Investigation of the Effects of Proprioceptive Exercises on Balance, Kinesiophobia, and Functionality After Anterior Cruciate Ligament Surgery: A Randomized Controlled Trial
Overview
- Phase
- Not Applicable
- Status
- Recruiting
- Sponsor
- Uskudar University
- Enrollment
- 50
- Locations
- 1
- Primary Endpoint
- Lysholm Knee Scoring Scale
Overview
Brief Summary
The aim of this study is to investigate the effects of proprioceptive exercises on balance, kinesiophobia, and functionality after anterior cruciate ligament surgery.
Detailed Description
A sociodemographic form will be used to obtain sociodemographic information, the y-balance test will be used to assess balance at the beginning and end of the study, the Tampa Kinesiophobia Scale will be used to assess kinesiophobia, and the Lysholm Knee Score Scale will be used to assess functionality. Both groups will perform balance exercises currently offered at the hospital. The experimental group will also receive proprioceptive exercises in addition to the balance exercises currently offered at the hospital. The exercises will be performed three days a week for 12 weeks for both groups. In this study, the independent variables are the addition or non-addition of proprioceptive exercises, while balance, kinesiophobia, and functionality are the dependent variables. The significance levels of the obtained data will be statistically analyzed.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Outcomes Assessor)
Eligibility Criteria
- Ages
- 20 Years to 40 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Being between 20-40 years of age
- •Having undergone anterior cruciate ligament (ACL) surgery
- •Being in the 2nd week of rehabilitation after ACL surgery
Exclusion Criteria
- •Having a concomitant meniscus injury
- •Having a concomitant medial collateral ligament injury
- •Being in the 1st week of rehabilitation after ACL surgery
Arms & Interventions
control group
balance exercises
Intervention: control (Other)
exercise group
balance exercises + proprioceptive exercises
Intervention: control (Other)
exercise group
balance exercises + proprioceptive exercises
Intervention: exercise (Other)
Outcomes
Primary Outcomes
Lysholm Knee Scoring Scale
Time Frame: 14 weeks
The Lysholm scale was developed for use by physicians and has been verified in patients with Anterior Cruciate Ligament and meniscal injuries. It's also been approved as a patient-administered tool for assessing symptoms and function in people who have had a variety of knee injuries. The Lysholm scale assesses the domains of symptoms and complaints, as well as functioning in daily activities, however, it doesn't assess the area of sports and recreational activities. There are 8 items on this questionnaire and graded on a scale of 0 to 100, with higher scores suggesting fewer symptoms and better function
Tampa Kinesiophobia Questionnaire
Time Frame: 14 weeks
Tampa Kinesiophobia Questionnaire is a 17-question questionnaire that assesses avoidance of injury and fear of movement. The scale is scored using a Likert scale (1 = Strongly disagree, 4 = Strongly agree). Items 4, 8, 12 and 16 are reversed to calculate the total score of the scale. The total score is between 17 and 68. As the score of the person increases, it is understood that their kinesiophobia is high. A total score higher than 37 is considered as high kinesiophobia. However, since not every item of the questionnaire addresses patients with headache in this study, some questions were removed, some questions were edited and some questions were added to create a kinesiophobia questionnaire for headache. The newly created questionnaire consists of 23 items. Again, it is scored using a Likert scale with "1 = Strongly disagree, 4 = Strongly agree". As the score increases, it is understood that the level of kinesiophobia is high
Y Balance Test
Time Frame: 14 weeks
The Y Balance Test will be used to assess dynamic balance by measuring reach distances in three directions (anterior, posteromedial, and posterolateral) while standing on one leg. Each direction will be tested three times, and the average reach distance will be normalized to leg length. A composite score will be calculated and expressed as a percentage to evaluate overall dynamic balance capacity. Higher scores indicate better balance performance.
Secondary Outcomes
No secondary outcomes reported
Investigators
Doç.Dr.Ömer Şevgin
Assoc.Prof.Dr.
Uskudar University