Rupture of Anterior Cruciate Ligament
Conditions
Keywords
anterior cruciate ligament reconstruction, Functional Electrical stimulation, Gait analysis, Physical therapy
Brief summary
The purpose of this study is to examine the short term effect of functional electrical stimulation treatment versus neuro-muscular electrical stimulation on gait quality for patient after anterior cruciate ligament reconstruction.
Detailed description
Background: Quadriceps weakness is common following anterior cruciate ligament (ACL) reconstruction. The inadequate quadriceps strength contributes to altered gait patterns following ACL reconstruction. Neuromuscular electrical stimulation (NMES) has been shown to reduce quadriceps atrophy post-ACL reconstruction. However, the effect of functional electrical stimulation (FES), a modulation of NMES which enables quadriceps stimulation synchronized with gait, has not been tested. Objective: The aim of this study is to evaluate the effectiveness of FES to improve the gait pattern of patients post ACL reconstruction. Methods: Fifty six Individuals post-ACL reconstruction will be randomly placed into FES or NMES treatment group. All patients will receive a standard exercise program three sessions weekly. In addition, each group will receive a different electrical stimulation treatment: Neuromuscular Electrical Stimulation (NMES) or Functional Electrical Stimulation (FES). Outcome measures will include spatiotemporal gait measures (e.g., gait speed, single limb support, and asymmetry index), as well as isometric quadriceps strength. Measures will be taken a week before the surgery, a week after it, and one month from the beginning of rehabilitation. Strength and gait pattern will be measured. Isometric Quadriceps strength will measured using the Biodex isokinetic system, and gait analysis will be carried out through the spatio-temporal Optogait system.
Interventions
DEVICEFunctional electrical stimulation
Electrical stimulation that cause muscle contraction while walking
DEVICENeuro-muscular electrical stimulation
Electrical stimulation that cause muscle contraction in a stationary position
PROCEDUREActive exercises
Subjects will receive training exercise according to ACL reconstruction protocol
Sponsors
Ariel University
Medical Corps, Israel Defense Force
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 30 Years
Healthy volunteers
No
Inclusion criteria
* Inclusion Criteria: * Intended patients for ACL reconstruction procedure * Age 18-30 * Committed for three sessions per week for 4 weeks *
Exclusion criteria
* Previous surgery at the same knee * Chronic knee swelling * Knee injury * History of recurrent ankle sprains, Achilles tendinopathy, or lower limb
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percentages of single support at each leg | One year | The test will perform with the Optogait system (a device for the Gait Analysis). Single support phase within the gait cycle during which the body mass is carried by a single limb. This parameter calculated by percentage of stride (normally about 40%). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| strength symmetry | One year | The method of assessment for this Outcome Measure is by calculated the differences between the right Quadriceps strength and the left Quadriceps strength |
| Gait speed | One year | Measured by kilometer per hour |
| Step length | One year | Measured by length of the average step for each leg |
| Quadriceps strength | One year | Measured by maximal peak torque in each leg (through Biodex Isokinetic dynamometer) |
Countries
Israel
Outcome results
None listed