Home Vs. Physiotherapy Supervised Rehabilitation After ACL Reconstruction

University of Calgary145 enrolled

Overview

This study was designed to determine whether or not there were any differences in knee range of motion, both statically and during gait, sagittal plane knee laxity, and quadriceps and hamstrings strength in patients three months post-ACL reconstruction with a bone-patellar tendon-bone autograft based on their performance of a primarily home based rehabilitation program or a standard physiotherapy-supervised program.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

145

Conditions

ACL Reconstruction

Interventions

Home-based rehabilitation programPROCEDURE

Home-based rehabilitation program that includes 4 physiotherapy sessions in the first 3 post-op months

Physiotherapy-supervised rehabilitation programPROCEDURE

Physiotherapy-supervised rehabilitation program that includes 17 scheduled physiotherapy sessions in the first 3 post-op months

Eligibility

Sex: ALLMin age: 16 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: 1. 16 years of age or older 2. Surgery at least 6 weeks after injury to allow for a return of full range of motion, minimize swelling, and offset strength deficits due to pain/swelling14,28 3. ACL reconstruction with a bone-patellar tendon-bone autograft Exclusion Criteria: 1. Previous or concomitant reconstruction of any knee ligament to either knee 2. Ongoing knee abnormality unrelated to the ACL injury (eg, evidence of changes on radiographs consistent with osteoarthritis) 3. Professional athletes or workers' compensation patients 4. Complications during surgery (eg, inadequate graft fixation requiring protocol modification) 5. Patients without access to local physical therapy services

Locations (1)

University of Calgary Sport Medicine Centre

Calgary, Alberta, Canada

Outcomes

Primary Outcomes

Active assisted knee flexion and passive knee extension range of motion

Time frame: pre-op, 6 & 12 weeks post-op

Secondary Outcomes

Knee flexion and extension range of motion during gait

Time frame: pre-op, 6 & 12 wks post-op

Sagittal plane laxity of the knee

Time frame: pre-op, 6 & 12 wks post-op

Isokinetic quadriceps and hamstrings strength

Time frame: pre-op and 12wks post-op

Data from ClinicalTrials.gov

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