Operation ACL: Rehabilitation After Anterior Cruciate Ligament Reconstruction

Обзор

Scientific Research Question Overall Purpose: Regarding rehabilitation after anterior cruciate ligament reconstruction (ACLR), there is a knowledge gap - a lack of evidence. Important questions such as how rehabilitation should be structured, what it should include, and how it should be evaluated are currently not clear. Therefore, the investigators plan to conduct a two-year follow-up randomized controlled trial (RCT) on post-ACLR rehabilitation. Moreover, detailed information on how/under what circumstances the ACL injury occurred is not satisfactorily described in the literature. Therefore, the investigators are planning a new survey that can identify, explain, and prevent the risk factors causing a person to suffer from an anterior cruciate ligament injury. Specific Objectives: How should guidelines for rehabilitation after ACLR be structured, what should they include, and how should they be evaluated to best restore knee function in the patient? Can a detailed and comprehensive survey identify, explain, and prevent the risk factors causing a person to suffer from an ACL injury?

Подробное описание

The overall aim of the project is to improve the physiotherapeutic guidelines to enhance the quality of rehabilitation for patients with surgically repaired anterior cruciate ligament (ACL) injuries. ACL injury is a severe knee injury that often prevents young individuals from continuing sports activities at their desired level. It can eventually lead to knee osteoarthritis within 10-15 years after the initial injury. Despite existing research on preventive training for young athletes in high-risk sports such as soccer, handball, and floorball, this injury remains common. ACL injury in young female athletes engaged in contact sports is 2-5 times more prevalent compared to young males. Regarding rehabilitation after ACL reconstruction, literature often indicates inadequacies where full muscle strength or jumping ability has not been regained. Despite this, patients often return to sports activities, which may increase the risk of re-injury. Guidelines for structuring rehabilitation, its content, and evaluation need improvement accordingly.

Вмешательства

• Другое Novel program
  Applying new training method; the Nordic hamstring exercise
• Другое Traditional program
  Conventional rehabilitation training administered

Первичные конечные точки

• Isokinetic muscle strength [Срок оценки: Tests at 8, 12, 18 and 24 months post-ACLR.]
• Single-leg hop performance [Срок оценки: Tests at 8, 12, 18 and 24 months post-ACLR.]

Вторичные конечные точки (2)

• Knee Injury and Osteoarthritis Outcome Score (KOOS) [Срок оценки: Survey at 10 weeks and 8, 12, 18 and 24 months post-ACLR.]
• ACL Return to Sport after Injury scale [Срок оценки: Survey at 10 weeks and 8, 12, 18 and 24 months post-ACLR.]

Критерии участия

Критерии включения

• Athletes or recreational athletes that have undergone ACLR

Критерии исключения

• Patients that have undergone ACLR that are nor athletes or recreational athletes

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

Открытое

Основная цель

Лечение

Центры проведения

Швеция · 1 центр

• Linnaeus University — Kalmar

Идентификаторы

NCT: NCT06318039 · IRB2022-06554-01

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

Открыть это исследование на ClinicalTrials.gov ↗