Effects of Hip Focused Exercises in Patients With Post Operative Anterior Cruciate Ligament Rehabilitation

Not Applicable

Completed

Brief Summary: A Randomized Controlled Trial will be conducted at Mahaban Medical and Research Hospital through consecutive sampling technique on 66 patients which will be allocated using simple random sampling through sealed opaque enveloped into Group A and Group B. Group A will be treated with hip focused exercises and standard rehabilitation protocol while Group B will be treated with traditional exercises at the frequency of 2 sets with 10 repetitions and thrice a week. Outcome measures will be conducted through pain, range of motion, functional disability, muscle strength and endurance after 12 weeks. Data will be analyzed during SPSS software version 21. After assessing normality of data by Shapiro-wilk test, it will be decided either parametric or non- parametric test will be used within a group or between two groups.

Detailed Description: Anterior cruciate ligament plays an important role in knee stability and is prone to contact and and non-contact injuries. ACL reconstruction followed by proper rehabilitation is the most successful procedure to restore knee stability and ROM. Keeping in mind the lower limb kinematics and biomechanics the aim of this study will be to see the effects of hip focused exercises on pain, range of motion, functional disability, muscle strength and endurance in patients with post-operative ACL rehabilitation. A Randomized Controlled Trial will be conducted at Mahaban Medical and Research Hospital through consecutive sampling technique on 66 patients which will be allocated using simple random sampling through sealed opaque enveloped into Group A and Group B. Group A will be treated with hip focused exercises and standard rehabilitation protocol while Group B will be treated with traditional exercises at the frequency of 2 sets with 10 repetitions and thrice a week. Outcome measures will be conducted through pain, range of motion, functional disability, muscle strength and endurance after 12 weeks. Data will be analyzed during SPSS software version 21. After assessing normality of data by Shapiro-wilk test, it will be decided either parametric or non- parametric test will be used within a group or between two groups.

Recruitment & Eligibility

Inclusion Criteria

Both males and females of age group between 18 and 45 years

Patients with ACL reconstruction in early rehabilitation phase.
Physically or recreationally active a minimum of three times per week.(26)
1-5 day post operatively(26)
Physically healthy and without patients with other medical history or joint deformities
Patients without severe meniscus or cartilage damage (27)
Complaints of pain (NPRS 3-7) and swelling in the operated knee

Exclusion Criteria

Patients with multiple ligament injuries in the knee joint

Patients with knee osteoarthritis
Patients with joint infection (27)
An associated chondral defect requiring surgical intervention
A meniscus tear requiring a repair.
Patients with incomplete follow-up (28)
Presence of unstable medical conditions preventing the patient from participating in the rehabilitation program.
History of ipsi-lateral hip replacement
Ipsi-lateral hip osteoarthritis or lateral hip pain
Neurological or any other conditions affecting strength or function of lower limbs.

Primary Outcome Measures

Name	Time	Method
The Numeric Pain Rating Scale (NPRS)	6 WEEK	The Numeric Pain Rating Scale (NPRS) is commonly used in the clinical setting and is convenient to administer and interpret. The NPRS is a numbered scale that begins with zero and ends at ten. Zero indicates no pain, while ten is the worst intensity of pain that individual can imagine
Universal Goniometer	6th week	The goniometer is used to objectively assess active and passive joint ROM. The universal or standard plastic, long armed, 360 degree goniometer is frequently recommended for measurement of knee ROM as the longer arm is thought to reduce error resulting from incorrect placement of the goniometric axis
WOMAC	6th week	The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) was used to measure the physical function of the knee. This scale was shown to be a valid and reliable tool, which was utilized to assess the physical function in patients with knee surgery. This tool comprises 24 questions: 5 questions about pain (0-20 points), 2 questions about stiffness (0-8 points), and 17 questions about physical functions difficulty (0-68 points), which may be completed in less than 5 minutes.

Secondary Outcome Measures

Name	Time	Method