Range of motion limitation after anterior cruciate ligament reconstruction
Conditions
Interventions
Trial Group: Low-energy radial extracorporeal shock wave therapy combined with conventional rehabilitation:Low-energy radial extracorporeal shock wave therapy (R-ESWT) applied to vastus medialis obliq
Control Group: Conventional rehabilitation only:Conventional rehabilitation training only (range of motion exercises and other related equipment), identical intensity and frequency as experimental gro
Sponsors
Department of Rehabilitation Medicine, The First Affiliated Hospital of Jinzhou Medical University
Eligibility
Sex/Gender
All
Age
18 Years to 45 Years
Inclusion criteria
Inclusion criteria: 1. Diagnostic criteria: Complete rupture of unilateral ACL was confirmed by MRI, and arthroscopic ACL reconstruction surgery (using autologous hamstring tendon transplantation) was performed; 2. Postoperative time: 2 weeks (+/-3 days) after the operation, the incision healed well (no signs of redness, swelling, exudate or infection); 3. Functional status: Knee extension loss 20° are excluded; 4. Age and gender: 18-45 years old, gender not limited; 5. Compliance: Voluntarily participate in the study, sign the informed consent form, and be able to cooperate with 4-week (twice a week) shock wave therapy and multiple follow-up evaluations.
Exclusion criteria
Exclusion criteria: 1. Combined injury: Combined rupture of the posterior cruciate ligament (PCL) on the same side, medial and lateral collateral ligaments, or meniscus repair (resection is not excluded); 2. Neurological diseases: Previous history of neurological diseases (such as stroke, peripheral neuropathy), affecting muscle control assessment; 3. Orthopedic diseases: Knee osteoarthritis (Kellgren-Lawrence grade >=2), previous history of knee joint surgery (excluding primary ACL reconstruction); 4. Contraindications for shock waves: local infection, open wounds, deep vein thrombosis, malignant tumors, pregnancy or lactation; 5. Equipment contraindications: Implantation of cardiac pacemakers or metal implants in the body (except for knee joint fixation screws); 6. Compliance issues: Inability to cooperate with follow-up or refusal to sign the informed consent form.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Extension deficit at 12 weeks post-surgery;Proportion achieving full ROM at 12 weeks post-surgery; | — |
Secondary
| Measure | Time frame |
|---|---|
| Quadriceps-hamstring co-contraction ratio (CCR);Balance function - total trajectory length of center of pressure;Balance function - envelope area of center of pressure;International Knee Documentation Committee (IKDC) score;Lysholm knee score;Visual Analogue Scale (VAS) pain score;Activation timing difference between VMO and ST; | — |
Countries
China
Contacts
Public ContactWu Siqi
Jinzhou Medical University First Affiliated Hospital
Outcome results
None listed