Anterior Cruciate Ligament Injuries, Anterior Cruciate Ligament Rupture, Anterior Cruciate Ligament Tear
Conditions
Brief summary
Although the success of physical therapy following surgery has been well-documented and validated in patients undergoing Anterior Cruciate Ligament Reconstruction (ACLR) procedures, more recent studies have demonstrated that patient outcomes are the most favorable when surgery is delayed approximately 4 weeks until after the patient has completed a preoperative physical therapy program, or pre-habilitation. The ultimate goal of pre-habilitation is to regain full range of motion in the knee and reach approximately 80% of pre-injury quadricep strength. However, extra physical therapy can stress both time and resources. Thus, we propose a home-based, self-guided pre-habilitation program. We hypothesize that patients participating in self-guided pre-habilitation will experience the same benefits as patients in a traditional office-based physical therapy program.
Interventions
OTHERSelf-guided pre-habilitation exercise program
A set of self-guided exercises developed by an athletic trainer to perform at home in order to optimize the knee for ACL repair surgery
OTHERTraditional pre-habilitation
Pre-habilitation exercise sessions under the direct supervision of a physical therapist.
Sponsors
WellSpan Health
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
13 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
* Skeletal maturity * Acute ACL rupture occurring no longer than 4 weeks prior to presentation * Ability to participate in a pre-habilitation program * Nature of the injury allows adequate time for pre-habilitation * Ability to speak, read, and understand English * Willing and able to provide informed consent
Exclusion criteria
* Any injuries requiring immediate surgical intervention * Ipsilateral meniscus tear that preventing participation in a pre-habilitation program * Ipsilateral MCL tears grade III * Ipsilateral PCL tears (any grade) * Concomitant LCL injuries * Concomitant posterolateral corner injuries * Inflammatory arthritis * Prior ACL rupture/reconstruction * Anyone unable to participate in a stretching/strengthening program
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants Ready for ACL repair surgery | Approximately 4 weeks following initiation of a pre-habilitation program | The surgeon will decide if the patient's knee is optimized and ready for surgery based on quadricep circumference and range of motion. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Knee Range of Motion | Approximately 4 weeks following initiation of a pre-habilitation program | Difference in knee range of motion from baseline to final pre-operative check-in |
| Thigh circumference | Approximately 4 weeks following initiation of a pre-habilitation program | Difference in thigh circumference from baseline to final pre-operative check-in |
Countries
United States
Outcome results
None listed