Although the success of physical therapy following surgery has been well-documented and validated in patients undergoing Anterior Cruciate Ligament Reconstruction (ACLR) procedures, more recent studies have demonstrated that patient outcomes are the most favorable when surgery is delayed approximately 4 weeks until after the patient has completed a preoperative physical therapy program, or "pre-habilitation." The ultimate goal of pre-habilitation is to regain full range of motion in the knee and reach approximately 80% of pre-injury quadricep strength. However, extra physical therapy can stress both time and resources. Thus, we propose a home-based, self-guided pre-habilitation program. We hypothesize that patients participating in self-guided pre-habilitation will experience the same benefits as patients in a traditional office-based physical therapy program.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
128
A set of self-guided exercises developed by an athletic trainer to perform at home in order to optimize the knee for ACL repair surgery
Pre-habilitation exercise sessions under the direct supervision of a physical therapist.
WellSpan Health
York, Pennsylvania, United States
Number of Participants Ready for ACL repair surgery
The surgeon will decide if the patient's knee is optimized and ready for surgery based on quadricep circumference and range of motion.
Time frame: Approximately 4 weeks following initiation of a pre-habilitation program
Knee Range of Motion
Difference in knee range of motion from baseline to final pre-operative check-in
Time frame: Approximately 4 weeks following initiation of a pre-habilitation program
Thigh circumference
Difference in thigh circumference from baseline to final pre-operative check-in
Time frame: Approximately 4 weeks following initiation of a pre-habilitation program
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