The Effectıveness Of Structured Myofascial Chain Exercise Training After Anterior Cruciate Ligament Reconstruction
Condition: Anterior Cruciate Ligament Injuries; Anterior Cruciate Ligament Rupture; Anterior Cruciate Ligament Tear
MeSH terms: Rupture; Anterior Cruciate Ligament Injuries
Study type: Interventional

Summary: 
      Anterior cruciate ligament reconstruction(ACLR) surgery accepts best choices which condicions
      are totaly ruptured ACL or partial ruputures when patients with high activity level.
      Rehabilitation after ACL is an indispensable element of treatment because ACL injury causes
      severe instability and early degenerative changes in the knee. Although there is no standard
      rehabilitation program after ACLR but the concept of "Functional Rehabilitation" is prefers
      nowadays which structred according to therapeutic goals, it is planned in three stages as
      early, mid-term and late-term. After the late-term goals are achieved safely and the
      individuals reach to needed criterias, the stage of returning to sports or activity is
      planned. Patients with an active life expectancy, the goal at the end of rehabilitation after
      ACLR is to return to activity or sports and to reach pre-injury performance. Most individuals
      fail to return to sports or activity after ACL due to long-term strength deficits,
      neuromuscular and biomechanical changes, knee instability, and early developing knee
      osteoarthritis. Addition to that; changes that affect both the knee joint and the whole body
      biomechanics occur even in individuals who successfully return to activity and sports after
      ACL. Although there are problems that affect the whole body by exceeding a single segment in
      rehabilitation after ACLR; there is no study using the myofascial chain exercises approach in
      the treatment of these problems. Hip, core or trunk stabilization exercises and neuromuscular
      trainings that include more than one body segment added to the ACLR program provides more
      positive effects on rehabilitation outcomes than regional applications. In this project,
      researches aim to investigate that the effectiveness of structured myofascial chain exercises
      training, which will be applied in the late period of rehabilitation after ACLR, on
      functionality, performance and participation.In project scope; After completing the early and
      mid-term rehabilitation after surgery, the volunteers who met the criteria for transition to
      late rehabilitation were divided into two groups; lower extremity exercise training will be
      given to the first group and myofascial chain exercise training will be given to the second
      group. The control group will consist of healthy volunteers. In addition to the control
      group; The operated and intact extremities of the volunteers in the experimental groups will
      be compared. The training session, in which preterm and postterm evaluations and the
      exercises are taught, will be carried out with the face-to-face method, and the ongoing
      exercise sessions will be carried out with the telerehabilitation method. Reasearch outcome
      measures will be evaluated with strength, flexibility, balance, endurance, activity
      performance against time measurements and self-assessment questionnaires. End of this
      project; important data will be obtained in the fight against the risks created by the
      deficits that continue after the ACLR. The deficits seen after ACL fails to individuals from
      returning to their pre-injury functional level; the desired success cannot be achieved in
      returning to work, returning to sports, and returning to activity. Due to this situation,
      which poses a global problem, even if there is a return to work or sports after injury,
      branch and job changes may be required and the desired level of performance cannot be
      achieved. In individuals who cannot return to activity, inactive life increases the risk of
      non-communicable chronic diseases as well as the increased risk of osteoarthritis. In case of
      success in the project, important information will be obtained in order to prevent both the
      quality of life and the cost of secondary health and social life problems associated with ACL
      injuries. The content of the program will be expanded to include other sports injuries by
      applying to follow-up projects for the registration of the method to be applied for the first
      time.
    


Intervention name(s): Exercise Therapy For Lower Extremities; Exercise Therapy For Myofascial Chains
Intervention type(s): Other; Other
Intervention description(s): Participants who have inclusion criterias after ACL reconstrontion pos-op 8. week will included this study. Certified Physiotherapist who have master of science degree and doctorate student will assessed them before and after treatment with face to face. Also exercise education will give face to face with same therapist. After that first sessions patients will progress their standardize exercises pragram with telerehabilition during 6 weeks and 18 sessions. This program includes four directions single leg raise with theraband, squat, lunge walk and static balance exercises. All sessions will be supervised with physiotherapist. End of study assessments will perform again with same therapist.; Participants who have inclusion criterias after ACL reconstrontion pos-op 8. week will included this study. Certified Physiotherapist who have master of science degree and doctorate student will assessed them before and after treatment with face to face. Also exercise education will give face to face with same therapist. After that first sessions patients will progress their structered exercises pragram with telerehabilition during 6 weeks and 18 sessions. This program includes four directions single leg and arm raise with theraband, squat with arm participation using theraband, lunge walk with arm participation using theraband and static balance exercises with arm participation using theraband. All sessions will be supervised with physiotherapist. End of study assessments will perform again with same therapist.
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: Prospective Randomize Controlled Study
Masking: Single (Participant)
Primary purpose: Treatment
Keywords: Tele-Health; Sports injuries; Anterior Cruciate Ligament; Reconstruction; Exercise; Physical Therapy And Rehabilitation