Effects of a home-based rehabilitation program on motor control, return to play, and recurrence rates after anterior cruciate ligament reconstruction: A randomized controlled trial

Not Applicable

Conditions: S83.53

Registration Number: DRKS00015313

Lead Sponsor: Abteilung für Sportorthopädie, Knie- und SchulterchirurgieBGU – Frankfurt am Main

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Complete

Sex: All

Target Recruitment: 222

Inclusion Criteria

Acute unilateral ACL rupture (positive pivot shift) and scheduled for subsequent arthroscopically applied, anatomic single bundle reconstruction.

Exclusion Criteria

1. Meniscus lesion > 2 cm 2. Cartilage lesion > ICRS II° 3. previous musculoskeletal surgery of the uninvolved (contralateral) leg 4. leg mal-alignment > 5° 5. multiligament injury pattern 6. postoperative re-injury 7. acute or chronic inflammation of the musculoskeletal system or muscle soreness 8. non-compliance 9. Pregnancy

Study & Design

Study Type: interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
ormalized knee distance at landing and rective jumps during drop jumps (drop jum screening test). Knee valgus/varus position is rated at three pre-defined points during the drop jump cycle: initial ground contact at the end of the drop from the box – lowest point of the body's centre of gravity at the jump’s reversal point– ground take-off when the feet leave the surface for the reactive vertical jump. At each of this points, the distance between: 1. The two hip ankles and 2. The middles of the two knees are measured. A percentage amount of the knee distance in comparison to the hip distance was calculated to build the normalized knee distance.

Secondary Outcome Measures

Name	Time	Method
1. Quality (subjective rating; knee angle, hip angle in sagizzal and frontal plane) during simple (combined) side and front jumps. 2. Questionnaire on return to sport after injury-ACL (RSI-ACL) assess participants’ fear/confidence on the reconstructed knee during their main sporting activity. 3. Time/date of consensur-evidence-based shared positive return to play decision. 4. one year folow-up subsequent ACL rupture.<br>Control variable will be Tegner/Lysholm-Score, IKDC-200, KOOS ADL, injury history, demografics, pain (VAS 10 cm), kinesiophobia (Tampa Scale of Kinesiophobia).