Is targeted physiotherapy effective in improving outcomes, quality of life and return to activity in patients that are at risk of deteriorating symptoms and early osteoarthritis following anterior cruciate ligament reconstruction.

Not Applicable

Completed

• Conditions: anterior cruciate ligament reconstruction; Musculoskeletal - Other muscular and skeletal disorders; Physical Medicine / Rehabilitation - Physiotherapy

• Registration Number: ACTRN12616000564459
• Lead Sponsor: Professor Kay Crossley

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2016-05-02
• Last Update Posted: 13 January 2020

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 24

Inclusion Criteria

(i) aged 18-50 years; (ii) primary arthroscopic ACLR with a hamstring-tendon autograft 6 months prior; (iii) evidence of poor knee function at 12 months as defined by:
< 87.5 on KOOS-QoL score AND meeting one the following three criteria:

1. <22 on the one leg rise task OR
2. <88% LSI on single leg hop for distance
3. <87 on the AKP scale

Please note that patients will be recruited at 6 months post ACLR into a recruitment pool. From this point we will monitor their activity level from 6 -12 months as it has been shown significant bone and cartilage changes occur in this time point, and it has been suggested that those that participate early in cutting/impact activities may have greater changes. At 12 months, each patient who had agreed to be contacted for eligibility at 12 months will be re contacted, The patients will then be invited to attend an eligibility testing session at BodySystem clinic, of which the KOOS- QoL, one leg rise, single hop for distance and AKP scale will be administered by a physiotherapist who will not be involved in the treatment intervention. If eligible they will book an appointment for physiotherapy 1:1 session, to begin as soon as possible.
Note: The patients will be informed on the possibility at 6 months that they may not be eligible for the study.

Exclusion Criteria

(i) previous injury/symptoms in the ACL injured knee; (ii) >5 years between ACL injury and reconstruction; (iii) subsequent injury (for which medical treatment was sought) or follow-up surgery to the ACLR knee; (v) another condition influencing daily function; (iv) inability to understand written and spoken English.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Knee-related QoL <br>- via KOOS and ACL-QoL<br>[Baseline (= prior to first intervention session) will be compared to 16 weeks (following last intervention session) ]