Effect of the Hockey Slideboard Training Combined With Blood Flow Restriction (BFR) in the Rehabilitation Following Anterior Cruciate Ligament Surgical Reconstruction (ACL-R)

NCT ID: NCT06955026

Last Updated: 2025-05-02

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

RECRUITING

Clinical Phase

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-04-10

Study Completion Date

2026-04-15

Brief Summary

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ACL injuries represent a major health and economic burden. The overall incidence of ACL injuries has increased and is likely to continue to increase, in part due to increased sports participation.

In the acute post-surgical phase there is a period of physiologic recovery from the surgical injury and subsequent relative muscle disuse that is associated with atrophy loss of strength and anterior knee pain. Therefore, improvement of muscle function is a priority in the rehabilitation and reathletization process.

To achieve significant muscle hypertrophy as well as a possible subsequent increase in strength, it is widely accepted that resistance exercises with relevant load (\~70% of the one repetition maximum - 1RM) are necessary; however, in patients undergoing anterior cruciate ligament reconstruction (ACL-R), exercises with high loads are considered unsafe in the early stages and could increase the risk of re-injury.

BFR training is an established muscle training and rehabilitation technique in which the blood supply to and from the muscles involved in the exercise is restricted using an external device.

Although the physiological mechanisms related to this intervention are not yet well understood, it is thought that in BFR training, despite the low level of mechanical tension, the main driver of myocellular hypertrophy could be metabolic stress that is realized by local accumulation of metabolites. Thus, it seems that hypertrophic adaptations can be induced with much lower exercise intensities using BFR. In fact, when combined with low-load resistance training (e.g., 20% 1RM), training with BFR has shown positive results in increasing muscle volume and strength after ACL-R in complete safety comparable to standard training without BFR.

It has also already been demonstrated how incorporating the use of the hockey slideboard into the rehabilitation procedure following ACL-R gives benefits in terms of strength recovery of the extensor muscles of the operated limb with the same safety profiles as standard rehabilitation.

Detailed Description

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Conditions

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Anterior Cruciate Ligament Rupture Rehabilitation After ACL Reconstruction

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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ACL-R with hockey slideboard training combined with blood flow restriction (BFR)

Patients underwent ACL-R who undergo a reathletization program as usual together with the use of the hockey slideboard combined with BFR training

Group Type EXPERIMENTAL

Hockey slideboard combined with BFR training

Intervention Type OTHER

Hockey slideboard combined with BFR training

ACL-R with hockey slideboard training

Patients underwent ACL-R who undergo a reathletization program as usual together with the use of the hockey slideboard

Group Type ACTIVE_COMPARATOR

Hockey slideboard

Intervention Type OTHER

Hockey slideboard

Interventions

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Hockey slideboard combined with BFR training

Hockey slideboard combined with BFR training

Intervention Type OTHER

Hockey slideboard

Hockey slideboard

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* having undergone ACL-R following a unilateral rupture, with reconstructive surgical technique by bone-patellar tendon-bone autograft (BPTB) or semitendinosus-gracilis autograft (STG)
* ACL-R including associated meniscal lesions treated with selective meniscectomy and/or non-complex meniscal suture

Exclusion Criteria

* not having undergone ACL-R following a unilateral rupture, with reconstructive surgical technique by bone-patellar tendon-bone autograft (BPTB) or semitendinosus-gracilis autograft (STG)
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Spitalul Municipal Odorheiu Secuiesc

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Spital Municipal Odorheiu Secuiesc

Odorheiu Secuiesc, Romania, Romania

Site Status RECRUITING

Countries

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Romania

Central Contacts

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Claudia I Nedelcu, Master, BSc

Role: CONTACT

0040728258216

Sebastiano Nutarelli, Master, BSc

Role: CONTACT

0041779501650

Facility Contacts

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Claudia I Nedelcu, Master, BSc

Role: primary

0040728258216

Other Identifiers

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SOCT1

Identifier Type: -

Identifier Source: org_study_id

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