Clinical trial Recruiting at 1 site Interventional Ages 20 to 40

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 typeInterventional
Ages20 Years to 40 Years
SexAll
Enrollment48 (estimated)
SponsorRiphah International University
Academic / other
Locations1 site (Lahore, Punjab Province)
StatusRecruiting
StartedJanuary 15, 2026
Main results expectedMay 15, 2026
Study endsJune 15, 2026
Registry record updatedMay 11, 2026
Trial IDNCT07578935 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

  • Rabiya Noor
    Lahore, Punjab Province, Pakistan
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.