Knee vs. Ankle Training on Knee Mechanics After ACLR

Anterior Cruciate Ligament Injuries Clinical Trial

Official title:

Crossover Effect of Knee and Ankle Joint Training on Knee Mechanics After Anterior Cruciate Ligament Reconstruction: A Randomized Controlled Trial

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05241795
• Other study ID #: ACL2122
• Status: Recruiting
• Phase: N/A
• Start date: February 13, 2022
• Est. completion date: August 1, 2022

Study information

• Verified date: March 2022
• Source: October 6 University
• Contact: Ahmed A Ashour, Ph.D
• Phone: 01001973275
• Email: ahmed.ashour.pt[@]o6u.edu.eg
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This study will be conducted to investigate if there is any difference between starting rehabilitation program after ACL reconstruction with knee joint training followed by ankle joint training and starting it with ankle joint training followed by knee joint training (crossover effect) on gait parameters of the knee joint.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 48
• Est. completion date: August 1, 2022
• Est. primary completion date: July 21, 2022
• Accepts healthy volunteers: No
• Gender: Male
• Age group: 20 Years to 30 Years

Eligibility

Inclusion Criteria:

• ACL reconstruction with a hamstring tendon autograft participated in this study.

• Score 7 on Tegner activity scale.

Exclusion Criteria:

• Patients with bilateral knee injury

• History of surgery or traumatic injury to the uninvolved lower extremity or to the hip or ankle of the involved lower extremity

• History of ACL reconstruction on the ipsilateral side and other knee ligament injuries requiring surgery.

Related Conditions & MeSH terms

• ACL Sprain
• ACL Tear
• Anterior Cruciate Ligament Injuries
• Anterior Cruciate Ligament Rupture
• Rupture

Intervention

Other:
• Knee then Ankle rehabilitation protocol
Patients will start with knee exercise program that includes Partial Squats: The exercise will be performed as 3 sets of 10 repetitions each day. Toe Raises: The exercise will be performed as 3 sets of 10 repetitions each day. Stationary bike will be used (10-15 minutes /day) when the patients can bend their knees at least 100 degrees, as cycling is considered as an excellent conditioning and building exercise for the quadriceps muscles. As the patient's ability to pedal the bike with the operative leg improved, the therapist will increase the resistance. Hamstring exercises: After 6 weeks, the hamstring muscles will be exercised by the patient pulling the heel back producing a hamstring contraction. Then, Patients will start ankle exercises program that includes: Standing calf raises Foot lift Ankle eversion exercises Ankle Plantarflexion exercises
• Ankle then Knee rehabilitation protocol
Patients will start ankle exercises program that includes: Standing calf raises Foot lift Ankle eversion exercises Ankle Plantarflexion exercises Then, Patients will start with knee exercise program that includes Partial Squats: The exercise will be performed as 3 sets of 10 repetitions each day. Toe Raises: The exercise will be performed as 3 sets of 10 repetitions each day. Stationary bike will be used (10-15 minutes /day) when the patients can bend their knees at least 100 degrees, as cycling is considered as an excellent conditioning and building exercise for the quadriceps muscles. As the patient's ability to pedal the bike with the operative leg improved, the therapist will increase the resistance. Hamstring exercises: After 6 weeks, the hamstring muscles will be exercised by the patient pulling the heel back producing a hamstring contraction.

Locations

Country	Name	City	State
Egypt	October 6 University Hospital	Al ?ayy Ath Thamin	Giza

Sponsors (1)

Lead Sponsor	Collaborator
October 6 University

Country where clinical trial is conducted

Egypt, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change in Knee joint flexion torques (Nm/kg) in the supporting (stance) phase at baseline and 6 weeks posttreatment	Knee joint flexion torque (Nm/kg) in the supporting (stance) phase for each subject will be recorded using a 3D gait analysis system.	baseline and 6 weeks posttreatment
Primary	Change in Knee joint extension torques (Nm/kg) in the supporting (stance) phase at baseline and 6 weeks posttreatment	Knee joint extension torque (Nm/kg) in the supporting (stance) phase for each subject will be recorded using a 3D gait analysis system.	baseline and 6 weeks posttreatment