Clinical trial NCT06750198: Effects of Hip Focused Exercises in Patients With Post Operative Anterior Cruciate Ligament Rehabilitation
Official title: Effects of Hip Focused Exercises on Pain, Range of Motion, Functional Disability, Muscle Strength and Endurance in Patients With Post Operative Anterior Cruciate Ligament Rehabilitation
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Post Operative Anterior Cruciate Ligament Rehabilitation
Keywords: Anterior cruciate ligament Rehabilitation
Hip focused Exercises
pain
Range of Motion
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2024-12-27
Enrollment: 47
Sex: ALL
Minimum age (years): 18
Maximum age (years): 45
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: A Randomized Controlled Trial will be conducted at Mahaban Medical and Research Hospital through consecutive sampling technique on 66 patients which will be allocated using simple random sampling through sealed opaque enveloped into Group A and Group B. Group A will be treated with hip focused exercises and standard rehabilitation protocol while Group B will be treated with traditional exercises at the frequency of 2 sets with 10 repetitions and thrice a week. Outcome measures will be conducted through pain, range of motion, functional disability, muscle strength and endurance after 12 weeks. Data will be analyzed during SPSS software version 21. After assessing normality of data by Shapiro-wilk test, it will be decided either parametric or non- parametric test will be used within a group or between two groups.

Detailed description: Anterior cruciate ligament plays an important role in knee stability and is prone to contact and and non-contact injuries. ACL reconstruction followed by proper rehabilitation is the most successful procedure to restore knee stability and ROM. Keeping in mind the lower limb kinematics and biomechanics the aim of this study will be to see the effects of hip focused exercises on pain, range of motion, functional disability, muscle strength and endurance in patients with post-operative ACL rehabilitation. A Randomized Controlled Trial will be conducted at Mahaban Medical and Research Hospital through consecutive sampling technique on 66 patients which will be allocated using simple random sampling through sealed opaque enveloped into Group A and Group B. Group A will be treated with hip focused exercises and standard rehabilitation protocol while Group B will be treated with traditional exercises at the frequency of 2 sets with 10 repetitions and thrice a week. Outcome measures will be conducted through pain, range of motion, functional disability, muscle strength and endurance after 12 weeks. Data will be analyzed during SPSS software version 21. After assessing normality of data by Shapiro-wilk test, it will be decided either parametric or non- parametric test will be used within a group or between two groups.

Eligibility criteria: Inclusion Criteria:

Both males and females of age group between 18 and 45 years

* Patients with ACL reconstruction in early rehabilitation phase.
* Physically or recreationally active a minimum of three times per week.(26)
* 1-5 day post operatively(26)
* Physically healthy and without patients with other medical history or joint deformities
* Patients without severe meniscus or cartilage damage (27)
* Complaints of pain (NPRS 3-7) and swelling in the operated knee

Exclusion Criteria:

Patients with multiple ligament injuries in the knee joint

* Patients with knee osteoarthritis
* Patients with joint infection (27)
* An associated chondral defect requiring surgical intervention
* A meniscus tear requiring a repair.
* Patients with incomplete follow-up (28)
* Presence of unstable medical conditions preventing the patient from participating in the rehabilitation program.
* History of ipsi-lateral hip replacement
* Ipsi-lateral hip osteoarthritis or lateral hip pain
* Neurological or any other conditions affecting strength or function of lower limbs.

Primary outcomes:
measure: The Numeric Pain Rating Scale (NPRS)
timeFrame: 6 WEEK
measure: Universal Goniometer
timeFrame: 6th week
measure: WOMAC
timeFrame: 6th week
Secondary outcomes:
Other outcomes:
Locations:
city: Lahore
country: Pakistan
facility: Riphah Rehab Clinic
state: Punjab
Study officials:
affiliation: Riphah International University
name: Rabiya Noor, PHD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Matsumoto H, Suda Y, Otani T, Niki Y, Seedhom BB, Fujikawa K. Roles of the anterior cruciate ligament and the medial collateral ligament in preventing valgus instability. J Orthop Sci. 2001;6(1):28-32. doi: 10.1007/s007760170021.
citation: Petersen W, Tillmann B. Structure and vascularization of the cruciate ligaments of the human knee joint. Anat Embryol (Berl). 1999 Sep;200(3):325-34. doi: 10.1007/s004290050283.
citation: Sanders TL, Maradit Kremers H, Bryan AJ, Larson DR, Dahm DL, Levy BA, Stuart MJ, Krych AJ. Incidence of Anterior Cruciate Ligament Tears and Reconstruction: A 21-Year Population-Based Study. Am J Sports Med. 2016 Jun;44(6):1502-7. doi: 10.1177/0363546516629944. Epub 2016 Feb 26.