Early Domestic Rehabilitation Using Virtual Reality for Patients With Anterior Cruciate Ligament Reconstruction: a Randomized Controlled Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Knee Injuries
- Sponsor
- Institut d'Investigacions Biomèdiques August Pi i Sunyer
- Enrollment
- 44
- Locations
- 1
- Primary Endpoint
- The International Knee Documentation Committee (IKDC) Subjective Knee Form
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
The purpose of this study is to ascertain whether 4 weeks of daily virtual-reality-based rehabilitation at home improves disability in the early stages of recovery from anterior cruciate ligament reconstruction surgery compared with standard care.
Detailed Description
After being informed about the study and potential risks and benefits, patients giving written informed consent will be randomized to one of two groups in a 1:1 ratio. The treatment group will perform daily a 20-minute rehabilitation session in virtual reality, in which they will observe their virtual body performing a series of exercises they would otherwise be unable to perform in real life. Both groups will also undergo the standard rehabilitation protocol. The investigators will assess for differences between groups in self-reported disability, knee range of motion, and quadriceps strength at baseline, 4 weeks, 12 weeks and 9 months.
Investigators
Prof. Maria V. Sanchez-Vives
Professor
Institut d'Investigacions Biomèdiques August Pi i Sunyer
Eligibility Criteria
Inclusion Criteria
- •Aged 18-40 (either sex)
- •Post-operative anterior cruciate ligament reconstruction (autograft), either bone-patellar tendon-bone graft or semitendinosus (hamstring) graft
Exclusion Criteria
- •Patients with significant cognitive deficit (MEC\<24).
- •Patients with epilepsy or severe vision problems
- •Pregnant patients
- •Previous surgery on the reconstructed knee, excluding arthroscopy
- •Previous anterior cruciate ligament reconstruction on either knee
- •Sustained concurrent injury to the contralateral knee
- •Concomitant collateral ligament and/or meniscal repair
- •Presence of symptomatic tibiofemoral osteoarthritis
Outcomes
Primary Outcomes
The International Knee Documentation Committee (IKDC) Subjective Knee Form
Time Frame: 9 months
Patient-completed tool, which contains sections on knee symptoms/pain, function, and sports activities. Scores range from 0 points (lowest level of function or highest level of symptoms) to 100 points (highest level of function and lowest level of symptoms).
Secondary Outcomes
- Time taken to return to sporting activity(9 months)
- Isometric quadriceps strength(9 months)
- Kinesiophobia(9 months)
- Knee extension active range of motion(9 months)