efficacy of preoperative re-education on patients with an anterior cruciate ligament rupture

Conditions: Anterior Cruciate Ligament Rupture

Summary: anterior cruciate ligament (acr) rupture is a common lesion of sportsmen that leads to functional deficits which are difficult to overcome. to prevent from an unfavorable evolution, patients can either get a non-surgical treatment or an acr surgery, which is very common. knee functional performance level could impact on the postoperative outcome and it's of common knowledge that early re-education after an acr rupture improves knee functioning. patients with an acr rupture enrolled in this study will be randomized either in an experimental group (with preoperative reeducation) or in a control group (without preoperative reeducation). both groups will then have post-operative re-education (40 sessions) based on has recommendations. the main aim of this study is to assess the impact of preoperative re-education on knee functional performance 4 month after surgical reconstruction of an acr. secondary aims are to determine the impact of the 4-week preoperative re-education on knee functional performance after an acr rupture, before surgery and 7 months after surgery. functional performance, muscular strength, proprioception and anterior knee laxity will be measured at inclusion (v0), 4-5 days before surgery (v1), 4 month (v4m) and 7 months (v7m) after surgery. lysholme-tegner scoring and ikdc2000 questionnaire will be added to the previous assessments.

anterior cruciate ligament (acr) rupture is a common lesion of sportsmen that leads to functional deficits which are difficult to overcome. to prevent from an unfavorable evolution, patients can either get a non-surgical treatment or an acr surgery, which is very common. knee functional performance level could impact on the postoperative outcome and it's of common knowledge that early re-education after an acr rupture improves knee functioning. patients with an acr rupture enrolled in this study will be randomized either in an experimental group (with preoperative reeducation) or in a control group (without preoperative reeducation). both groups will then have post-operative re-education (40 sessions) based on has recommendations. the main aim of this study is to assess the impact of preoperative re-education on knee functional performance 4 month after surgical reconstruction of an acr. secondary aims are to determine the impact of the 4-week preoperative re-education on knee functional performance after an acr rupture, before surgery and 7 months after surgery. functional performance, muscular strength, proprioception and anterior knee laxity will be measured at inclusion (v0), 4-5 days before surgery (v1), 4 month (v4m) and 7 months (v7m) after surgery. lysholme-tegner scoring and ikdc2000 questionnaire will be added to the previous assessments.

Eligibility criteria:
inclusion criteria: * patients between 18 and 45 years old * tegner physical activity level between 3 and 9 * primary and unilateral rupture of anterior cruciate ligament, confirmed by mri * patient available to carry out the preoperative re-education program exclusion criteria: * complex lesion that would impede on preoperative re-education (posterior cruciate ligament, meniscal or chondral symptomatic lesion, fracture)/ * neurologic or cardiorespiratory pathology contra-indicating preoperative re-education * previous surgical treatment of the lower limbs or of the lumbar spine * neuropathic or algodystrophic pain on the lower limbs

Keywords: anterior cruciate ligament rupture preoperative re-education knee functional performance anterior cruciate ligament surgery single-leg hop for distance test performance