Quantifying the Benefits of Supervised vs. Unsupervised Pre-habilitation for Patients With Acute ACL Tears
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- WellSpan Health
- Enrollment
- 128
- Locations
- 1
- Primary Endpoint
- Number of Participants Ready for ACL repair surgery
Study Overview
Brief Summary
Although the success of physical therapy following surgery has been well-documented and validated in patients undergoing Anterior Cruciate Ligament Reconstruction (ACLR) procedures, more recent studies have demonstrated that patient outcomes are the most favorable when surgery is delayed approximately 4 weeks until after the patient has completed a preoperative physical therapy program, or "pre-habilitation." The ultimate goal of pre-habilitation is to regain full range of motion in the knee and reach approximately 80% of pre-injury quadricep strength. However, extra physical therapy can stress both time and resources. Thus, we propose a home-based, self-guided pre-habilitation program. We hypothesize that patients participating in self-guided pre-habilitation will experience the same benefits as patients in a traditional office-based physical therapy program.
Study Design
- Study Type
- Interventional
- Allocation
- Non Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 13 Years to 50 Years (Child, Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Skeletal maturity
- •Acute ACL rupture occurring no longer than 4 weeks prior to presentation
- •Ability to participate in a pre-habilitation program
- •Nature of the injury allows adequate time for pre-habilitation
- •Ability to speak, read, and understand English
- •Willing and able to provide informed consent
Exclusion Criteria
- •Any injuries requiring immediate surgical intervention
- •Ipsilateral meniscus tear that preventing participation in a pre-habilitation program
- •Ipsilateral MCL tears grade III
- •Ipsilateral PCL tears (any grade)
- •Concomitant LCL injuries
- •Concomitant posterolateral corner injuries
- •Inflammatory arthritis
- •Prior ACL rupture/reconstruction
- •Anyone unable to participate in a stretching/strengthening program
Arms & Interventions
Traditional Supervised Prehabilitation with a Physical Therapist
Intervention: Traditional pre-habilitation (Other)
Self-guided Home-based Prehabilitation
Intervention: Self-guided pre-habilitation exercise program (Other)
Outcomes
Primary Outcomes
Number of Participants Ready for ACL repair surgery
Time Frame: Approximately 4 weeks following initiation of a pre-habilitation program
The surgeon will decide if the patient's knee is optimized and ready for surgery based on quadricep circumference and range of motion.
Secondary Outcomes
- Knee Range of Motion(Approximately 4 weeks following initiation of a pre-habilitation program)
- Thigh circumference(Approximately 4 weeks following initiation of a pre-habilitation program)
Investigators
John Deitch
Principal Investigator
WellSpan Health