The main objective is to compare the effectiveness of two readaptation programs post anterior cruciate ligament surgery. Laval University Rouge et or program is to be compared with the intervention guide from the CHU. Amateur athletes are recruited 3 months post ACL surgery. The level of confidence, symptoms, functional recovery level and muscle strength are assessed and compared between the two groups at 3, 4, 5, 6 and 9-month post surgery.
It is experimental research with pre-post repeated measure with a control group. The subjects are randomised either in the intervention group (Gr PRORO-UL) or the control group (Gr CHU-CP). The assessor is blinded to the randomisation. Both groups receive their program at the first assessment at three months post-ACL-surgery. They are strongly encouraged to continue their follow-up in physiotherapy to ensure the program is suitable to their individual progression. The participants are assessed again at 4, 5, 6 and 9 months post surgery to measure their progression. A weekly journal sent by e-mail is to be filled to ensure the subjects train according to their program attribution. It is a randomised control trial with a blinded assessor.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
60
It is a detailed, structured and precise training program. It is used from the third-month post ACL surgery to the sixth month.
From the third month to the sixth month, it outlines the progression to have in the training without precise information on exercises, parameter or frequency.
Université Laval
Québec, Canada
RECRUITINGChange in Knee Outcome Survey-Activity of Daily Living Scale
Questionnaire ranging from 0 to 70 over 70 where 70 means no limitation in activity of daily living. There is 14 questions with each graded answer providing 0 to 5 points that are summed together and expressed in percentage. The higher is the score, the better is the outcome.
Time frame: 3, 4, 5, 6 and 9 months post-surgery
Numerical Pain Rating Scale
Four questions related to pain that are graded from 0 to 10. The lower is the score, the better is the outcome.
Time frame: 3 months post surgery
Numerical Pain Rating Scale
Four questions related to pain that are graded from 0 to 10. The lower is the score, the better is the outcome.
Time frame: 4 months post-surgery
Numerical Pain Rating Scale
Four questions related to pain that are graded from 0 to 10. The lower is the score, the better is the outcome.
Time frame: 5 months post-surgery
Numerical Pain Rating Scale
Four questions related to pain that are graded from 0 to 10. The lower is the score, the better is the outcome.
Time frame: 6 months post-surgery
Numerical Pain Rating Scale
Four questions related to pain that are graded from 0 to 10. The lower is the score, the better is the outcome.
Time frame: 9 months post-surgery
Change in Anterior Cruciate Ligament Return to Sport Index
12 questions related to return to sport confidence graded from 0 to 10. All scores are summed together and expressed in percentage.The higher the score the better is the outcome.
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Time frame: 3, 4, 5, 6 and 9 months post-surgery
Change in International knee documentation committee
International knee documentation committee is a 10 items questionnaire measuring knee functional limitation. All items are summed and the total score range from 18 to 105. From that score we subtract 18 and divide by 87 and bring the score back in percentage. The final score can range from 0 to 100% where a higher score represents a better outcome.
Time frame: 3, 4, 5, 6 and 9 months post-surgery
Muscle strength
Isometric flexion and extension strength is measured with a handheld dynamometer.
Time frame: 3 months post-surgery
Muscle strength
Isometric flexion and extension strength is measured with a handheld dynamometer.
Time frame: 4 months post-surgery
Muscle strength
Isometric flexion and extension strength is measured with a handheld dynamometer.
Time frame: 5 months post-surgery
Muscle strength
Isometric flexion and extension strength is measured with a handheld dynamometer.
Time frame: 6 months post-surgery
Muscle strength
Isometric flexion and extension strength is measured with a handheld dynamometer.
Time frame: 9 months post-surgery
Muscle strength
Concentric isokinetic flexion and extension strength is measured with Biodex at speed 60 degree/sec.
Time frame: 6 months post-surgery.
Muscle strength
Concentric isokinetic flexion and extension strength is measured with Biodex at speed 60 degree/sec.
Time frame: 9 months post-surgery.
Single leg hop test.
The single-leg hop test is performed barefoot. The subjects are asked to jump as far as possible on one leg and to land keeping their balance. Measurement is made from the starting line to the place where the heel lands. The subjects must start behind the line. They perform one practice and three trials. The best trial is kept. The healthy limb is tested first followed by the injured leg.
Time frame: 3 months post-surgery
Single leg hop test.
The single-leg hop test is performed barefoot. The subjects are asked to jump as far as possible on one leg and to land keeping their balance. Measurement is made from the starting line to the place where the heel lands. The subjects must start behind the line. They perform one practice and three trials. The best trial is kept. The healthy limb is tested first followed by the injured leg.
Time frame: 4 months post-surgery
Single leg hop test.
The single-leg hop test is performed barefoot. The subjects are asked to jump as far as possible on one leg and to land keeping their balance. Measurement is made from the starting line to the place where the heel lands. The subjects must start behind the line. They perform one practice and three trials. The best trial is kept. The healthy limb is tested first followed by the injured leg.
Time frame: 5 months post-surgery
Single leg hop test.
The single-leg hop test is performed barefoot. The subjects are asked to jump as far as possible on one leg and to land keeping their balance. Measurement is made from the starting line to the place where the heel lands. The subjects must start behind the line. They perform one practice and three trials. The best trial is kept. The healthy limb is tested first followed by the injured leg.
Time frame: 6 months post-surgery
Single leg hop test.
The single-leg hop test is performed barefoot. The subjects are asked to jump as far as possible on one leg and to land keeping their balance. Measurement is made from the starting line to the place where the heel lands. The subjects must start behind the line. They perform one practice and three trials. The best trial is kept. The healthy limb is tested first followed by the injured leg.
Time frame: 9 months post-surgery
Triple hop test.
The Triple hop test is performed barefoot. The subjects are asked to jump on one leg three times in a row in one direction and to land the third jump in balance as far as possible. Measurement is made from the starting line to the place where the heel lands the third jump. The subjects must start behind the line. They perform one practice and three trial. The best trial is kept. The healthy limb is tested first followed by the injured leg.
Time frame: 3 months post-surgery
Triple hop test.
The Triple hop test is performed barefoot. The subjects are asked to jump on one leg three times in a row in one direction and to land the third jump in balance as far as possible. Measurement is made from the starting line to the place where the heel lands the third jump. The subjects must start behind the line. They perform one practice and three trial. The best trial is kept. The healthy limb is tested first followed by the injured leg.
Time frame: 4 months post-surgery
Triple hop test.
The Triple hop test is performed barefoot. The subjects are asked to jump on one leg three times in a row in one direction and to land the third jump in balance as far as possible. Measurement is made from the starting line to the place where the heel lands the third jump. The subjects must start behind the line. They perform one practice and three trial. The best trial is kept. The healthy limb is tested first followed by the injured leg.
Time frame: 5 months post-surgery
Triple hop test.
The Triple hop test is performed barefoot. The subjects are asked to jump on one leg three times in a row in one direction and to land the third jump in balance as far as possible. Measurement is made from the starting line to the place where the heel lands the third jump. The subjects must start behind the line. They perform one practice and three trial. The best trial is kept. The healthy limb is tested first followed by the injured leg.
Time frame: 6 months post-surgery
Triple hop test.
The Triple hop test is performed barefoot. The subjects are asked to jump on one leg three times in a row in one direction and to land the third jump in balance as far as possible. Measurement is made from the starting line to the place where the heel lands the third jump. The subjects must start behind the line. They perform one practice and three trial. The best trial is kept. The healthy limb is tested first followed by the injured leg.
Time frame: 9 months post-surgery
30 seconds side hop test
The 30 seconds side hop test is performed barefoot. The subjects are asked to jump side to side on one leg as many time as possible during 30 seconds over a 40 cm distance separated by two lines. Each time the foot of the subjet touch one line, the repetition is not recorded. The number of jumps is recorded. They perform two practice jumps and one 30 secondes trial. The healthy limb is tested first followed by the injured leg.
Time frame: 3 months post-surgery
30 seconds side hop test
The 30 seconds side hop test is performed barefoot. The subjects are asked to jump side to side on one leg as many time as possible during 30 seconds over a 40 cm distance separated by two lines. Each time the foot of the subjet touch one line, the repetition is not recorded. The number of jumps is recorded. They perform two practice jumps and one 30 secondes trial. The healthy limb is tested first followed by the injured leg.
Time frame: 4 months post-surgery
30 seconds side hop test
The 30 seconds side hop test is performed barefoot. The subjects are asked to jump side to side on one leg as many time as possible during 30 seconds over a 40 cm distance separated by two lines. Each time the foot of the subjet touch one line, the repetition is not recorded. The number of jumps is recorded. They perform two practice jumps and one 30 secondes trial. The healthy limb is tested first followed by the injured leg.
Time frame: 5 months post-surgery
30 seconds side hop test
The 30 seconds side hop test is performed barefoot. The subjects are asked to jump side to side on one leg as many time as possible during 30 seconds over a 40 cm distance separated by two lines. Each time the foot of the subjet touch one line, the repetition is not recorded. The number of jumps is recorded. They perform two practice jumps and one 30 secondes trial. The healthy limb is tested first followed by the injured leg.
Time frame: 6 months post-surgery
30 seconds side hop test
The 30 seconds side hop test is performed barefoot. The subjects are asked to jump side to side on one leg as many time as possible during 30 seconds over a 40 cm distance separated by two lines. Each time the foot of the subjet touch one line, the repetition is not recorded. The number of jumps is recorded. They perform two practice jumps and one 30 secondes trial. The healthy limb is tested first followed by the injured leg.
Time frame: 9 months post-surgery
Global Rating Of Change
A 15 item scale to grade the change from the initial data collection.
Time frame: 4 months post-surgery
Global Rating Of Change
A 15 item scale to grade the change from the initial data collection.
Time frame: 5 post-surgery
Global Rating Of Change
A 15 item scale to grade the change from the initial data collection.
Time frame: 6 post-surgery
Global Rating Of Change
A 15 item scale to grade the change from the initial data collection.
Time frame: 9 post-surgery