Andrews Return to Sport ACL Score

NCT ID: NCT05578248

Last Updated: 2022-10-13

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

Total Enrollment

100 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-02-03

Study Completion Date

2023-06-30

Brief Summary

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This project will develop a data-driven decision making model to assess a competitive athlete's readiness to return to sport after ACL injury and surgery safely.

Detailed Description

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One hundred pre-collegiate or collegiate athlete participants will be recruited for this study. The duration of the treatment plan will be 24 months. Each of the participants will be qualified for the study due to falling within all inclusion criterion and no exclusion criterion. The screening of the inclusion criterion will occur at visit one of the study. At this time, the AREF Research Team will review and collect informed consent from each participant. Visit two will occur three (3) months after each participant's ACL reconstruction surgery. At this time, an evaluation by the treating physician will occur along with functional movement assessment and MRI. Visit three will occur six (6) months after each participant's ACL reconstruction surgery. At this time, an evaluation by the treating physician will occur along with functional movement assessment and MRI. Visit four will occur nine (9) months after each participant's ACL reconstruction surgery. At this time, an medical evaluation by the treating leading physician will occur along with functional movement assessment and MRI. Visit five will occur twelve (12) months after each participant's ACL reconstruction surgery. At this time, an evaluation by the treating physician will occur along with functional movement assessment and MRI. Visit six will occur eighteen (18) months after each participant's ACL reconstruction surgery. At this time, an evaluation by the treating physician will occur along with functional movement assessment and MRI. Visit seven will occur twenty-four (24) months after each participant's ACL reconstruction surgery. At this time, an evaluation by the treating physician will occur along with functional movement assessment and MRI. At each time point, the treating physician or the therapist performing the functional movement assessment can choose to limit the functional movement assessment if there are concerns that the patient may not be ready for the expected load of one or more elements of the functional movement assessment.

At each monthly time point after ACL reconstruction, patient reported outcomes will be collected by the research team to assist in assessing the overall health and confidence in return to sport for each athlete. The following patient reported outcomes will be collected in written or electronic format after informed consent has been obtained from each participant: Sports Participation, Reinjury, Tampa Kinesiophobia Scale, IKDC, PROMIS, SANE.

Conditions

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ACL Injury

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Collegiate Athletes

Group designated for collegiate athletes; see protocol for treatment plan

Magnetic Resonance Imaging (MRI)

Intervention Type DIAGNOSTIC_TEST

Non-invasive imaging technology that produces three-dimensional detailed anatomical images

ACL reconstruction

Intervention Type PROCEDURE

Surgical procedure to repair damaged or severed anterior cruciate ligament in the knee

Pre-collegiate Athletes

Group designated for pre-collegiate, or high school-age, athletes; see protocol for treatment plan

Magnetic Resonance Imaging (MRI)

Intervention Type DIAGNOSTIC_TEST

Non-invasive imaging technology that produces three-dimensional detailed anatomical images

ACL reconstruction

Intervention Type PROCEDURE

Surgical procedure to repair damaged or severed anterior cruciate ligament in the knee

Interventions

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Magnetic Resonance Imaging (MRI)

Non-invasive imaging technology that produces three-dimensional detailed anatomical images

Intervention Type DIAGNOSTIC_TEST

ACL reconstruction

Surgical procedure to repair damaged or severed anterior cruciate ligament in the knee

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Age 14-24 years
* Require ACL reconstruction surgery
* No other ligament injury which would require repair or reconstruction to lower extremity is present as assessed by treating physician
* Exhibits desire to return to pre-injury competitive level
* Assessed to be in good physical health condition by the treating physician

Exclusion Criteria

* Requires more than one ACL reconstruction surgery at time of screening
* Has comorbid lower extremity diagnoses which would impede return to sport as assessed by the treating physician
* Does not desire to return to pre-injury competitive sport level
Minimum Eligible Age

14 Years

Maximum Eligible Age

24 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Florida

OTHER

Sponsor Role collaborator

Andrews Research & Education Foundation

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Adam Anz, MD

Role: PRINCIPAL_INVESTIGATOR

Orthopedic Surgeon

Locations

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Andrews Research and Education Foundation

Gulf Breeze, Florida, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Jessi Truett, MA, BCBA

Role: CONTACT

(850) 916-8570

Chandler Bridges, MS

Role: CONTACT

(850) 916-8584

Facility Contacts

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Jessi Truett, MA, BCBA

Role: primary

850-916-8570

Chandler Bridges, MS

Role: backup

8509168584

References

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Ardern CL, Taylor NF, Feller JA, Webster KE. Fifty-five per cent return to competitive sport following anterior cruciate ligament reconstruction surgery: an updated systematic review and meta-analysis including aspects of physical functioning and contextual factors. Br J Sports Med. 2014 Nov;48(21):1543-52. doi: 10.1136/bjsports-2013-093398. Epub 2014 Aug 25.

Reference Type BACKGROUND
PMID: 25157180 (View on PubMed)

Bodor M. Quadriceps protects the anterior cruciate ligament. J Orthop Res. 2001 Jul;19(4):629-33. doi: 10.1016/S0736-0266(01)00050-X.

Reference Type BACKGROUND
PMID: 11518272 (View on PubMed)

Brodke DJ, Saltzman CL, Brodke DS. PROMIS for Orthopaedic Outcomes Measurement. J Am Acad Orthop Surg. 2016 Nov;24(11):744-749. doi: 10.5435/JAAOS-D-15-00404.

Reference Type BACKGROUND
PMID: 27661391 (View on PubMed)

Boyle, M. & Galway, B.(n.d.). Evidence-based Clinical Protocols: Anterior Cruciate Ligament Injury & Reconstruction. Biodex Medical Systems, Inc.

Reference Type BACKGROUND

Creighton DW, Shrier I, Shultz R, Meeuwisse WH, Matheson GO. Return-to-play in sport: a decision-based model. Clin J Sport Med. 2010 Sep;20(5):379-85. doi: 10.1097/JSM.0b013e3181f3c0fe.

Reference Type BACKGROUND
PMID: 20818198 (View on PubMed)

Davies GJ, McCarty E, Provencher M, Manske RC. ACL Return to Sport Guidelines and Criteria. Curr Rev Musculoskelet Med. 2017 Sep;10(3):307-314. doi: 10.1007/s12178-017-9420-9.

Reference Type BACKGROUND
PMID: 28702921 (View on PubMed)

Gianotti SM, Marshall SW, Hume PA, Bunt L. Incidence of anterior cruciate ligament injury and other knee ligament injuries: a national population-based study. J Sci Med Sport. 2009 Nov;12(6):622-7. doi: 10.1016/j.jsams.2008.07.005. Epub 2008 Oct 2.

Reference Type BACKGROUND
PMID: 18835221 (View on PubMed)

Griffin LY, Agel J, Albohm MJ, Arendt EA, Dick RW, Garrett WE, Garrick JG, Hewett TE, Huston L, Ireland ML, Johnson RJ, Kibler WB, Lephart S, Lewis JL, Lindenfeld TN, Mandelbaum BR, Marchak P, Teitz CC, Wojtys EM. Noncontact anterior cruciate ligament injuries: risk factors and prevention strategies. J Am Acad Orthop Surg. 2000 May-Jun;8(3):141-50. doi: 10.5435/00124635-200005000-00001.

Reference Type BACKGROUND
PMID: 10874221 (View on PubMed)

Grindem H, Snyder-Mackler L, Moksnes H, Engebretsen L, Risberg MA. Simple decision rules can reduce reinjury risk by 84% after ACL reconstruction: the Delaware-Oslo ACL cohort study. Br J Sports Med. 2016 Jul;50(13):804-8. doi: 10.1136/bjsports-2016-096031. Epub 2016 May 9.

Reference Type BACKGROUND
PMID: 27162233 (View on PubMed)

Gokeler A, Welling W, Zaffagnini S, Seil R, Padua D. Development of a test battery to enhance safe return to sports after anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc. 2017 Jan;25(1):192-199. doi: 10.1007/s00167-016-4246-3. Epub 2016 Jul 16.

Reference Type BACKGROUND
PMID: 27423208 (View on PubMed)

Jordan MJ, Morris N, Lane M, Barnert J, MacGregor K, Heard M, Robinson S, Herzog W. Monitoring the Return to Sport Transition After ACL Injury: An Alpine Ski Racing Case Study. Front Sports Act Living. 2020 Mar 3;2:12. doi: 10.3389/fspor.2020.00012. eCollection 2020.

Reference Type BACKGROUND
PMID: 33345007 (View on PubMed)

Lohmander LS, Englund PM, Dahl LL, Roos EM. The long-term consequence of anterior cruciate ligament and meniscus injuries: osteoarthritis. Am J Sports Med. 2007 Oct;35(10):1756-69. doi: 10.1177/0363546507307396. Epub 2007 Aug 29.

Reference Type BACKGROUND
PMID: 17761605 (View on PubMed)

Lundberg M, Styf J, Jansson B. On what patients does the Tampa Scale for Kinesiophobia fit? Physiother Theory Pract. 2009 Oct;25(7):495-506. doi: 10.3109/09593980802662160.

Reference Type BACKGROUND
PMID: 19925172 (View on PubMed)

Manske R, Reiman M. Functional performance testing for power and return to sports. Sports Health. 2013 May;5(3):244-50. doi: 10.1177/1941738113479925.

Reference Type BACKGROUND
PMID: 24427396 (View on PubMed)

Miller RP, Kori S, Todd D. The Tampa Scale: a measure of kinesiophobia. Clin J Pain. 1991;7(1):51-52.

Reference Type BACKGROUND

O'Connor CM, Ring D. Correlation of Single Assessment Numeric Evaluation (SANE) with other Patient Reported Outcome Measures (PROMs). Arch Bone Jt Surg. 2019 Jul;7(4):303-306.

Reference Type BACKGROUND
PMID: 31448305 (View on PubMed)

Wilk KE, Macrina LC, Cain EL, Dugas JR, Andrews JR. Recent advances in the rehabilitation of anterior cruciate ligament injuries. J Orthop Sports Phys Ther. 2012 Mar;42(3):153-71. doi: 10.2519/jospt.2012.3741. Epub 2012 Feb 29.

Reference Type BACKGROUND
PMID: 22382825 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Informed Consent Form

View Document

Other Identifiers

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Return to Sport

Identifier Type: -

Identifier Source: org_study_id

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