Functional Outcomes of a Criterion-based Rehabilitation Protocol for Anterior Cruciate Ligament Reconstruction in Amateur Athletes: a Randomized Clinical Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 50
- 试验地点
- 1
- 主要终点
- visual analogue scale
研究概览
简要总结
The main goal of a rehabilitation program after an ACL reconstruction is to regain mobility and muscle function and ultimately to return to sports participation. Purpose of the study: to investigate the effect of the accelerated rehabilitation program on knee pain, and function in patients post ACLR surgery. Fifty adult amateur males athletes who underwent ACLR surgery participated in this study, their age ranged from 18 to 35years.They were randomly assigned into two equal groups. Group (A) received accelerated rehabilitation protocol and group (B) received conventional physical therapy program. Treatment sessions were conducted 5 times per week for 22 weeks for both groups. All patients assessed pre and post treatment for pain intensity using visual analogue scale (VAS), and knee function using knee injury and osteoarthritis outcome score (KOOS), knee effusion, and LSI of Hop test.
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
- Double (Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 35 Years（Adult）
- 性别
- Male
- 接受健康志愿者
- 是
入选标准
- •Patients were participated in this study if they fulfilled the following criteria:
- •Underwent pre-operative rehabilitation program with minimal knee effusion and full extension, good patellofemoral mobility, and the patient can actively control the quadriceps.
- •Have an ACLR with an autolongous hamstring (HT) graft.
- •Age range from 18-40 years old.
- •Football players or who perform physically demanding work.
- •Have no other ligamentous injury.
- •Have nomeniscectomy previous to or simultaneouswith ACLR.
- •Have no cartilage damage.
排除标准
- •• Patients younger than 18 or older than 35 years old
- •Have ACLR with any graft other than hamstring (HT) graft
- •Have ACL revision surgery
- •Have other ligamentous injury
- •Have a meniscectomy previous to or simultaneous with ACLR.
- •Had meniscal repair simultaneously with ACLR
- •Have cartilage damage.
研究组 & 干预措施
accelerated rehabilitation protocol
It's a four phases rehabilitation protocol mainly based on the remodeling process of the graft., emphasizing full passive knee extension, immediate weight bearing as tolerated and functional exercises
干预措施: rehabilitation protocol (Other)
conventional physical therapy program
Current conventional protocols were based mainly on biological tissue healing time frames. These protocols emphasize pain reduction, full passive knee extension, quadriceps strength training, immediate motion, immediate par¬tial weight bearing (only if there is a correct gait pattern without any complications), and functional exercises
干预措施: rehabilitation protocol (Other)
结局指标
主要结局
visual analogue scale
时间窗: 22 weeks
It is a 100-mm horizontal line anchored by word descriptors at each end by ""no pain"" on the left and ""worst imaginable pain"" on the right
次要结局
- knee effusion grading scale(22 weeks)
- Knee Injury and Osteoarthritis Outcome Score(22 weeks)
- limb symmetry index of Hop test battery(22 weeks)
研究者
Omar Mohamed Ali Elabd
Lecturer of Orthopedics
Delta University for Science and Technology