture, dislocation or osteochondral injury * Pregnancy, any recently underwent abdominal and back surgery * BMI ≥ 30 kg/m² * Any systemic and/or neurological illness, rheumatoid arthritis, osteomyelitis, any neurological disorders, spinal disorders, obesity, Dementia, inflammatory conditions like Ankylosing spondylitis, Rheumatoid arthritis, Osteoporosis, Diabetic neuropathy, * Red flags such as Trauma, Cancer, Constitutional Symptoms (Fever, Malaise, Weight Loss), Recent Infection, Mental retardation, Hemiparesis / Hemiplegia * Subjects with presence of any fractures * Heart/diabetic patients
Where it's running
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Rabiya Noor
Lahore, Punjab Province, Pakistan Recruiting
Study contacts
- Principal investigator: Rabiya Noor, PhD — Riphah International University
- Study coordinator: Rabiya Noor, PhD
- Email: rabiya.noor@riphah.edu.pk
- Phone: 0334 4355660
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.