A Study on the Effect of Exercise Rehabilitation on Bone Mineral Density, Reconstruction Ligament Tendon Bone Healing and Cartilage After ACL Rupture and Patellar Dislocation
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Graft maturity
研究概览
简要总结
To explore the effect of preoperative exercise rehabilitation on bone mineral density, tendon bone healing, change of cartilage, and gait feature in patients with anterior cruciate ligament rupture.
详细描述
Anterior Cruciate Ligament (ACL) injury is one of the most common sports injuries. It is a serious knee injury. The fracture of ACL can cause functional instability of knee joint, damage of meniscus and articular cartilage, and even induce knee osteoarthritis and other diseases. It has great influence on knee joint and even lower limb function of patients. Arthroscopic ACL reconstruction has become the first choice in clinical treatment of ACL fracture.
ACL fracture can cause local knee joint osteoporosis, and reconstruction surgery can also affect tendon bone healing, bone canal enlargement, rehabilitation period, gait, articular cartilage degradation, etc.
This study intends to conduct preoperative rehabilitation intervention for young people with anterior fork rupture, and explore the effects of exercise rehabilitation on knee bone mineral density, muscle strength, proprioceptive ability and other aspects after ACL rupture, as well as the effects of knee bone mineral density, tendon bone healing, bone tunnel aperture, motor function, gait characteristics and cartilage degradation after reconstruction.
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
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 45 Years(Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age 18~40 years old, diagnosed ACL rupture or Patellar Dislocation by MRI;
- •The first unilateral ligamenta reconstruction at our hospital;
排除标准
- •Be older than 40 years, or less than 18 years old
- •Severe injury to other knee ligaments
- •History of knee trauma
研究组 & 干预措施
control group
Regular rehabilitation training was not performed before ACL reconstruction, got regular treatment. The ACL reconstruction was followed by a 0.5 year rehabilitation.
干预措施: routine treatment (Behavioral)
experimental group
Before ACL reconstruction,40 minutes of rehabilitation training was performed 3 times a week for 6 weeks, and gotted regular treatment. The ACL reconstruction was followed by a 0.5 year rehabilitation.
干预措施: exercise rehablitation (Behavioral)
结局指标
主要结局
Graft maturity
时间窗: At 1 year post operation.
tendon bone healing by knee MRI
bone mineral density
时间窗: At 1 year post operation.
bone mineral density by knee DEX
isokinetic muscle strength
时间窗: At 1 year post operation.
Knee isokinetic strength test
knee T1 rho value
时间窗: At 1 year post operation.
knee T1 rho value by functional MRI
knee T2 value
时间窗: At 1 year post operation.
knee T2 rho value by functional MRI
balanced capacity
时间窗: At 1 year post operation.
Y balance test
Grade of tendon bone healing
时间窗: At 1 year post operation.
tendon bone healing by knee MRI
knee extension angles
时间窗: At 1 year post operation.
Three-dimensional gait analysis system and plantar pressure were used during walking, running, cutting and jumping
Grade of tendon bone healing
时间窗: At 6 monthes post operation.
tendon bone healing by knee MRI
balanced capacity
时间窗: At preoperative.
Y balance test
balanced capacity
时间窗: At 6 monthes post operation.
Y balance test
knee T1 rho value
时间窗: At 6 months post operation.
knee T1 rho value by functional MRI
knee T2 value
时间窗: At 6 months post operation.
knee T2 rho value by functional MRI
knee extension angles
时间窗: At 6 months post operation.
Three-dimensional gait analysis system and plantar pressure were used during walking, running, cutting and jumping
Graft maturity
时间窗: At 6 monthes post operation.
tendon bone healing by knee MRI
bone mineral density
时间窗: At preoperative.
bone mineral density by knee DEX
bone mineral density
时间窗: At 6 monthes post operation.
bone mineral density by knee DEX
isokinetic muscle strength
时间窗: At preoperative.
Knee isokinetic strength test
isokinetic muscle strength
时间窗: At 6 monthes post operation.
Knee isokinetic strength test
Grade of tendon bone healing
时间窗: At 2 years post operation.
tendon bone healing by knee MRI
balanced capacity
时间窗: At 2 years post operation.
Y balance test
Graft maturity
时间窗: At 2 years post operation.
tendon bone healing by knee MRI
isokinetic muscle strength
时间窗: At 2 years post operation.
Knee isokinetic strength test
次要结局
- The HU value of CT(at pre-operation)
- Thigh Circumference(At 2 years post operation.)
- Thigh Circumference(At 1 year post operation.)
- Thigh Circumference(At 6 monthes post operation.)
- Thigh Circumference(At pre-operation.)
- Single-Leg Hop(At 1 year post operation.)
- Single-Leg Hop(At 2 years post operation.)
