Evaluation of Preoperative Physiotherapy and Rehabilitation on functional Outcomes in Patients undergoing Anterior Cruciate Ligament Reconstruction: A Randomized Clinical Trial.

Evaluation of Preoperative Physiotherapy and Rehabilitation on functional Outcomes in Patients undergoing Anterior Cruciate Ligament Reconstruction: A Randomized Clinical Tria

Status

Completed

Phases

Unknown

Study type

Interventional

Source

ANZCTR

Registry ID

ACTRN12616001343493

Enrollment

110

Registered

2016-09-26

Start date

2013-02-13

Completion date

2014-12-31

Last updated

2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

To analyze the effect of physiotherapy before ACL reconstructions on functional status, pain and rage of motions after ACL reconstruction patients.

Interventions

Seventy-two patients will be randomly selected and divided into one of two groups. Arm1 will be consisted of 37 participants both sexes with aged 18 to 60 years. In this group 4 week (10 session) physiotherapy programme before ACL reconstruction will be applied. In this group physiotherapy will be applied by physiotherapist who has 10 years of experience in ACL injury treatment. The physiotherapy program will be applied in medical sport injury clinic. Each of 10 sesion will be applied by 2 hours of kinesiotherapy (special individual exercise for ACL injury patients based on EBM - Evidence Based Medicine). The aim of kinesiotherapy before ACL reconstruction will be to resolve knee impairments related to swelling and ROM (range of motion) deficits, restore muscle strength and adequate neuromuscular responses (prioprocepition). Both single and multiple joint exercises, open and closed kinetic chain exercises, as well as concentric, eccentric, and isometric strength exercises, will be included. the intensity of the exercise performed, will be 12-14/16 RPE (The Borg Rating of Perceived Exertion). The kinesiotherapy program will be individualized based on the specific needs of each patient. All patients will be supervised 2-3 times a week throughout the program to assure that the intendent quality of performance and correct level of dificullty was achieved. Compliance will be monitored through medical records of each subject and register of attendance at exercise sessions. Arm2 will be consisted of 35 participants both sexes with aged 18-60. In this group there will not be the physiotherapy before ACL reconstruction. In this group patients will have only instructions on home-based physiotherapy (self exercise at home). This instructions will be applied face to face (physiotherapist-patient). The two study groups will be comperable in term of BMI, age side of injury, activity level, time from injury to operation and functional status by Lysholm Scale.

Study design

Allocation

Randomised controlled trial

Intervention model

Parallel

Primary purpose

Treatment

Masking

Blinded (masking used) (Subject, Caregiver, Investigator)

Eligibility

Sex/Gender

All

Age

18 Years to 60 Years

Healthy volunteers

Inclusion criteria

Patients with complete ACL tear, who undergo single bundle ACL reconstruction procedure.

Exclusion criteria

age<18 and age >60. contraindications for apllying physiotherapy, other relevant dysfunctions within the musculoskeletal system, lack of conscious conforms to participate in the study

Outcome results