Clinical trial NCT06756815: Cross Bracing Protocol With And Without Dynamic Neuromuscular Stabilization Training in Athletes
Official title: Effects of Cross Bracing Protocol With And Without Dynamic Neuromuscular Stabilization Training on Functional Movements in Athletes With Acute Anterior Cruciate Ligament Injury
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Sports Physical Therapy
Keywords: Anterior Cruciate Ligament
cross brace movement
dynamic stabilization
Functional movement
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2025-01-03
Enrollment: 26
Sex: ALL
Minimum age (years): 18
Maximum age (years): 30
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: ACL Injury is a severe injury for athletes, which frequently results in functional limits and a higher likelihood of re-injury. Although bracing regimens are frequently used in rehabilitation, their ability to restore functional movements after an ACL Injury is still uncertain. Dynamic neuromuscular stabilization (DNS) training, which targets the core and proprioception, has emerged as a viable method for enhancing motor control and decreasing knee instability. The objective of this study is to examine the synergistic impact of cross bracing and DNS training on the functional movements of athletes who have recently experienced an ACL Injury .

A randomized controlled trial will be conducted to study the effects of different interventions on athletes with acute ACL Injury. The participants will be divided into two groups: (A= control group) Cross bracing with conservative treatment, (B= Treatment group) Cross bracing + DNS training with conservative treatment. Both groups will engage in targeted exercises that aim to activate the core, improve proprioception, and enhance movement patterns. The participants' functional movements will be assessed at the beginning of the study and 6 weeks later using established questionnaire such as International Knee Documentation Committee (IKDC) score - assesses knee function and symptoms, Landing error scoring system (LESS), Y Balance (YB), Functional movement screening (FMS) Statistical analysis will be performed to compare the functional performance and neuromuscular parameters between the groups in order to determine the most effective intervention for restoring movement quality after ACL Injury .

Detailed description: The study's emphasis on cross bracing protocol and DNS training is warranted due to the necessity of investigating non-invasive and conservative therapy methods that have the ability to improve functional movements in athletes with ACL Injury . Cross bracing is frequently employed to offer external reinforcement and enhance stability to the knee joint subsequent to an ACL damage, whereas DNS training concentrates on reconditioning the neuromuscular system to enhance movement patterns and motor control. The study seeks to provide significant insights into the most effective rehabilitation regimens for athletes with acute ACL Injury by evaluating the effects of two therapies. The ultimate goal is to enhance their functional results and long-term sports performance.

Eligibility criteria: Inclusion Criteria:

* Male and Female
* Age: 18-30 years.
* Mentally and verbally capable of participating in the study.
* Positive Lachman Test
* Diagnosis of acute ACL Injury with grade 1 and 2 through MRI or arthroscopy.

Exclusion Criteria:

* Inflammatory disease, rheumatoid arthritis, spondyloarthropathy or active malignancy.
* Neurological disorder or systemic disease.
* Previous surgery on the affected knee.
* Meniscal tear or articular cartilage damage requiring surgical repair

Primary outcomes:
measure: International Knee Documentation Committee score
timeFrame: 6 week
measure: Landing Error Scoring System
timeFrame: 6 week
measure: Y- Balance Test
timeFrame: 6 week
measure: Functional Movement Screening
timeFrame: 6 week
Secondary outcomes:
Other outcomes:
Locations:
city: Lahore
country: Pakistan
facility: PSRD
state: Punjab
Study officials:
affiliation: Riphah International University
name: Amir Gul Memon, MS
role: PRINCIPAL_INVESTIGATOR
References:
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