Evaluation of the Effects of Home-based Functional Exercise on Patients With Anterior Cruciate Ligament Rupture Reconstruction Based on the Health Belief Model
Trial Snapshot
- Phase
- Not Applicable
- Enrollment
- 110
- Locations
- 1
- Primary Endpoint
- qualified rate of knee joint activity
Study Overview
Brief Summary
This study will evaluate the effect of home-based functional exercise on patients with anterior cruciate ligament rupture reconstruction based on the health belief model. About 360 participants will be randomly allocated into two groups. One group will randomized to receive precautions and rehabilitation progress reminders and other news by optimized WeChat applet regularly, while the other group will randomized to receive the rehabilitation exercise guidance during routine discharge.
Detailed Description
With the development of national fitness and sports, the incidence of anterior cruciate ligament (ACL) injuries has increased. ACL reconstruction is the best treatment for ACL injury. The success rate of surgery is high, but the patient still needs to rehabilitate after surgery, otherwise it is difficult to fully recover knee function. However, the rehabilitation medical resources in China are obviously insufficient. Patients who have undergone ACL reconstruction usually return home to work according to the rehabilitation plan. However, the adherence is still poor, and it is difficult to achieve the expected effect. The WeChat public account and its affiliated applets have been widely used in different health fields. The Health Belief Model (HBM) is a guiding theory commonly used in health education to guide patients for behavioral changes. This study aims to use the WeChat small program to explore the effects of optimized the existing Peking University Third Hospital Sports Medicine WeChat small program by using HBM to improve the adherence of patients with home-based functional exercise after ACL injury reconstruction.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Supportive Care
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to 45 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •(1)Age between 18 and 45；
- •(2)The first time to do simple ACL reconstruction, may be combined with cartilage -dressing and partial meniscectomy, patients with consistent postoperative rehabilitation plans;
- •(3)Having the ability of Basic literacy, communication and accessibility;
- •(4)Having a smartphone, using WeChat or can learn to use WeChat.
Exclusion Criteria
- •(1)Having history of joint infection, joint tuberculosis or osteomyelitis, or surgery in the lower extremities within 6 months;
- •(2)Being combined with severe heart, brain, kidney and other organ dysfunction;
- •(3)Having other serious knee injuries;
- •(4)Being with mental illness or cognitive impairment, unable to learn and participate in rehabilitation training;
- •(5)Having participated in other similar rehabilitation function training programs, or transferred to other medical institutions after discharge;
- •(6)Doing not disagree to participate in the study,and not sign the informed consent.
Arms & Interventions
Wechat application intervention
precautions and rehabilitation progress reminders and other news by optimized WeChat applet regularly
Intervention: Wechat application reminder intervention (Behavioral)
routine guidance during discharge
rehabilitation exercise guidance during routine discharge
Intervention: routine guidance during discharge (Behavioral)
Outcomes
Primary Outcomes
qualified rate of knee joint activity
Time Frame: 12 weeks after surgery
Knee joint activity reaches 125 degrees or above is judged to be qualified. Qualified rate is equal to the number of people who meet the standard divided by the total number in each group.
qualified rate of knee joint activity
Time Frame: 6 weeks after surgery
Knee joint activity reaches 125 degrees or above is judged to be qualified. Qualified rate is equal to the number of people who meet the standard divided by the total number in each group.
qualified rate of knee joint activity
Time Frame: 2 weeks after surgery
Knee joint activity reaches 125 degrees or above is judged to be qualified. Qualified rate is equal to the number of people who meet the standard divided by the total number in each group.
Secondary Outcomes
- Visual Analogue Scale(2，6，12 weeks after surgery)
- International Knee Documentation Committee (IKDC) Subjective Knee Form(2，6，12 weeks after surgery)
- SF-12 scale(2，6，12 weeks after surgery)