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Abstract
Mu scle complications are not uncommon to arise during and/or after the distraction osteogenesis procedure using Ilizarov{u2019}s fixator. Muscle weakness and/or contracture may persist, and hence, adversely affect patients{u2019} outcome. Although physiotherapy is an essential therapeutic and preventive measure against muscular complications, the effects of different exercises on muscle architecture, strength, and flexibility during distraction have not been studied systematically in humans, to compare the effects of open versus close kinetic chain exercises during tibial distraction osteogenesis by Ilizarov’s method. Ten patients who underwent unilateral tibial lengthening by Ilizarov{u2019}s method were enrolled in this study. Participants were randomly and equally assigned to one of two groups; Open kinetic chain exercise group and a closed kinetic chain exercise group. Exercise program was given every other day, for 4 weeks after starting distraction. In addition, all patients were taught a home exercise program