Health Condition 1: S835- Sprain of cruciate ligament of knee
Conditions
Interventions
Intervention1: Consensus Driven Criterion Based Physiotherapy Rehabilitation Protocol: A structured and customized physiotherapy rehabilitation program designed to improve knee rotation control follow
Sponsors
Abba Sanketh
Eligibility
Inclusion criteria
Inclusion criteria: Male adults aged eighteen to forty five years. Participants who have undergone unilateral primary anterior cruciate ligament reconstruction using semitendinosus and gracilis autografts for isolated anterior cruciate ligament injury only without any concomitant meniscal procedures. Medical clearance from the treating arthroscopic surgeon for full participation in rehabilitation and training. No previous history of knee or foot surgery. Participants who are able to understand and read English independently for completing questionnaires administered in English. Participants who provide written informed consent and are willing to comply with follow up assessments and the full duration of the intervention.
Exclusion criteria
Exclusion criteria: Any concomitant meniscal injury requiring surgical intervention including repair resection or balancing. Primary anterior cruciate ligament reconstruction performed using peroneal graft or bone patellar tendon bone graft. Revision anterior cruciate ligament reconstruction or presence of excessive chondral damage. Multi ligament knee injuries involving medial collateral ligament lateral collateral ligament posterior cruciate ligament or anterolateral ligament or associated rotatory instability patterns requiring additional ligament reconstruction. History of significant injury to the contralateral lower limb. Body mass index more than thirty five. Presence of significant knee osteoarthritis defined as Kellgren Lawrence grade more than two. Presence of neuromuscular disorders affecting lower limb function. Pre existing flatfoot or flexible pes planus defined by a navicular drop more than ten millimeters. Contraindications to testing or exercise including acute infection. Generalized ligamentous laxity defined as Beighton score five or more out of nine. Presence of congenital or acquired lower leg deformities other than tibial rotation. Leg length discrepancy more than two centimeters.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Internal tibial rotation range of motion measured using the thigh foot angle method with a universal goniometer.Timepoint: baseline and 12 weeks | — |
Secondary
| Measure | Time frame |
|---|---|
| Medial to lateral hamstring muscle strength ratio assessed using a handheld dynamometer.Timepoint: baseline & 12 weeks;International Knee Documentation Committee subjective knee scoreTimepoint: Baseline, 6 weeks & 12 weeks;Hamstring to quadriceps muscle strength ratio assessed using a handheld dynamometer.Timepoint: Baseline & 12 weeks;Hip abductor muscle strength assessed using a handheld dynamometer.Timepoint: Baseline, 6 weeks & 12 weeks;Navicular height & navicular drop measurement to assess foot arch mechanics.Timepoint: Baseline, 6 weeks & 12 weeks;Dynamic balance & neuromuscular control assessed using the Y Balance Test lower quarter.Timepoint: 6 weeks & 12 weeks | — |
Countries
India
Contacts
Public ContactAbba Sanketh
Sri Ramachandra Institute of Higher Education and Research
Outcome results
None listed