Effect of the Hockey Slideboard Training Combined With Blood Flow Restriction (BFR) in the Rehabilitation Following Anterior Cruciate Ligament Surgical Reconstruction (ACL-R)
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Hockey slideboard combined with BFR training, Hockey slideboard.
- Who it may be relevant to
- Registry conditions: Anterior Cruciate Ligament Rupture, Rehabilitation After ACL Reconstruction. Basic parameters: 18 years — 45 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Romania
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Overview
ACL injuries represent a major health and economic burden. The overall incidence of ACL injuries has increased and is likely to continue to increase, in part due to increased sports participation. In the acute post-surgical phase there is a period of physiologic recovery from the surgical injury and subsequent relative muscle disuse that is associated with atrophy loss of strength and anterior knee pain. Therefore, improvement of muscle function is a priority in the rehabilitation and reathletization process. To achieve significant muscle hypertrophy as well as a possible subsequent increase in strength, it is widely accepted that resistance exercises with relevant load (\~70% of the one repetition maximum - 1RM) are necessary; however, in patients undergoing anterior cruciate ligament reconstruction (ACL-R), exercises with high loads are considered unsafe in the early stages and could increase the risk of re-injury. BFR training is an established muscle training and rehabilitation technique in which the blood supply to and from the muscles involved in the exercise is restricted using an external device. Although the physiological mechanisms related to this intervention are not yet well understood, it is thought that in BFR training, despite the low level of mechanical tension, the main driver of myocellular hypertrophy could be metabolic stress that is realized by local accumulation of metabolites. Thus, it seems that hypertrophic adaptations can be induced with much lower exercise intensities using BFR. In fact, when combined with low-load resistance training (e.g., 20% 1RM), training with BFR has shown positive results in increasing muscle volume and strength after ACL-R in complete safety comparable to standard training without BFR. It has also already been demonstrated how incorporating the use of the hockey slideboard into the rehabilitation procedure following ACL-R gives benefits in terms of strength recovery of the extensor muscles of the operated limb with the same safety profiles as standard rehabilitation.
Interventions
- Other Hockey slideboard combined with BFR training
Hockey slideboard combined with BFR training - Other Hockey slideboard
Hockey slideboard
Primary outcome measures
- Adductor muscles maximal voluntary isometric contraction (MVIC) [Time frame: Before the study intervention (T0) and after the study intervention lasting for four weeks (T1)]
Secondary outcome measures (6)
- Abductor muscles maximal voluntary isometric contraction (MVIC) [Time frame: Before the study intervention (T0) and after the study intervention lasting for four weeks (T1)]
- Adductor/abductor isometric strength (MVIC) ratio [Time frame: Before the study intervention (T0) and after the study intervention lasting for four weeks (T1)]
- Y-balance test (YBT) composite score [Time frame: Before the study intervention (T0) and after the study intervention lasting for four weeks (T1)]
- Triple hop test for distance [Time frame: After the study intervention lasting for four weeks (T1)]
- Single hop test for distance [Time frame: After the study intervention lasting for four weeks (T1)]
- Side hop test [Time frame: After the study intervention lasting for four weeks (T1)]
Eligibility criteria
Inclusion criteria
- having undergone ACL-R following a unilateral rupture, with reconstructive surgical technique by bone-patellar tendon-bone autograft (BPTB) or semitendinosus-gracilis autograft (STG)
- ACL-R including associated meniscal lesions treated with selective meniscectomy and/or non-complex meniscal suture
Exclusion criteria
- not having undergone ACL-R following a unilateral rupture, with reconstructive surgical technique by bone-patellar tendon-bone autograft (BPTB) or semitendinosus-gracilis autograft (STG)
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Open label
- Primary purpose
- Treatment
Study locations
Romania · 1 center
- Spital Municipal Odorheiu Secuiesc — Odorheiu Secuiesc
Identifiers
NCT: NCT06955026 · SOCT1