Effects of Perturbation Training Versus Task-oriented Functional Activities on Pain, Range of Motion, Balance and Function in Post-anterior Cruciate Ligament Reconstruction
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 54
- 试验地点
- 2
- 主要终点
- NPRS for Pain
研究概览
简要总结
Anterior cruciate ligament (ACL) injuries are among the most common and functionally disabling knee injuries, particularly in physically active individuals. Despite advancements in surgical techniques, optimal post-operative rehabilitation remains critical for successful functional recovery, minimizing re-injury risk, and restoring pre-injury performance levels
详细描述
This randomized controlled trial aims to compare the effectiveness of perturbation training and task-oriented functional activities in patients following ACL reconstruction surgery. Perturbation training is a neuromuscular re-education strategy that involves controlled, unexpected movements to enhance joint stability and proprioceptive feedback. In contrast, task-oriented functional training focuses on restoring movement through activities that mimic daily or sports-related functional tasks.
This study will be a Randomized Control Trail and will be conducted in physiogic physiotherapy clinic and Ghurki Trust and Teaching Hospital. Non-Probability Convenient Sampling will be used to collect data. Total of 54 Participants of the age 18-45 years with post 12 weeks to 1 year ACL reconstruction will be included in the study. An informed consent will be taken prior study from all the subjects. Outcomes measure will be included Numerical Pain Rating Scale (NPRS) for pain, Universal Goniometer (UG) for Range of Motion, Y balance test for Knee Stability, International Knee Documentation Committee scores, (IKDC) for Knee function
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 (Participant, Outcomes Assessor)
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 range: 18-45 years
- •Male participants only
- •History of Anterior Cruciate Ligament Reconstruction (ACLR) of 3 to 12 months
- •No prior ACL surgery on the affected knee
- •ACL reconstruction with autograft of hamstrings tendon
- •Knee flexion range of motion less than 120°
- •Extension lag less than or equal to 10°
- •Pain during functional activities
排除标准
- •Any type of fracture
- •Concurrent ligamentous injury or repairable meniscus
- •Osteochondral defect
- •Any systemic and/or neurological illness
- •Rheumatoid arthritis
- •Osteomyelitis or any neurological disorders
- •Spinal disorders
- •Inflammatory conditions such as ankylosing spondylitis
研究组 & 干预措施
Perturbation Training Group
Participants undergo perturbation-based exercises designed to improve knee stability. It includes balance boards, BOSU balls, and manual perturbation techniques.
干预措施: Control Group (Standard Rehabilitation Protocol) (Other)
Task-Oriented Functional Activities Group
Participants engage in functional movement exercises that mimic daily activities. It includes step training, agility drills, and controlled landing mechanics.
干预措施: Task-Oriented Functional Activities Group (Other)
Task-Oriented Functional Activities Group
Participants engage in functional movement exercises that mimic daily activities. It includes step training, agility drills, and controlled landing mechanics.
干预措施: Control Group (Standard Rehabilitation Protocol) (Other)
Control Group (Standard Rehabilitation Protocol)
Participants follow traditional ACL rehabilitation without perturbation or task-oriented interventions. It includes strength training, range-of-motion exercises, and proprioceptive drills.
干预措施: Control Group (Standard Rehabilitation Protocol) (Other)
Perturbation Training Group
Participants undergo perturbation-based exercises designed to improve knee stability. It includes balance boards, BOSU balls, and manual perturbation techniques.
干预措施: Perturbation Training Group (Other)
结局指标
主要结局
NPRS for Pain
时间窗: 6 weeks
Numeric Pain Rating Scale (NPRS) it is a unidimensional scale to measure pain intensity, particularly in adults. It is a 10-rating scale and an 11-point numeric scale in the form of a horizontal bar or line
Universal Goniometer for Range of motion
时间窗: 6 weeks
A universal goniometer (UG) will be used to determine the range of motion of the target joint.
The Y-Balance test (YBT)
时间窗: 6 weeks
The Y-Balance test (YBT) is used to assess dynamic balance impairments associated with lower extremity injuries such as ACL injury, patellofemoral pain syndrome, and ankle instability.
International Knee Documentation Committee scores (IKDC)
时间窗: 6 weeks
Patients' knee function is evaluated using the International Knee Documentation Committee's (IKDC) Subjective Knee Form. Through 18 questions, it assesses symptoms, athletic activity, and general knee function; higher scores indicate better knee function.
次要结局
未报告次要终点