Trial Outcomes & Findings for Electrical Stimulation and Eccentric Exercise for Anterior Cruciate Ligament (ACL) Injury (NCT NCT01555567)

NCT ID: NCT01555567

Last Updated: 2015-06-08

Results Overview

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

43 participants

Primary outcome timeframe

Time of return to activity (~6 months following surgery)

Results posted on

2015-06-08

Participant Flow

Participant milestones

Participant milestones
Measure
Neuromuscular Electrical Stimulation
Subjects placed into this group will undergo neuromuscular electrical stimulation (NMES) following anterior cruciate ligament (ACLr). Subjects will be required to report 2 times per week for 6 weeks following ACLr for NMES therapy. NMES therapy post-reconstruction will commence immediately post-ACLr and end at week 6. Neuromuscular Electrical Stimulation: NMES will be delivered 2 times per week
Standard of Care
This group will undergo standard ACL rehabilitation
Eccentric Exercise
Subjects placed into this group will undergo eccentric exercise strength training following ACLr. Subjects will be required to report 2 times per week for 6 weeks following ACLr. Eccentric strengthening will begin at week 6 post-ACLr and will end at week 12 post-ACLr. Eccentric Exercise: Eccentric Exercise will be delivered 2 times per week
Combination of NMES and Eccentric Exercise
Subjects placed into this group will undergo a combined NMES and eccentric exercise intervention following ACLr. The NMES intervention will be delivered immediately following ACLr and will end at 6 weeks post-ACLr. Subjects will receive the NMES therapy 2 times per week for the first 6 weeks post-ACLr. At six weeks post-ACLr, subjects will begin the eccentric strengthening protocol. Subjects will eccentrically train 2 times per week for 6 weeks. The eccentric strengthening will end at 12 weeks post-ACLr. Neuromuscular Electrical Stimulation: NMES will be delivered 2 times per week Eccentric Exercise: Eccentric Exercise will be delivered 2 times per week
12 Week
STARTED
12
13
9
9
12 Week
COMPLETED
11
12
8
9
12 Week
NOT COMPLETED
1
1
1
0
Return to Activity
STARTED
11
12
8
9
Return to Activity
COMPLETED
10
10
8
8
Return to Activity
NOT COMPLETED
1
2
0
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Electrical Stimulation and Eccentric Exercise for Anterior Cruciate Ligament (ACL) Injury

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Neuromuscular Electrical Stimulation
n=10 Participants
Subjects placed into this group will undergo NMES following ACLr. Subjects will be required to report 2 times per week for 6 weeks following ACLr for NMES therapy. NMES therapy post-reconstruction will commence immediately post-ACLr and end at week 6. Neuromuscular Electrical Stimulation: NMES will be delivered 2 times per week
Standard of Care
n=10 Participants
This group will undergo standard ACL rehabilitation
Eccentric Exercise
n=8 Participants
Subjects placed into this group will undergo eccentric exercise strength training following ACLr. Subjects will be required to report 2 times per week for 6 weeks following ACLr. Eccentric strengthening will begin at week 6 post-ACLr and will end at week 12 post-ACLr. Eccentric Exercise: Eccentric Exercise will be delivered 2 times per week
Combination of NMES and Eccentric Exercise
n=8 Participants
Subjects placed into this group will undergo a combined NMES and eccentric exercise intervention following ACLr. The NMES intervention will be delivered immediately following ACLr and will end at 6 weeks post-ACLr. Subjects will receive the NMES therapy 2 times per week for the first 6 weeks post-ACLr. At six weeks post-ACLr, subjects will begin the eccentric strengthening protocol. Subjects will eccentrically train 2 times per week for 6 weeks. The eccentric strengthening will end at 12 weeks post-ACLr. Neuromuscular Electrical Stimulation: NMES will be delivered 2 times per week Eccentric Exercise: Eccentric Exercise will be delivered 2 times per week
Total
n=36 Participants
Total of all reporting groups
Age, Continuous
21.8 years
STANDARD_DEVIATION 4.4 • n=93 Participants
18.3 years
STANDARD_DEVIATION 3.7 • n=4 Participants
23.2 years
STANDARD_DEVIATION 5.4 • n=27 Participants
23.2 years
STANDARD_DEVIATION 6.3 • n=483 Participants
21.6 years
STANDARD_DEVIATION 4.9 • n=36 Participants
Sex: Female, Male
Female
2 Participants
n=93 Participants
5 Participants
n=4 Participants
3 Participants
n=27 Participants
3 Participants
n=483 Participants
13 Participants
n=36 Participants
Sex: Female, Male
Male
8 Participants
n=93 Participants
5 Participants
n=4 Participants
5 Participants
n=27 Participants
5 Participants
n=483 Participants
23 Participants
n=36 Participants
Region of Enrollment
United States
10 participants
n=93 Participants
10 participants
n=4 Participants
8 participants
n=27 Participants
8 participants
n=483 Participants
36 participants
n=36 Participants
Height
1.76 meter
STANDARD_DEVIATION .1 • n=93 Participants
1.73 meter
STANDARD_DEVIATION .1 • n=4 Participants
1.75 meter
STANDARD_DEVIATION .1 • n=27 Participants
1.45 meter
STANDARD_DEVIATION .6 • n=483 Participants
1.67 meter
STANDARD_DEVIATION .22 • n=36 Participants
Mass
81.65 kg
STANDARD_DEVIATION 22.6 • n=93 Participants
75.5 kg
STANDARD_DEVIATION 24.1 • n=4 Participants
77.7 kg
STANDARD_DEVIATION 10.4 • n=27 Participants
77.8 kg
STANDARD_DEVIATION 16.5 • n=483 Participants
78.2 kg
STANDARD_DEVIATION 18.4 • n=36 Participants
Quadriceps Strength
2.6 Nm/kg
STANDARD_DEVIATION .6 • n=93 Participants
2.6 Nm/kg
STANDARD_DEVIATION .6 • n=4 Participants
2.8 Nm/kg
STANDARD_DEVIATION 1.1 • n=27 Participants
2.7 Nm/kg
STANDARD_DEVIATION .8 • n=483 Participants
2.67 Nm/kg
STANDARD_DEVIATION .78 • n=36 Participants
Central Activation Ratio (CAR)
97.4 ratio
STANDARD_DEVIATION 3 • n=93 Participants
94.9 ratio
STANDARD_DEVIATION 5.3 • n=4 Participants
95.9 ratio
STANDARD_DEVIATION 4.5 • n=27 Participants
95.7 ratio
STANDARD_DEVIATION 3.5 • n=483 Participants
95.9 ratio
STANDARD_DEVIATION 4.1 • n=36 Participants

PRIMARY outcome

Timeframe: Time of return to activity (~6 months following surgery)

Outcome measures

Outcome measures
Measure
Neuromuscular Electrical Stimulation
n=10 Participants
Subjects placed into this group will undergo NMES following ACLr. Subjects will be required to report 2 times per week for 6 weeks following ACLr for NMES therapy. NMES therapy post-reconstruction will commence immediately post-ACLr and end at week 6. Neuromuscular Electrical Stimulation: NMES will be delivered 2 times per week
Standard of Care
n=10 Participants
This group will undergo standard ACL rehabilitation
Eccentric Exercise
n=8 Participants
Subjects placed into this group will undergo eccentric exercise strength training following ACLr. Subjects will be required to report 2 times per week for 6 weeks following ACLr. Eccentric strengthening will begin at week 6 post-ACLr and will end at week 12 post-ACLr. Eccentric Exercise: Eccentric Exercise will be delivered 2 times per week
Combination of NMES and Eccentric Exercise
n=8 Participants
Subjects placed into this group will undergo a combined NMES and eccentric exercise intervention following ACLr. The NMES intervention will be delivered immediately following ACLr and will end at 6 weeks post-ACLr. Subjects will receive the NMES therapy 2 times per week for the first 6 weeks post-ACLr. At six weeks post-ACLr, subjects will begin the eccentric strengthening protocol. Subjects will eccentrically train 2 times per week for 6 weeks. The eccentric strengthening will end at 12 weeks post-ACLr. Neuromuscular Electrical Stimulation: NMES will be delivered 2 times per week Eccentric Exercise: Eccentric Exercise will be delivered 2 times per week
Quadriceps Strength
2.1 Nm/kg
Standard Deviation 0.6
2.1 Nm/kg
Standard Deviation 0.6
2.8 Nm/kg
Standard Deviation 0.9
2.9 Nm/kg
Standard Deviation 0.6

SECONDARY outcome

Timeframe: Time of return to activity (~6 months following surgery)

CAR = maximal voluntary isometric contractions force / maximal voluntary isometric contractions force + stimulated force

Outcome measures

Outcome measures
Measure
Neuromuscular Electrical Stimulation
n=10 Participants
Subjects placed into this group will undergo NMES following ACLr. Subjects will be required to report 2 times per week for 6 weeks following ACLr for NMES therapy. NMES therapy post-reconstruction will commence immediately post-ACLr and end at week 6. Neuromuscular Electrical Stimulation: NMES will be delivered 2 times per week
Standard of Care
n=10 Participants
This group will undergo standard ACL rehabilitation
Eccentric Exercise
n=8 Participants
Subjects placed into this group will undergo eccentric exercise strength training following ACLr. Subjects will be required to report 2 times per week for 6 weeks following ACLr. Eccentric strengthening will begin at week 6 post-ACLr and will end at week 12 post-ACLr. Eccentric Exercise: Eccentric Exercise will be delivered 2 times per week
Combination of NMES and Eccentric Exercise
n=8 Participants
Subjects placed into this group will undergo a combined NMES and eccentric exercise intervention following ACLr. The NMES intervention will be delivered immediately following ACLr and will end at 6 weeks post-ACLr. Subjects will receive the NMES therapy 2 times per week for the first 6 weeks post-ACLr. At six weeks post-ACLr, subjects will begin the eccentric strengthening protocol. Subjects will eccentrically train 2 times per week for 6 weeks. The eccentric strengthening will end at 12 weeks post-ACLr. Neuromuscular Electrical Stimulation: NMES will be delivered 2 times per week Eccentric Exercise: Eccentric Exercise will be delivered 2 times per week
Central Activation Ratio
91.8 ratio
Standard Deviation 4.6
91.8 ratio
Standard Deviation 9
98.1 ratio
Standard Deviation 1.2
97.6 ratio
Standard Deviation 2.8

Adverse Events

Neuromuscular Electrical Stimulation

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Standard of Care

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Eccentric Exercise

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Combination of NMES and Eccentric Exercise

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Riann Palmieri-Smith

University of Michigan

Phone: 7346153154

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place