Effectiveness of a video-based rehabilitation program on pain, swelling, range of motion, and functional activity in patients undergoing anterior cruciate ligament reconstruction

Effectiveness of a video-based rehabilitation program on pain, swelling, range of motion, and functional activity in patients undergoing anterior cruciate ligament reconstruction with hamstring graft: a randomized controlled trial

Status

Recruiting

Phases

Phase 3

Study type

Interventional

Source

TCTR

Registry ID

TCTR20251230001

Enrollment

156

Registered

2025-12-30

Start date

2025-09-01

Completion date

Unknown

Last updated

2026-08-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Participants must have undergone primary ACLR via arthroscopic surgery with an autologous hamstrings tendon graft with or without concomitant meniscus injury ACLR hamstring graft physiotherapist-supervised rehabilitation home-based rehabilitation

Interventions

Participants will begin the standard rehabilitation protocol during their hospital stay on postoperative days 1 and 2. After discharge, they will perform home-based exercises three times in the first

Active Comparator Procedure/Surgery,Experimental Procedure/Surgery

Physiotherapist-supervised rehabilitation ,Video-based rehabilitation

Eligibility

Sex/Gender

All

Age

18 Years to No maximum

Inclusion criteria

Inclusion criteria: 1. Primary ACLR via arthroscopic surgery with a double-bundle autologous hamstrings tendon graft with or without concomitant meniscus injury 2. Aged 18 years or older at the time of ACLR 3. Possess basic reading and writing skills without communication difficulties 4. Be capable of using use a smartphone with the Line application installed

Exclusion criteria

Exclusion criteria: 1. Meniscus repair for a radial root tear or complex tear 2. Meniscal transplantation 3. Body mass index (BMI) more than or equal to 30 4. Suffer from hearing impairment or blindness 5. Joint infection, fracture, or other lower limb surgery within the past six months 6. Individuals with concomitant injuries, including medial collateral ligament (MCL), lateral collateral ligament (LCL), posterior cruciate ligament (PCL), or chondral surfaces

Design outcomes

Primary

Measure	Time frame
Range of motion: passive knee extension, active knee flexion, active knee extension passive knee extension and active knee flexion at preoperative day, 3rd week, and 6th week follow-up; active knee extension at preoperative day and 6th week follow-up It will be measured using a digital inclinometer (Acumar). The device will be 5 cm below the tibial tuberosity, at the junction between the peroneal muscle belly and tibia.	—

Measure

Time frame

Range of motion: passive knee extension, active knee flexion, active knee extension passive knee extension and active knee flexion at preoperative day, 3rd week, and 6th week follow-up; active knee extension at preoperative day and 6th week follow-up It will be measured using a digital inclinometer (Acumar). The device will be 5 cm below the tibial tuberosity, at the junction between the peroneal muscle belly and tibia.

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Secondary

Measure	Time frame
Pain Pain will be evaluated at four time points: pre-operative day, the day before discharge, and at the 3rd and 6th week follow-ups. Pain intensity will be assessed using a visual analog scale via the VAS-Visual Analog Scale application on the smartphone. ,Swelling Measurements will be taken for both legs at four time points: pre-operative day, the day before discharge, and at the 3rd and 6th week follow-ups. Swelling will be measured using a digital tape measure (Syntek) at 15 cm below the knee joint line; at the knee joint line; and 5, 10, 15 cm above the knee joint line.,Functional activity Assessments will be conducted at four time points: preoperative day, the day before discharge, and at the 3rd and 6th week follow-up. It will be assessed using the Thai version of the International Knee Documentation Committee (IKDC) subjective knee form. Each item is scored on a scale from 0 (no problems) to 4 (extreme problems). ,Exercise adherence Assessments will be conducted at a single time point, during the sixth week of the intervention period. It will be measured using the Thai version of the Exercise Adherence Rating Scale (EARS). The EARS comprises six items that include both positively and negatively worded statements. ,Travel and treatment time In the control group will be assessed at five time points (follow-up at the 2-6week). In the experimental group, these data will be collected at two time points (3rd and 6th week follow-ups). Participants will be instructed to record the total duration from the time they leave their residence, including the time spent receiving treatment, until they return home,Expenses In the control group will be assessed at five time points (follow-up 2-6 weeks). In the experimental group will be assessed at two time points (follow-up 3rd and 6th weeks). Participants will be asked to record the total travel expenses for each visit. The cost of physical therapy sessions will be recorded separately by the physiotherapist.	—

Measure

Time frame

Pain Pain will be evaluated at four time points: pre-operative day, the day before discharge, and at the 3rd and 6th week follow-ups. Pain intensity will be assessed using a visual analog scale via the VAS-Visual Analog Scale application on the smartphone. ,Swelling Measurements will be taken for both legs at four time points: pre-operative day, the day before discharge, and at the 3rd and 6th week follow-ups. Swelling will be measured using a digital tape measure (Syntek) at 15 cm below the knee joint line; at the knee joint line; and 5, 10, 15 cm above the knee joint line.,Functional activity Assessments will be conducted at four time points: preoperative day, the day before discharge, and at the 3rd and 6th week follow-up. It will be assessed using the Thai version of the International Knee Documentation Committee (IKDC) subjective knee form. Each item is scored on a scale from 0 (no problems) to 4 (extreme problems). ,Exercise adherence Assessments will be conducted at a single time point, during the sixth week of the intervention period. It will be measured using the Thai version of the Exercise Adherence Rating Scale (EARS). The EARS comprises six items that include both positively and negatively worded statements. ,Travel and treatment time In the control group will be assessed at five time points (follow-up at the 2-6week). In the experimental group, these data will be collected at two time points (3rd and 6th week follow-ups). Participants will be instructed to record the total duration from the time they leave their residence, including the time spent receiving treatment, until they return home,Expenses In the control group will be assessed at five time points (follow-up 2-6 weeks). In the experimental group will be assessed at two time points (follow-up 3rd and 6th weeks). Participants will be asked to record the total travel expenses for each visit. The cost of physical therapy sessions will be recorded separately by the physiotherapist.

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Countries

Thailand

Contacts

Public ContactThippawan Boodlakorn

Faculty of Physical Therapy Srinakharinwirot University

thippawan.bood@g.swu.ac.th023539662

Outcome results

None listed

Source: TCTR (via WHO ICTRP) · Data processed: Aug 10, 2026