Achilles Tendon Rupture Clinical Trial
Official title:
Effect of Blood Flow Restriction (BFR) Rehabilitation After Achilles Tendon Rupture Reconstruction
The purpose of this study is to determine if blood flow restriction therapy after Achilles tendon rupture reconstruction decreases post-operative calf atrophy, improves reported outcomes, and ultimately decreases return to play time.
Status | Recruiting |
Enrollment | 19 |
Est. completion date | December 2025 |
Est. primary completion date | December 2025 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - Achilles Rupture confirmed by MRI or Thompson Test - Adult - Receiving Percutaneous Achilles Repair System (PARS) or open repair - Proposed PT with Methodist Location Exclusion Criteria: - Obesity (BMI>35) - Diabetes - Cardiovascular, renal, liver or pulmonary disease - Active infections - Cancer (current or treated within the past 2 years) or coagulation disorder - Physically unable to participate in the intervention - Unable to complete a minimum of 85% of the assigned rehabilitation sessions - Less than 18 years of age - Pregnant |
Country | Name | City | State |
---|---|---|---|
United States | Houston Methodist Hospital | Houston | Texas |
Lead Sponsor | Collaborator |
---|---|
The Methodist Hospital Research Institute |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Muscle mass preservation | Lean mass for lower extremity measured in kilograms (kg) using Dual-Energy-Xray-Absorptiometry (DEXA). | pre-op, 4 weeks post op, 8 weeks post op, 16 weeks post-op | |
Primary | Bone density preservation | Bone mineral content measured in grams using Dual-Energy-Xray-Absorptiometry (DEXA). | pre-op, 4 weeks post op, 8 weeks post op, 16 weeks post-op | |
Primary | Improve patient reported outcomes (Physical activity) | Digital RedCap survey tool sends Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function survey which consists of questions about their physical health and patient responds with Excellent, Very Good, Good, Fair or poor. Using healthmeasures.net, responses are converted to T-scores based on the general population. The highest the T-scores, the better physical health the patient has. | pre-op, 4 weeks post op, 8 weeks post op, 16 weeks post-op | |
Primary | Improve patient reported outcomes (Pain) | Digital RedCap survey tool sends Pain Visual Analog Scale asking patients to rate their pain from 0 (no pain) to 100 (worst pain possible). | pre-op, 4 weeks post op, 8 weeks post op, 16 weeks post-op | |
Primary | Improve patient reported outcomes (Achilles tendon survey) | Digital RedCap survey tool sends Achilles Tendon Rupture Score (ATRS) survey. This survey asks 10 questions where the patient answers from 0=major limitation to 10=No limitations. High scores point to better physical activity. | pre-op, 4 weeks post op, 8 weeks post op, 16 weeks post-op | |
Primary | Change in range of motion | Physical therapy will do functional assessments including: leg squat depth, Y balance anterior, y balance posteromedial, y balance posterolateral and measure in centimeters (cm). The measurements will be taken at each physical therapy appointment and compared at the end of the study. | Starting 4 weeks post op, patient will go to physical therapy twice a week until week 16. | |
Primary | Change in single heel raise repetitions | Physical therapy will count how many heel raises can be done at each timepoint. | Starting 4 weeks post op, patient will go to physical therapy twice a week until week 16. |
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