Comparative Study Between Two Physiotherapy Protocols Conventional X Accelerated in Individuals Undergoing Reconstruction of the Anterior Cruciate Ligament.
Condition: Rehabilitation; Anterior Cruciate Ligament Reconstruction; Knee
Study type: Interventional

Summary: 
      The accelerated rehabilitation and early return does not seem to be harmful, but still needs
      further research to define the rehabilitation time is what shows Kruse and collaborators
      (2012) in their study of systematic review. The surgical treatment of anterior cruciate
      ligament injury is the gold standard in the treatment of these injuries in young and active,
      the postoperative rehabilitation is extensive and full return to sport occurs only after 6
      months postoperatively. Based on this gap, the investigators seek to draw properly through
      our study methods and more complex techniques, that comparing two rehabilitation programs can
      achieve high precision early rehabilitation. This will include 32 athletes who had complete
      ACL rupture confirmed by MRI and underwent ACL reconstruction using patellar tendon.All
      subjects will be followed from the pre-surgery, the fourth and sixth month after surgery
      with: KT1000 measures the ligamentous laxity, knee function by applying the International
      Knee Documentation Committee (IKDC 2000); Isokinetic Muscle Strength (Cybex). Through a
      random draw of sealed envelopes, patients will be allocated in their rehabilitation groups:
      Accelerated (4 months) or Conventional (6 months). Preoperatively, fourth and sixth month
      after surgery will be an assessment of laxity by (KT1000), Muscular Strength (CYBEX) and knee
      function affected by IKDC (2000) and Hop Test. The assessor and the patients were blinded to
      treatment group. This study will have the locus Institute of Orthopaedics and Traumatology,
      School of Medicine, São Paulo. The comparative results of the two groups are analyzed using
      specific statistical tests to prove an improved significative without damaging the integrity
      of the graft.
    

Detailed description: 
      All subjects will be followed for a period of six months. During this period will undergo
      three stages of evaluation.

        1. º Preoperative up to two years following injury : assessment will consist KT1000
           measures the ligamentous laxity, knee function by applying the International Knee
           Documentation Committee (IKDC 2000); Hop Test (jumps with one leg); Isokinetic Muscle
           Strength (Cybex).

        2. º 4º months pós-surgery KT1000, International Knee Documentation Committee (IKDC 2000);
           Hop Test; Isokinetic Muscle Strength (Cybex)

        3. º 6º months postoperatively KT1000, International Knee Documentation Committee (IKDC) +
           Hop Test; Isokinetic Muscle Strength (Cybex)
    

Intervention name(s): Nonaccelerated Rehabilitation; Accelerated Rehabilitation
Intervention type(s): Other; Other
Intervention description(s): Nonaccelerated Rehabilitation After Anterior Cruciate Ligament Reconstruction in 6 months of recovery.; Accelerated Rehabilitation After Anterior Cruciate Ligament Reconstruction in 4 months of recovery.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary purpose: Treatment
Keywords: Anterior Cruciate Ligament; Knee; Rehabilitation