After anterior cruciate ligament (LCA) rupture, the recommended treatment for athletes is the surgical reconstruction of the ligament (ACL-R), followed by a long rehabilitation period. The results of this treatment are sub-optimal with a low rate of return to pre-injury level of sport, a high risk of reinjury and early knee osteoarthritis. To improve treatment outcomes, researchers and clinicians recommend optimizing rehabilitation protocols. They recommend individualizing rehabilitation progression based on objective criteria. However, current defined criteria relied on experts' opinions and not scientific validation. Return to run after ACL reconstruction is an important rehabilitation milestone. It often means the beginning of the return to sport continuum. A successful return to run is therefore crucial for both the patient and clinician. In this study, the investigators aim to determine the predictive outcomes for a successful return to run after ACL-R.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
72
Progressive return to run protocol for patients after ACL-R
Center for Interdisciplinary Research in Rehabilitation and Social Integration (CIRRIS)
Québec, Quebec, Canada
Muscular strength assessment
Quadriceps, hamstring and gluteus strength assessment with handheld dynamometer (N)
Time frame: Day 0
Modified Y-balance test
Modified Y-balance test (m)
Time frame: Day 0
step-down test
endurance test, number of repetition
Time frame: Day 0
Self-reported outcomes: ACL-RSI
ACL-RSI: 0-100
Time frame: Day 0
Self-reported outcomes: IKDC
IKDC: 0-100
Time frame: Day 0
Running kinematic
knee kinematic (degree)
Time frame: Day 0 and Day 14
Running kinetic
kinetic (N)
Time frame: Day 0 and Day 14
Knee joint contact force
knee joint contact force (N)
Time frame: Day 0 and Day 14
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