This study evaluates the use of a brace in acute anterior cruciate ligament (ACL) injuries in children and adolescents. Half of the participants will receive a so called rebound ACL brace together with a standardized rehab program supervised by a physiotherapist, while the other half will receive only the standardized rehab program supervised by a physiotherapist
A well known treatment of posterior cruciate ligament injuries in the acute phase is a brace which pushes the tibia anteriorly, and the result of the treatment is often successful with healing of the ligament. Similarly, in anterior cruciate ligament injuries, it is suggested that a rebound ACL brace which pushes the tibia posteriorly can facilitate healing of the ACL. It does not have as successful treatment results as the PCL brace, but the type and location of the ACL injury has in previous studies not been well defined. We will, after having described the localisation and type of ACL injury treat the intervention group with the rebound ACL brace and a standardized rehab program and the control group with standardized rehab program alone. The randomization is made blockwise of 4, to treatment A= Brace+physiotherapy or B=Physioterapy. The groups are stratified for gender and age (\<=14 years and \>14 years)
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
44
Usage of rebound ACL brace and physioterapy supervised by physioterapist
Physioterapy supervised by physioterapist
Capio Artro Clinic
Stockholm, Sverige, Sweden
Objective knee function
laxity measurement (KT-1000)
Time frame: 6 months
Objective knee function
laxity measurement (KT-1000)
Time frame: 12 months
Objective knee function
laxity measurement (KT-1000)
Time frame: 24 months
objective knee function
muscle strength (measured by Biodex)
Time frame: 6 months
objective knee function
muscle strength (measured by Biodex)
Time frame: 12 months
objective knee function
muscle strength (measured by Biodex)
Time frame: 24 months
objective knee function
jump tests
Time frame: 6 months
objective knee function
jump tests
Time frame: 12 months
objective knee function
jump tests
Time frame: 24 months
Subjective knee function
EQ-5D-Y
Time frame: 6, 12 and 24 months
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Subjective knee function
The Knee injury and Osteoarthritis Outcome Score for children, KOOS child. 5 subscales, where each subscale's points are calculated to a scale from 0-100; zero representing extreme knee problems and 100 representing no knee problems
Time frame: 6, 12 and 24 months
Activity level
Presented as Tegner activity scale. The Tegner activity scale is a one-item score that graded activity based on work and sports activities on a scale of 0 to 10. Zero represents disability because of knee problems and 10 represents national or international level soccer.
Time frame: 6, 12 and 24 months