The Effects of Cognitive Dual-Tasking in Later Stages of Rehabilitation After ACL Reconstruction
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: Cognitive dual task training (intervention group), Standard of care physiotherapy (control group).
- Кому может быть актуально
- Состояния в реестре: Anterior Cruciate Ligament Reconstruction, Athrogenic Muscle Responses, ACL Injury. Базовые параметры: 18 лет — 40 лет · Все.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- Бельгия
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Обзор
Anterior cruciate ligament (ACL) injuries are common in sports and often require a long and challenging rehabilitation process. Athletes who sustain these injuries typically engage in pivoting and cutting sports, where these motor tasks must be performed simultaneously with cognitive tasks such as decision-making and keeping an eye on the opponent. Directing attention to both cognitive and motor tasks leads to cognitive-motor interference, which is associated with movement patterns that increase the risk of ACL (re)injury. Therefore, it is crucial that before returning to such demanding sports after ACL reconstruction, athletes sufficiently develop and automate safe yet efficient motor skills to free up attentional capacity for decision-making, thereby reducing the risk of suboptimal movement patterns and reinjury. However, current rehabilitation programs often primarily focus on the motor component in a single-task manner, giving insufficient attention to the cognitive component that is inseparable from sports. This randomized controlled trial aims to investigate the effects of implementing motor-cognitive dual tasks in the end phase rehabilitation after ACL reconstruction on muscle function, functional outcomes, and patient-reported outcomes.
Вмешательства
- Другое Cognitive dual task training (intervention group)
Simultaneously performing cognitive tasks and motor rehabilitative exercises. - Другое Standard of care physiotherapy (control group)
The current best physical therapy treatment for patients with anterior cruciate ligament reconstruction based on existing scientific evidence.
Первичные конечные точки
- Psychological readiness to return to sport [Срок оценки: 5 months post ACL reconstruction (= prior to intervention); 7 months post ACL reconstruction (= after the intervention); 9 months post ACL reconstruction (= after a 2 month retention period)]
- Quadriceps and hamstrings activity / cocontraction during hop tasks [Срок оценки: 5 months post ACL reconstruction (= prior to intervention); 7 months post ACL reconstruction (= after the intervention); 9 months post ACL reconstruction (= after a 2 month retention period)]
- Patient reported knee function [Срок оценки: 5 months post ACL reconstruction (= prior to intervention); 7 months post ACL reconstruction (= after the intervention); 9 months post ACL reconstruction (= after a 2 month retention period)]
- Jumping height in hop tests [Срок оценки: 5 months post ACL reconstruction (= prior to intervention); 7 months post ACL reconstruction (= after the intervention); 9 months post ACL reconstruction (= after a 2 month retention period)]
- Activity level [Срок оценки: 5 months post ACL reconstruction (= prior to intervention); 7 months post ACL reconstruction (= after the intervention); 9 months post ACL reconstruction (= after a 2 month retention period)]
- Voluntary quadriceps activation [Срок оценки: 5 months post ACL reconstruction (= prior to intervention); 7 months post ACL reconstruction (= after the intervention); 9 months post ACL reconstruction (= after a 2 month retention period)]
Вторичные конечные точки (4)
- Quadriceps and hamstrings strength [Срок оценки: 5 months post ACL reconstruction (= prior to intervention); 7 months post ACL reconstruction (= after the intervention); 9 months post ACL reconstruction (= after a 2 month retention period)]
- Kinesiophobia [Срок оценки: 5 months post ACL reconstruction (= prior to intervention); 7 months post ACL reconstruction (= after the intervention); 9 months post ACL reconstruction (= after a 2 month retention period)]
- Subjective knee stability [Срок оценки: 5 months post ACL reconstruction (= prior to intervention); 7 months post ACL reconstruction (= after the intervention); 9 months post ACL reconstruction (= after a 2 month retention period)]
- The amount of pain that the subjects experience. [Срок оценки: 5 months post ACL reconstruction (= prior to intervention); 7 months post ACL reconstruction (= after the intervention); 9 months post ACL reconstruction (= after a 2 month retention period)]
Критерии участия
Критерии включения
- 18-40 years old.
- Having suffered an ACL rupture.
- Undergoing a surgical ACL reconstruction in the AZ Delta hospital in Roeselare (Campus Brugsesteenweg).
Критерии исключения
- Revision ACL reconstruction.
- Other severe injuries to the lower limbs within the past year.
- Muscle or neurological disorders affecting lower limb functioning.
- Fibromyalgia or chronic fatigue syndrome.
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Нет
Дизайн исследования
- Распределение
- Рандомизированное
- Модель
- Параллельные группы
- Маскирование
- Двойное слепое
- Основная цель
- Лечение
Центры проведения
Бельгия · 1 центр
- AZ Delta Roeselare (Campus Brugsesteenweg) — Roeselare
Идентификаторы
NCT: NCT06206200 · ONZ-2023-0365