ACL Reconstruction
Conditions
Keywords
Anterior cruciate ligament, Reconstruction, Rehabilitation, Home-based
Brief summary
This study was designed to determine whether or not there were any differences in knee range of motion, both statically and during gait, sagittal plane knee laxity, and quadriceps and hamstrings strength in patients three months post-ACL reconstruction with a bone-patellar tendon-bone autograft based on their performance of a primarily home based rehabilitation program or a standard physiotherapy-supervised program.
Interventions
Home-based rehabilitation program that includes 4 physiotherapy sessions in the first 3 post-op months
Physiotherapy-supervised rehabilitation program that includes 17 scheduled physiotherapy sessions in the first 3 post-op months
Sponsors
Study design
Eligibility
Inclusion criteria
1. 16 years of age or older 2. Surgery at least 6 weeks after injury to allow for a return of full range of motion, minimize swelling, and offset strength deficits due to pain/swelling14,28 3. ACL reconstruction with a bone-patellar tendon-bone autograft
Exclusion criteria
1. Previous or concomitant reconstruction of any knee ligament to either knee 2. Ongoing knee abnormality unrelated to the ACL injury (eg, evidence of changes on radiographs consistent with osteoarthritis) 3. Professional athletes or workers' compensation patients 4. Complications during surgery (eg, inadequate graft fixation requiring protocol modification) 5. Patients without access to local physical therapy services
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Active assisted knee flexion and passive knee extension range of motion | pre-op, 6 & 12 weeks post-op |
Secondary
| Measure | Time frame |
|---|---|
| Knee flexion and extension range of motion during gait | pre-op, 6 & 12 wks post-op |
| Sagittal plane laxity of the knee | pre-op, 6 & 12 wks post-op |
| Isokinetic quadriceps and hamstrings strength | pre-op and 12wks post-op |
Countries
Canada