Issue 24-5, 2025

Review

https://doi.org/10.38025/2078-1962-2025-24-5-131-141

Comparative Analysis of Balance Platform Use in Patients after Anterior Cruciate Ligament Reconstruction

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ORCID Roman A. Zhavoronkov 1,*, ORCID Maxim Yu. Yakovlev 1, ORCID Larisa A. Marchenkova 1, ORCID Elena M. Styazhkina 1, ORCID Marina N. Valner2, ORCID Artyom M. Lutsenko2,3, ORCID Nikolai A. Subbotin4

1 National Medical Research Center for Rehabilitation and Balneology, Moscow, Russia
2 Peoples’ Friendship University of Russia named after Patrice Lumumba, Moscow, Russia
3 Zhukovsky Regional Clinical Hospital, Zhukovsky, Russia
4 N.E. Bauman City Clinical Hospital No. 29 of Moscow Healthcare Department, Moscow, Russia


ABSTRACT

INTRODUCTION.  Anterior cruciate ligament (ACL) tears are among the most common knee injuries. A long-term, properly tailored medical rehabilitation program is key to restoring normal knee function and preventing possible complications. A key component of medical rehabilitation programs for patients with diseases and injuries of the musculoskeletal system is neuromuscular and proprioceptive balance training. The use of special high-tech exercise machines with biological feedback allows for real-time assessment of the correctness of exercise performance and the condition of the musculoskeletal system.

AIM.  To study the effect of comprehensive rehabilitation with training on an unstable platform with biological feedback on the restoration of lower limb function in patients after PCS plastic surgery.

MATERIALS AND METHODS.  The study involved 58 patients 1.5–2.5 months after anterior cruciate ligament reconstruction. They were divided into a main group (n = 29) and a control group (n = 29). In addition to a standard rehabilitation program, the main group underwent training on an unstable balance platform with biological feedback, while the control group trained on a stable platform with biological feedback. The course lasted 14 days. Testing before and after the rehabilitation course was carried out using a Con-Trex MJ, a ProKin balance platform, and using the Lysholm knee score questionnaire.

RESULTS.  The main group and the comparison group both showed improvements in lower limb strength, balance, and knee joint function, but the improvements were significantly greater in the main group. Adding training on an unstable platform with biofeedback to the rehabilitation program increases patient motivation and improves neuromuscular control in the lower limbs to a greater extent than training on a stable platform.

CONCLUSION.  Rehabilitation in patients after PCL reconstruction accelerates the recovery of the operated knee joint function and reduces the risk of re-injury and the osteoarthritis.

KEYWORDS: medical rehabilitation, stability training, anterior cruciate ligament reconstruction, biofeedback training, balance platform

FOR CITATION:

Zhavoronkov R.A., Yakovlev M.Yu., Marchenkova L.A., Styazhkina E.M., Valner M.N., Lutsenko A.M., Subbotin N.A. Comparative Analysis of Balance Platform Use in Patients after Anterior Cruciate Ligament Reconstruction. Bulletin of Rehabilitation Medicine. 2025; 24(5): 131-141. https://doi.org/10.38025/2078-1962-2025-24-5-131-141 (In Russ.). 

FOR CORRESPONDENCE:

Roman A. Zhavoronkov, Е-mail: zhavoronkovra@nmicrk.ru


References:

  1. Sanders T.L., Maradit Kremers H., Bryan A.J. et al. Incidence of Anterior Cruciate Ligament Tears and Reconstruction: A 21-Year Population-Based Study. Am J Sports Med. 2016; 44(6): 1502–1507. https://doi.org/10.1177/0363546516629944
  2. Popper H.R., Szukics P.F., Feldman J., et al. Trends in Anterior Cruciate Ligament Injury and Recovery in Professional Snowboarders: The Extreme Sport of Snowboardcross. Cureus. 2023; 15(12): e50683. https://doi.org/10.7759/cureus.50683
  3. Friel N.A., Chu C.R. The role of ACL injury in the development of posttraumatic knee osteoarthritis. Clin Sports Med. 2013; 32(1): 1–12. https://doi.org/10.1016/j.csm.2012.08.017
  4. Xiao M., van Niekerk M., Trivedi N.N., et al. Patients Who Return to Sport After Primary Anterior Cruciate Ligament Reconstruction Have Significantly Higher Psychological Readiness: A Systematic Review and Meta-analysis of 3744 Patients. Am J Sports Med. 2023; 51(10): 2774–2783. https://doi.org/10.1177/03635465221102420
  5. Погонченкова И.В., Орджоникидзе З.Г., Арьков В.В. и др. Медицинское обеспечение спортсменов и спортивная реабилитация в Москве. Московская медицина. 2022; 4(50): 32–37 [Pogonchenkova I.V., Ordzhonikidze Z.G., Arkov V.V., et al. Medical support of athletes and sports rehabilitation in Moscow. Moskovskaya Meditsina [Moscow Medicine]. 2022; 4(50): 32–37 (In Russ.).]
  6. Кульчицкая Д.Б., Юрова О.В., Севрюгина О.А. Применение магнитно-резонансной томографии в оценке эффективности медицинской реабилитации пациентов с остеоартрозом коленного сустава: обзорная статья. Вестник восстановительной медицины. 2023; 22(2): 96–101. https://doi.org/10.38025/2078-1962-2023-22-2-96-101 [Kulchitskaya D.B., Yurova O.V., Sevryugina O.A. Application of Magnetic Resonance Imaging in Medical Rehabilitation Еffectiveness Assessing for Patients with Knee Joint Osteoarthritis: а Review. Bulletin of Rehabilitation Medicine. 2023; 22(2): 96–101. https://doi.org/10.38025/2078-1962-2023-22-2-96-101 (In Russ.).]
  7. Павловский С.А., Марченкова Л.А., Кончугова Т.В. и др. Оценка эффективности инновационных физиотерапевтических методов в комплексном санаторно-курортном лечении пациентов с хронической болью в плечевом суставе. Russian Journal of Environmental and Rehabilitation Medicine. 2025; 1: 50–57 [Pavlovsky S.A., Marchenkova L.A., Konchugova T.V., et al. Evaluation of the effectiveness ofcomplex impact of shockwave therapy and pulsed low-frequency electrostatic field in sanatorium treatment of patients withchronic shoulder pain. Russian Journal of Environmental and Rehabilitation Medicine. 2025; 1: 50–57 (In Russ.).]
  8. Кончугова Т.В., Агасаров Л.Г., Апханова Т.В. и др. Результативная схема последовательного применения курсов электростимуляции при дорсопатиях: результаты сравнительного исследования. Вестник восстановительной медицины. 2025; 24(3): 38–44. https://doi.org/10.38025/2078-1962-2025-24-3-38-44 [Konchugova T.V., Agasarov L.G., Apkhanova T.V., et al. Effective Scheme of Sequential Application of Electrical Stimulation Courses in Dorsopathies: Comparative Study Results. Bulletin of Rehabilitation Medicine. 2025; 24(3): 38–44. https://doi.org/10.38025/2078-1962-2025-24-3-38-44 (In Russ.).]
  9. Buckthorpe M., Gokeler A., Herrington L., et al. Optimising the Early-Stage Rehabilitation Process Post-ACL Reconstruction. Sports Med. 2024; 54(1): 49–72. https://doi.org/10.1007/s40279-023-01934-w
  10. Poretti K., Ghoddosi N., Martin J., et al. The Nature of Rehabilitation Programs to Improve Musculoskeletal, Biomechanical, Functional, and Patient-Reported Outcomes in Athletes With ACL Reconstruction: A Scoping Review. Sports Health. 2024; 16(3): 390–395. https://doi.org/10.1177/19417381231158327
  11. Яшков А.В., Поляков В.А., Шелыхманова М.В., Шелыхманова А.А. Эффективность роботизированной механотерапии в реабилитации пациентов с патологией плечевого сустава: рандомизированное клиническое исследование. Вестник восстановительной медицины. 2023; 22 (2): 16–24. https://doi.org/10.38025/2078-1962-2023-22-2-16-24 [Yashkov A.V., Polyakov V.A., Shelyhmanova M.V., Shelyhmanova A.A. The Effectiveness of Robotic Mechanotherapy in the Rehabilitation of Patients with Shoulder Joint Pathology: Randomized Clinical Trial. Bulletin of Rehabilitation Medicine. 2023; 22 (2): 16–24. https://doi.org/10.38025/2078-1962-2023-22-2-16-24 (In Russ.).]
  12. Бобровницкий И.П. Роль восстановительной медицины в решении национальных целей по здоровьесбережению населения и повышению удовлетворенности участников СВО условиями для медицинской реабилитации Russian Journal of Environmental and Rehabilitation Medicine. 2025; 1: 3–17 [Bobrovnitsky I.P. The role of rehabilitation medicine in solving national goals for healthcare of the population and increasing satisfaction of participants with their conditions for medical rehabilitation. Russian Journal of Environmental and Rehabilitation Medicine. 2025; 1: 3–17 (In Russ.).]
  13. Pamboris G.M., Pavlou K., Paraskevopoulos E., Mohagheghi A.A. Effect of open vs. closed kinetic chain exercises in ACL rehabilitation on knee joint pain, laxity, extensor muscles strength, and function: a systematic review with meta-analysis. Front Sports Act Living. 2024; 6: 1416690. https://doi.org/10.3389/fspor.2024.1416690
  14. Кульчицкая Д.Б., Фесюн А.Д., Юрова О.В. и др. Реабилитационных программ для пациентов после роботизированного тотального эндопротезирования коленного сустава в раннем восстановительном периоде (низкоинтенсивное лазерное излучение, магнитное поле, электростимуляция, импульсное низкочастотное электрическое поле, лечебная физкультура и роботизированная механотерапия). Russian Journal of Environmental and Rehabilitation Medicine. 2024; 1: 19–24 [Kulchitskaya D.B., Fesyun A.D., Yurova O.V., et al. The Use of rehabilitation programs for patients after robotic total knee replacement in the early recovery period (low-intensity laser radiation, magnetic field, electrical stimulation, pulsed low-frequency electric field, physical therapy and robotic mechanotherapy). Russian Journal of Environmental and Rehabilitation Medicine. 2024; 1: 19–24 (In Russ.).]
  15. Wang L.J., Zeng N., Yan Z.P., et al. Post-traumatic osteoarthritis following ACL injury. Arthritis Res Ther. 2020; 22(1): 57. https://doi.org/10.1186/s13075-020-02156-5
  16. Арьков В.В., Дмитриев А.А., Миленин О.Н., и др. Комплексное лечение пателлофеморального болевого синдрома у спортсменов после реконструкции передней крестообразной связки коленного сустава. Современная ревматология. 2022; 16(6): 49–54. https://doi.org/10.14412/1996-7012-2022-6-49-54 [Arkov V.V., Dmitriev A.A., Milenin O.N., et al. Complex treatment of patellofemoral pain syndrome in athletes after reconstruction of the anterior cruciate ligament of the knee joint. Sovremennaya Revmatologiya = Modern Rheumatology Journal. 2022; 16(6): 49–54. https://doi.org/10.14412/1996-7012-2022-6-49-54 (In Russ.).]
  17. Вологжанин Д.А., Голота А.С., Игнатенко А.-М.И. и др. Влияние физических нагрузок на иммунную систему в норме и при различных заболеваниях: обзор. Вестник восстановительной медицины. 2025; 24(1): 91–102. https://doi.org/10.38025/2078-1962-2025-24-1-91-102 [Vologzhanin D.A., Golota A.S., Ignatenko A.-M.I., et al. Effect of Physical Activity on the Immune System in the Normal State and in Various Diseases: a Review. Bulletin of Rehabilitation Medicine. 2025; 24(1): 91–102. https://doi.org/10.38025/2078-1962-2025-24-1-91-102 (In Russ.).]
  18. Wein F., Peultier-Celli L., van Rooij F., et al. No significant improvement in neuromuscular proprioception and increased reliance on visual compensation 6 months after ACL reconstruction. J Exp Orthop. 2021; 8(1): 19. https://doi.org/10.1186/s40634-021-00338-x
  19. Buckthorpe M., Della Villa F. Optimising the ‘Mid-Stage’ Training and Testing Process After ACL Reconstruction. Sports Med. 2020; 50(4): 657–678. https://doi.org/10.1007/s40279-019-01222-6
  20. Scattone Silva R., Song K.E., Hullfish T.J., et al. Patellar Tendon Load Progression during Rehabilitation Exercises: Implications for the Treatment of Patellar Tendon Injuries. Med Sci Sports Exerc. 2024; 56(3): 545–552. https://doi.org/10.1249/mss.0000000000003323
  21. Arhos E.K., Ito N., Hunter-Giordano A., et al. Who’s Afraid of Electrical Stimulation? Let’s Revisit the Application of NMES at the Knee. J Orthop Sports Phys Ther. 2024; 54(2): 101–106. https://doi.org/10.2519/jospt.2023.12028
  22. Aryana I.G.N.W., Febyan F., Dimitri D., et al. Functional Outcome of ACL Reconstruction Following Pre-reconstruction Rehabilitation vs. None Rehabilitation: A Systematic Review and Meta-analysis. Rev Bras Ortop (Sao Paulo). 2024; 59(2): e172–e179. https://doi.org/10.1055/s-0044-1779327
  23. Акимов А.Г., Ясинская Я.К. Физическая реабилитация после пластики передней крестообразной связки колена в раннем послеоперационном периоде. Молодые науке: Мат-лы всеросс. научно-практ. конф. с междунар. участ. студентов и молодых ученых, Москва, 13–14 апреля 2022 года. Москва: ФГБОУ ВО «Российский государственный университет физической культуры, спорта, молодежи и туризма (ГЦОЛИФК)». 2022; с. 46–50 [Akimov A.G., Yasinskaya Ya.K. Physical rehabilitation after plastic surgery of the anterior cruciate ligament of the knee in the early postoperative period. Young science: Proceedings of the All-Russian scientific and practical conference with international participation of students and young scientists, Moscow, April 13–14, 2022. Moscow: Federal State Budgetary Educational Institution of Higher Education “Russian State University of Physical Education, Sports, Youth and Tourism (GTSOLIFK)”. 2022; p. 46–50 (In Russ.).]
  24. Сикорская Л.Д., Ярошинская А.П. Физическая реабилитация спортсменов после травм коленного сустава с применением баланс-тренинга в акробатике. Актуальные проблемы физической культуры и спорта: Мат-лы регион. научно-практ. конф., Астрахань, 19 декабря 2023 года. Астрахань: Астраханский государственный университет им. В.Н. Татищева. 2024; с. 152–154 [Sikorskaya L.D., Yaroshinskaya A.P. Physical rehabilitation of athletes after knee injuries using balance training in acrobatics. Actual problems of physical education and sports: Materials of the regional scientific and practical conference, Astrakhan, December 19, 2023. Astrakhan: Astrakhan State University named after V.N. Tatishchev. 2024; p. 152–154 (In Russ.).]
  25. Васильева В.А., Марченкова Л.А., Ответчикова Д.И. и др. Медицинская реабилитация после травм нижних конечностей у пациентов с сахарным диабетом: обзор литературы. Вестник восстановительной медицины. 2024; 22(3): 61–68. https://doi.org/10.38025/2078-1962-2024-23-3-61-68 [Vasilyeva V.A., Marchenkova L.A., Otvetchikova D.I., et al. Medical Rehabilitation after Lower Limb Injuries in Patients with Diabetes Mellitus: a Review. Bulletin of Rehabilitation Medicine. 2024; 22(3): 61–68. https://doi.org/10.38025/2078-1962-2024-23-3-61-68 (In Russ.).]
  26. Егоров А.В., Яковлева С.К., Петрова Р.В., Преображенская Е.В. Эффективность комплекса с биологической обратной связью в лечении детей с детским церебральным параличом: рандомизированное контролируемое исследование. Вестник восстановительной медицины. 2025; 24(2): 8–19. https://doi.org/10.38025/2078-1962-2025-24-2-8-19 [Egorov A.V., Yakovleva S.K., Petrova R.V., Preobrazhenskaya E.V. The effectiveness of the biofeedback complex in the treatment of children with cerebral palsy: a randomized controlled study. Bulletin of Rehabilitation Medicine. 2025; 24(2): 8–19. https://doi.org/10.38025/2078-1962-2025-24-2-8-19 (In Russ.).]



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This is an open article under the CC BY 4.0 license. Published by the National Medical Research Center for Rehabilitation and Balneology.