Clinical trial NCT06318039: Operation ACL: Rehabilitation After Anterior Cruciate Ligament Reconstruction
Official title: Operation ACL: Rehabilitation After Anterior Cruciate Ligament Reconstruction
Study type: INTERVENTIONAL
Overall status: NOT_YET_RECRUITING
Phase: NA
Conditions: Anterior Cruciate Ligament Reconstruction
Lead sponsor: Linnaeus University
Sponsor class: OTHER
First posted: 2024-03-19
Enrollment: 100
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: randomized controlled trial
Primary purpose: TREATMENT

Brief summary: 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?

Detailed description: 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.

Eligibility criteria: Inclusion Criteria:

* Athletes or recreational athletes that have undergone ACLR

Exclusion Criteria:

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

Primary outcomes:
measure: Isokinetic muscle strength
timeFrame: Tests at 8, 12, 18 and 24 months post-ACLR.
measure: Single-leg hop performance
timeFrame: Tests at 8, 12, 18 and 24 months post-ACLR.
Secondary outcomes:
measure: Knee Injury and Osteoarthritis Outcome Score (KOOS)
timeFrame: Survey at 10 weeks and 8, 12, 18 and 24 months post-ACLR.
measure: ACL Return to Sport after Injury scale
timeFrame: Survey at 10 weeks and 8, 12, 18 and 24 months post-ACLR.
Other outcomes:
Locations:
city: Kalmar
country: Sweden
facility: Linnaeus University
state: Sverige
Study officials:
affiliation: Linneuniversitetet
name: Jesper Augustsson, PhD
role: PRINCIPAL_INVESTIGATOR
References: