Effect of Early Range of Motion on Recovery in Individuals Following First Time Patellar
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Isokinetic Strength using Biodex
研究概览
简要总结
Do teen-age patients with a dislocated knee cap do better with or without a brace?
详细描述
This study will look at two different ways to treat teen-age patients who have had a dislocation of their knee cap. Both groups will receive the physical therapy treatment for knee cap dislocation but one group will first be in a brace for a week and the other group will start moving in therapy right away.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 11 Years 至 17 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Male and female adolescents between 11-17 years
- •Medical diagnosis of 1st time lateral patellar instability episode (dislocation or subluxation)
- •Subjective history of knee shifting, instability, popping out, knee effusion
- •Apprehension test is positive and has medial patellar tenderness
- •Referred to the Texas Children's Hospital (TCH) outpatient sports medicine clinic from an emergency room facility, urgent care or pediatrician within 10 days of the injury.
- •Free of co-morbidities that would prevent or limit rehabilitation including cardiac, pulmonary, psychiatric (except Attention Deficit Disorder (ADD) or Attention Deficit Hyperactivity Disorder (ADHD), orthopedic, neurological
- •Must be able to follow directions and participate in rehabilitation protocol for the 3-month study period.
排除标准
- •Imaging or clinical findings suggest surgical intervention is needed i.e. fracture, osteochondral defect, Lachman or other positive knee ligament special tests.
研究组 & 干预措施
Immobilization
Patients in this group will be given a knee immobilizer to wear for 2 weeks and then receive outpatient physical therapy evaluation and treatment
干预措施: Early Range of MOtion (Other)
Early range of motion
Patients in this group will be allowed to move the knee and start outpatient physical therapy and treatment immediately.
干预措施: Early Range of MOtion (Other)
结局指标
主要结局
Isokinetic Strength using Biodex
时间窗: 30 minutes
Force of movement is measured in newtons and torque and corrected for body weight
Tegner Activity Scale
时间窗: 5 minutes
11 levels of activity from complete inability to function to advanced sports participation
Edema Assessment
时间窗: 2 minutes
Measure of knee circumference
Kujala Knee Score
时间窗: 10 minutes
13 item questionnaire to rate pain, function, ambulation, and instability
Passive Range of Motion
时间窗: 5 minutes
Measured with goniometer to record full range of motion in knee flexion and extension
次要结局
- Numerical Pain Rating Scale(1 minute)
研究者
Scott McKay
Principal Investigator
Baylor College of Medicine