Central Sensitization Symptoms and Psychosocial Factors in Athletes After ACL Reconstruction

NCT ID: NCT04393129

Last Updated: 2020-05-19

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

39 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-10-01

Study Completion Date

2020-03-05

Brief Summary

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The main research objective of this study is whether athletes who have sustained an anterior cruciate ligament injury, experience chronic nociplastic pain and psychosocial factors, including kinesiophobia and pain catastrophizing, after having been through ACL reconstruction surgery and rehabilitation and have returned to sport.

Detailed Description

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This is an observational, cross-sectional study. For the purposes of the study a sample group was selected from a clinic specialised in ACL reconstruction and rehabilitation based in Athens, Greece. Patients of the specific clinic had received the same surgical technique and rehabilitation protocol. Ability to return to sport was examined 9 months after surgery and approval was given according to the rehabilitation progress. A list of eligible study subjects was formed and, after inclusion and exclusion criteria were screened for, they were invited to participate in the study. Study participants, after having declared consent and passed the criteria were asked to answer the study questionnaires. Communication with participants was done through telephone and email, and all questionnaires were completed online.

Conditions

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Anterior Cruciate Ligament Rupture

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Eligibility Criteria

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Inclusion Criteria

1. knowledge of Greek language,
2. surgically reconstructed ACL tear on one limb only,
3. successful completion of rehabilitation program,
4. medical permission to return to sport,
5. returned to previous sport for at least 6 months period
6. athlete of a lower limb loading sport.

Exclusion Criteria

1. adolescent age (\<18 years of age),
2. diagnosis of cancer of any stage,
3. diagnosis of psychiatric, neurological or autoimmune disease or syndrome,
4. past musculoskeletal injuries, including fractures, joints dislocation, ligament and tendon tears and
5. chronic musculoskeletal injuries (tendinopathies, shin splints, shoulder impingement etc.). Chronic pain is defined as pain persisting for at least 3 months, of intensity at least 3 on the VAS scale for most days per week (Kuppens et al. 2018).
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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KAT General Hospital

OTHER

Sponsor Role collaborator

University of Thessaly

OTHER

Sponsor Role lead

Responsible Party

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Eleni Kapreli

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Eleni Kapreli, Phd

Role: STUDY_CHAIR

Physiotherapy Department, University of Thessaly

Locations

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Clinical Exercise Physiology and Rehabilitation Laboratory

Lamia, Central Greece, Greece

Site Status

Countries

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Greece

References

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Craner JR, Gilliam WP, Sperry JA. Rumination, Magnification, and Helplessness: How do Different Aspects of Pain Catastrophizing Relate to Pain Severity and Functioning? Clin J Pain. 2016 Dec;32(12):1028-1035. doi: 10.1097/AJP.0000000000000355.

Reference Type BACKGROUND
PMID: 26783987 (View on PubMed)

Kuppens K, Hans G, Roussel N, Struyf F, Fransen E, Cras P, Van Wilgen CP, Nijs J. Sensory processing and central pain modulation in patients with chronic shoulder pain: A case-control study. Scand J Med Sci Sports. 2018 Mar;28(3):1183-1192. doi: 10.1111/sms.12982. Epub 2017 Oct 4.

Reference Type BACKGROUND
PMID: 28980347 (View on PubMed)

Lundberg M, Grimby-Ekman A, Verbunt J, Simmonds MJ. Pain-related fear: a critical review of the related measures. Pain Res Treat. 2011;2011:494196. doi: 10.1155/2011/494196. Epub 2011 Nov 15.

Reference Type BACKGROUND
PMID: 22191022 (View on PubMed)

Mayer TG, Neblett R, Cohen H, Howard KJ, Choi YH, Williams MJ, Perez Y, Gatchel RJ. The development and psychometric validation of the central sensitization inventory. Pain Pract. 2012 Apr;12(4):276-85. doi: 10.1111/j.1533-2500.2011.00493.x. Epub 2011 Sep 27.

Reference Type BACKGROUND
PMID: 21951710 (View on PubMed)

Roos EM, Lohmander LS. The Knee injury and Osteoarthritis Outcome Score (KOOS): from joint injury to osteoarthritis. Health Qual Life Outcomes. 2003 Nov 3;1:64. doi: 10.1186/1477-7525-1-64.

Reference Type BACKGROUND
PMID: 14613558 (View on PubMed)

Sullivan MJ, Adams H, Horan S, Maher D, Boland D, Gross R. The role of perceived injustice in the experience of chronic pain and disability: scale development and validation. J Occup Rehabil. 2008 Sep;18(3):249-61. doi: 10.1007/s10926-008-9140-5. Epub 2008 Jun 7.

Reference Type BACKGROUND
PMID: 18536983 (View on PubMed)

Webster KE, Feller JA, Lambros C. Development and preliminary validation of a scale to measure the psychological impact of returning to sport following anterior cruciate ligament reconstruction surgery. Phys Ther Sport. 2008 Feb;9(1):9-15. doi: 10.1016/j.ptsp.2007.09.003. Epub 2007 Nov 5.

Reference Type BACKGROUND
PMID: 19083699 (View on PubMed)

Other Identifiers

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2

Identifier Type: -

Identifier Source: org_study_id

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