TeleRehabilitation Following ACL Reconstruction

Study Overview
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Brief Summary
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Telerehabilitation is a form of tele-treatment in which rehabilitation services are dispensed at patients' home utilizing video telecommunication services with real-time synchronous exchange of information. The advantages of telerehabilitation include reducing unnecessary travel to the hospital and person to person contact while maintaining social distancing. While some of the patients are truly staying at remote areas, others are unable to manage travel in the lockdown period. Telemedicine offers the opportunity to deliver rehabilitative services in the patients' home, closing geographic, physical, and motivational gaps. Punctuality on either side is also assured since the travel times are saved on both the ends. The purpose of the proposed study is to evaluate telerehabilitation vs. in-person rehabilitation following ACL reconstruction. Objectives include assess return to sport and patient reported functional outcomes.

Official Title
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TeleRehabilitation Following ACL Reconstruction

Conditions
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ACL Injury

Intervention / Treatment
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* Other: Telerehabilitation Therapy
* Other: In-person Rehabilitation Therapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Scheduled for ACL reconstruction Age 18-40 Ability to comply with a standardized postoperative protocol Willing and able to provide consent Exclusion Criteria: Pregnant patient Age >40 years, or < 18 Previous knee surgery Unable to speak English or perform informed consent

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 40 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Telerehabilitation<br> | Other: Telerehabilitation Therapy<br>* Rehabilitation services will be dispensed at patients' home utilizing video telecommunication services with real-time synchronous exchange of information - Quadriceps isometrics exercises, straight leg raises, and range of motion exercises.<br>|
| Active Comparator: In-Person Rehabilitation<br> | Other: In-person Rehabilitation Therapy<br>* Quadriceps isometrics exercises, straight leg raises, and range of motion exercises.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| RTS (Return to Sport) | The day when the participant is able to fully participate in their sport, but not at their desired performance level. | up to 1 year post-op | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| ACL-RSI Questionnaire Score | ACL-RSI (anterior cruciate ligament - return to sport) consists of 12 questions. Each question is scored 0-100 with a total range of 0-1200. The higher the score, the more positive psychological outlook a participant has. | up to 1 year post-op | 
| Visual Analogue Scale (VAS) Score | VAS is a validated, subjective measure for acute and chronic pain. Scores are recorded by making a handwritten mark on a 10-cm line that represents a continuum between no pain and worst pain. The total score ranges from 0-10. The higher the score, the worse the pain. | up to 1 year post-op | 
| Knee Injury and Osteoarthritis Outcome Score (KOOS) | KOOS is a knee-specific instrument, developed to assess the participants' opinion about their knee and associated problems. The KOOS evaluates both short-term and long-term consequences of knee injury. It holds 42 items in 5 separately scored subscales. Each subscale is calculated independently. The calculated mean score of the individual items of each subscale will be divided by 4. The total score range is 0-100. The lower the score, the more extreme the problems. | up to 1 year post-op | 
| International Knee Documentation Committee (IKDC) Score | The IKDC is a patient-completed tool, which contains sections on knee symptoms (7 items), function (2 items), and sports activities (2 items). Scores range from 0 points (lowest level of function or highest level of symptoms) to 100 points (highest level of function and lowest level of symptoms). | up to 1 year post-op |