Knee vs. Ankle Training on Knee Mechanics After ACLR

NCT ID: NCT05241795

Last Updated: 2022-03-18

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

48 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-02-13

Study Completion Date

2022-08-01

Brief Summary

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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.

Detailed Description

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Conditions

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

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Group A: Knee exercises then Ankle exercises

Patients will receive a rehabilitation protocol starting with knee training followed by ankle training.

Group Type ACTIVE_COMPARATOR

Knee then Ankle rehabilitation protocol

Intervention Type OTHER

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

Group B: Ankle exercises then Knee exercises

Patients will receive a rehabilitation protocol starting with ankle training followed by knee training.

Group Type EXPERIMENTAL

Ankle then Knee rehabilitation protocol

Intervention Type OTHER

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.

Interventions

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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

Intervention Type OTHER

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.

Intervention Type OTHER

Eligibility Criteria

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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.
Minimum Eligible Age

20 Years

Maximum Eligible Age

30 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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October 6 University

OTHER

Sponsor Role lead

Responsible Party

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Mohamed Magdy Ali Hassan ElMeligie

Principal investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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October 6 University Hospital

Al Ḩayy Ath Thāmin, Giza Governorate, Egypt

Site Status RECRUITING

Countries

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Egypt

Central Contacts

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Ahmed A Ashour, Ph.D

Role: CONTACT

01001973275 ext. 002

Facility Contacts

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Ahmed A Ashour, Ph.D

Role: primary

01001973275 ext. 002

Other Identifiers

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ACL2122

Identifier Type: -

Identifier Source: org_study_id

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