ClinicalTrials.gg
RecruitingNCT07862881Updated Oct 15, 2026

The Effect of Plyometric Training in Post-ACLR Surgery

An interventional study of Standard program and Plyometrics Training in Anterior Cruciate Ligament Reconstruction (ACLR), Anterior Cruciate Ligament Reconstruction Rehabilitation and Anterior Cruciate Ligament/Surgery, sponsored by Cairo University. Recruiting at 1 site in Egypt. Open to participants aged 18 Years to 40 Years. Per ClinicalTrials.gov, last updated 2026-10-15.

Sponsored by Cairo University · Not applicable, Interventional, and Treatment

Updated Oct 15, 2026Primary outcomes revisedNewly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
18 Years to 40 Years
Sex
All
01

Study summary

The primary goal of this RCT is to evaluate the effect of adding plyometric training on standard program intervention in patients aged 18-40 years who have undergone ACLR surgery.

The primary question to answer is does adding plyometrics training to the standard rehabilitation program has superior effect in the improvement of muscular strength, dynamic balance and functional performance in ACLR patients. Participants will be divided into two groups. Group 1 (control) receives standard program for 24 weeks, and Group 2 (interventional) receives the same standard program for 16 weeks, followed by adding plyometrics for additional 8 weeks alongside with the standard program (total of 24 weeks).

Read the detailed description

Achieving full recovery after ACLR is still challenging as persistent deficits of muscular strength have still reported. Plyometrics consists of rapid muscle stretch (eccentric action) followed immediately by a shortening (concentric action) of the same muscle and connective tissue.

This study hypothesizes that adding plyometric training to standard physiotherapy will improve muscular strength, proprioception, dynamic balance and functional performance

02

Conditions studied

  • Anterior Cruciate Ligament Reconstruction (ACLR)
  • Anterior Cruciate Ligament Reconstruction Rehabilitation
  • Anterior Cruciate Ligament/Surgery
  • Anterior Cruciate Ligament (ACL) Reconstruction Surgery
  • ACL Surgery
  • ACL Reconstruction

Keywords

  • plyometrics training
  • plyometrics
  • muscular strength
  • peak torque
  • functional performance
  • dynamic balance
  • proprioception
03

In context

Lead sponsor

Cairo University is the lead sponsor of 4,909 studies on the registry; 1,445 are open to participants now.

Of its 37 completed or terminated interventional studies of FDA-regulated products, 5 (14%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 40 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Age 18-40 years
  2. Primary unilateral ACL reconstruction
  3. Reconstruction using bone-patellar tendon-bone (BPTB) or hamstring tendon (HT) autograft
  4. Cleared by operating surgeon for progressive resistance and functional training
  5. Able to perform full weight-bearing ambulation without assistive devices

Exclusion criteria

Exclusion Criteria:

  1. Revision ACL reconstruction
  2. Associated grade III ligament injury
  3. Meniscal repair (meniscectomy is not an exclusion)
  4. Concomitant chondral defect requiring surgical intervention or cartilage repair
  5. Contralateral lower limb injury within the preceding 12 months
  6. Body mass index (BMI) > 35 kg/m²
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
40 participants (estimated)

Study arms

  • Experimental
    Control Group

    The subjects will receive standard rehabilitation program.

    Other: Standard program

  • Experimental
    Plyometrics Group

    The subjects will receive Plyometrics Training added to the standard rehabilitation program.

    Other: Standard program · Other: Plyometrics Training

Interventions

  • OtherStandard program

    Participants will receive only standard therapy for 24 weeks.

  • OtherPlyometrics Training

    Participants will receive standard therapy for 16 weeks, followed by an additional 8 weeks of plyometrics training alongside with standard therapy. (total=24 weeks).

06

What researchers measure

Primary outcomes

  1. Joint Position Sense (JPS)

    JPS was assessed by the Biodex System 4Pro isokinetic dynamometer by the Active Angle Reproduction technique (AAR) with eyes closed. The measurements are taken along 30° and 60° for both involved and uninvolved legs. The mean reproduced angle value is calculated at each angle to then calculate the JPS error. The smaller the error, the better the participant's perception of joint position is.

    Time frame: Baseline (week 16), post-intervention (week 24) and follow up (week 32).

Secondary outcomes

  1. Dynamic Stability

    Y-Balance Test is used to assess stability and balance in different directions. It is performed by leg reaches along 3 dimensions: anterior, posteromedial and posterolateral. The participant stands on one leg and reaches as far as possible with the second one along all three dimensions.

    Time frame: Baseline (week 16), post-intervention (week 24) and follow up (week 32).

  2. Isokinetic Quadriceps Peak Torques Normalized to Body Weight

    The peak torque of quadriceps at 60°/s and 180°/s is considered as the highest peak torque along the 5 repetitions, each. It is then normalized to body mass by the following equation: PTrelative = Peak Torque (Nm) / Body Mass (kg).

    Time frame: Baseline (week 16), post-intervention (week 24) and follow up (week 32).

  3. Functional Performance test

    For the distance tests (single-leg, triple ho, crossover hop), the longest distance (cm) is the best and is measured in centimeters using calibrated floor markings. For the time related test (6-meter timed hop), the shortest time (s) is considered and is measured using a digital stopwatch. For all four hop tests, 3 trials will be performed. The best trial will be taken to statistical analysis.

    Time frame: Baseline (week 16), post-intervention (week 24) and follow up (week 32).

07

Study locations

1 of 1 sites recruiting
08

References and documents

Publications

  • Kasmi S, Zouhal H, Hammami R, Clark CCT, Hackney AC, Hammami A, Chtara M, Chortane SG, Salah FZB, Granacher U, Ounis OB. The Effects of Eccentric and Plyometric Training Programs and Their Combination on Stability and the Functional Performance in the Post-ACL-Surgical Rehabilitation Period of Elite Female Athletes. Front Physiol. 2021 Jul 2;12:688385. doi: 10.3389/fphys.2021.688385. eCollection 2021. PubMed 34276409 ↗
  • Zhao Y, Chen Z, Li L, Wu X, Li W. Changes in proprioception at different time points following anterior cruciate ligament injury or reconstruction. J Orthop Surg Res. 2023 Jul 31;18(1):547. doi: 10.1186/s13018-023-04044-5. PubMed 37518000 ↗
  • Kipp JD, Bednarek AL, Sherry MA, Keefe MW, Chumanov ES. Isokinetic Quadriceps and Hamstring Peak Torque in Athletes Aged 10-50+: Preoperative Uninvolved Limb Reference Values for ACL Reconstruction. Int J Sports Phys Ther. 2026 Sep 1;21(9):832-842. doi: 10.26603/001c.166786. eCollection 2026. PubMed 42694075 ↗
  • Buckthorpe M, Della Villa F. Recommendations for Plyometric Training after ACL Reconstruction - A Clinical Commentary. Int J Sports Phys Ther. 2021 Jun 1;16(3):879-895. doi: 10.26603/001c.23549. PubMed 34123540 ↗

Individual participant data

Plan to share: No

09

Timeline

2 registry updates since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Oct 2026; primary completion for Apr 2027, 6 months later.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 2, 2026
First posted
Oct 7, 2026
StartEst.
Oct 1, 2026
Primary completionEst.
Apr 1, 2027
CompletionEst.
May 1, 2027
Last update
Oct 15, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Also revised
primary outcomes
Registered
First appeared on the registry
Oct 7, 2026
Show all 2 updates
  1. Oct 15, 2026
    Primary outcomes Revised (2 changes)
    + 4 other changes: description, arm descriptions, secondary outcomes and contact details
  2. Oct 7, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07862881
Lead sponsor
Cairo University
Responsible party
Ahmed ElMelhat (Associate Professor of MSK Physical Therapy, BAU and Cairo university, Cairo University) — Principal investigator
First posted
Oct 7, 2026
Start date
Oct 1, 2026 (estimated)
Primary completion
Apr 1, 2027 (estimated)
Completion
May 1, 2027 (estimated)
Last update
Oct 15, 2026

Study contacts

Ahmed El Melhat, PhD
Contact
ahmed.elmelhat@cu.edu.eg
+201112595022
Marwa J. Awkal, DPT
Contact
marwaawkal3@gmail.com
81666932 ext. +961
Ahmed El Melhat
study director · South Valley University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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