Knee Trauma
Conditions
Interventions
Control group:Conventional rehabilitation intervention
Experimental group :Adding a transcranial magnetic stimulation protocol on top of standard rehabilitation interventions
Sponsors
Yuebei People's Hospital
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Inclusion criteria
Inclusion criteria: 1. Age 18-65 years; 2. Unilateral traumatic knee injury (such as ACL tear, grade III meniscus injury, intra-articular fracture, etc.) undergoing surgical or conservative treatment, currently in the rehabilitation phase (4 weeks to 6 months post-injury/surgery); 3. Quadriceps central activation ratio (CAR) less than 80%; 4. Range of motion (ROM) of the affected knee >= 90° flexion; 5. Able to understand and comply with the study procedures and sign the informed consent form.
Exclusion criteria
Exclusion criteria: 1.Contraindications for rTMS (history of epilepsy, brain surgery/metal implants, severe heart disease, implanted electronic devices, etc.); 2.knee osteoarthritis grade III or higher (Kellgren-Lawrence classification); 3.peripheral nerve or nerve root injury; 4.other severe lower limb injuries or diseases affecting functional assessment (e.g., stroke, spinal cord injury); 5.inability to cooperate with isokinetic muscle strength testing or understand instructions; 6. planning or receiving other new treatments (e.g., botulinum toxin injections) that may significantly affect quadriceps nerve function or muscle strength during the study; 7. pregnant or breastfeeding women; 8.other circumstances deemed unsuitable by the investigator: such as the presence of specific or unstable comorbidities that do not meet explicit exclusion criteria but are considered by the investigator to potentially significantly increase risks; inability to fully understand study requirements due to cognitive impairment, mental status, language or cultural barriers; lack of sufficient willingness or adherence to reliably complete the entire study process; participation or planning of other therapies or programs that may interfere with the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| RMT,Resting Motor Threshold;motor evoked potential;Central Activation Ratio, CAR;Passive Position Matching;AMI Classification;Lysholm knee score; | — |
Secondary
| Measure | Time frame |
|---|---|
| Hamstring/Quadriceps Ratio,H/Q;(Peak Torque, PT); | — |
Countries
China
Contacts
Public ContactLai Feng
Yuebei People's Hospital
Outcome results
None listed