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Background ACL reconstruction surgery leads to temporary limitations in knee movement due to weakness in the quadriceps, swelling, and stiffness. Effective therapy is necessary to regain strength and functionality. While flywheel resistance training enhances strength and eccentric loading, there is limited knowledge about its effectiveness in conjunction with conventional rehabilitation methods. This study evaluates the impact of both conventional rehabilitation and isoinertial therapy on muscle power, endurance, isometric strength, and balance in patients following ACL repair. Methods A total of 96 out of 136 patients aged 18 to 45 who had been randomly assigned to groups were included 3 weeks post-procedure. Over 6 weeks, 47 patients in group A (n = 47) participated in both isoinertial training and conventional therapy protocals while in group B ( n  = 49) followed a conventional rehabilitation protocol for just 30 min daily. To assess the patients’ muscle power, endurance, isometric strength, and balance, a flywheel ergometer (D11 Plus; Desmotec, Biella, Italy) was utilized both before and after the 6-week treatment period. Results Group A had statistically significant increases in eccentric muscular power ( p  = 0.0001), whereas there was no noticeable difference between the two groups in isometric strength, balance, or concentric power ( p  = 0.731, p  = 0.786, and p  = 0.815, respectively). Conclusion The finding indicates that isometric strength, balance, and both concentric and eccentric muscular power were successfully improved by both 6-week interventions: traditional rehabilitation alone and in conjunction with isoinertial training. But when compared to traditional therapy alone, the isoinertial training group showed better gains in muscular endurance. There were no discernible variations in the groups’ isometric strength or balance results. The study also emphasizes how isoinertial training can effectively increase eccentric power. Trial registration. The ethics approval number is LPU/IEC/2018/01/09. Registered in the Clinical Trials Registry of India under CTRI/2019/06/019858 dated 23/09/2021.

Introduction A cure for osteoarthritis is unknown. However, lessen the discomfort and symptoms by implementing several lifestyle changes and therapies. Reducing discomfort, enhancing joint mobility, and halting more joint injury are the goals of therapy. Purpose To evaluate the combined effect of wax therapy, Ultrasound therapy, Interferential therapy, stretching and resisted exercises when compare to Pulsed shortwave diathermy and resisted exercise among bilateral osteoarthritis knee patients. Methods This was a randomized controlled trial conducted on participant aged above 45 with Bilateral knee osteoarthritis, in the Outpatient Physiotherapy Department, B.K.L Walawalkar Rural Medical Hospital, Sawarde, Maharastra. The outcome measure used were Visual Analoue Scale for pain, Goniometer for bilateral knee flexion and extension Range of Motion, and Western Ontario and McMaster Universities Osteoarthritis Index. Result There were significant improvements in the experimental group and control group in terms of the pre-test and post-test scores for the Pain by VAS ( p  = 0.000 < 0.05), average both knee flexion ROM by goniometry ( p  = 0.000 < 0.05), average both knee extension ROM by goniometry ( p  = 0.000 < 0.05), speed 50 Meters (in distance/time) ( p  = 0.000 < 0.05) and WOMAC by physiotherapy ( p  = 0.000 < 0.05). Conclusion The combined effect of Paraffin Wax Therapy, Ultrasound therapy, Interferential therapy, stretching, and resisted exercises in bilateral osteoarthritis knee patients significantly relieved the knee pain with increased knee flexion/extension range of motion, increased speed of walking for 50 m on floor and improved WOMAC Score when compare to pulsed shortwave diathermy with resisted exercises.