Comparison of Video Based Phone App vs. Supervised Preoperative Exercise for ACL Reconstruction

NCT ID: NCT07322497

Last Updated: 2026-01-07

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

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

66 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-12-29

Study Completion Date

2027-12-29

Brief Summary

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The goal of this clinical trial is to learn if using a phone app for exercises is as effective as working with a physical therapist before anterior cruciate ligament knee surgery. It will also check if exercising before surgery helps patients recover better compared to those who do not follow a specific exercise plan. The main questions it aims to answer are:

* Does the phone app help patients improve their knee strength and movement as well as seeing a physical therapist?
* Do patients who exercise before surgery have a better recovery after surgery than those who do not?

Researchers will compare the phone app group to a physical therapist group and a group with no specific exercise plan to see which method works best.

Participants will:

* Follow an exercise plan for 4 weeks before their surgery (either using the app, with a therapist, or no specific plan).
* Visit the clinic for check-ups before starting the exercises, right before the surgery, and 6 months after the surgery.
* Complete simple tests and surveys to measure their knee health.

Detailed Description

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This study is a prospective randomized controlled trial designed to investigate the effects of different preoperative rehabilitation methods on patients scheduled for Anterior Cruciate Ligament (ACL) reconstruction.

Participants will be stratified based on their injury type (Isolated ACL injury vs. ACL injury with concomitant meniscus tear) to ensure homogenous distribution. Following stratification, patients will be randomized into three parallel groups using a computer-generated block randomization method (block size of 6).

The study consists of three phases:

1. Pre-operative Intervention (4 Weeks):

* Video Based Mobile Application Group (Unsupervised): Participants will follow a progressive exercise program via a mobile app. The app provides asynchronous video guidance, reminders, and compliance tracking. The program focuses on range of motion, edema reduction, and muscle strengthening.
* Supervised Rehabilitation Group: Participants will undergo the exact same exercise protocol under the direct supervision of a physiotherapist (3 sessions/week) in a clinical setting.
* Control Group: Participants will receive standard care without a specific structured exercise prescription.
2. Surgical Intervention:

All participants will undergo ACL reconstruction surgery performed by the same surgical team using hamstring autografts.
3. Post-operative Rehabilitation:

Following surgery, ALL patients in all three groups will receive the same standardized, goal based postoperative rehabilitation program. This protocol is based on international criteria and aims to ensure that postoperative care is consistent across all groups, isolating the effect of the preoperative intervention.

Outcomes will be assessed at baseline, preoperatively (after the 4 week program), and 6 months postoperatively. Key assessment methods include:

* Isometric muscle strength testing (Quadriceps and Hamstring) using a hand-held dynamometer.
* Functional performance assessment via Single Leg Hop Tests (limb symmetry index).
* Proprioception evaluation using active joint position sense tests.
* Knee range of motion measurement with a electronic goniometer.
* Patient-reported outcomes using the IKDC 2000 Subjective Knee Evaluation Form.

The primary objective is to determine if the unsupervised digital model is non-inferior to supervised rehabilitation in improving functional outcomes.

Conditions

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Anterior Cruciate Ligament (ACL) Rupture Anterior Cruciate Ligament (ACL) Reconstruction Anterior Cruciate Ligament (ACL) Injury

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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Video Based App Group

Participants will receive a progressive, unsupervised exercise program via a mobile application for 4 weeks prior to surgery. The app provides video guidance, reminders, and compliance tracking.

Group Type EXPERIMENTAL

Mobile App Exercise Program

Intervention Type BEHAVIORAL

A 4-week progressive home exercise program delivered via a smartphone app. It focuses on range of motion, edema control, strengthening, and balance exercises.

Supervised Rehabilitation Group

Participants will undergo a supervised exercise program with a physiotherapist (3 days/week) for 4 weeks prior to surgery. The protocol is identical to the app group.

Group Type ACTIVE_COMPARATOR

Supervised Physiotherapy

Intervention Type BEHAVIORAL

A 4-week in-clinic exercise program supervised by a physiotherapist, including the same exercises as the app group

Control Group

Participants will receive standard care and will not receive a specific preoperative exercise prescription.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Mobile App Exercise Program

A 4-week progressive home exercise program delivered via a smartphone app. It focuses on range of motion, edema control, strengthening, and balance exercises.

Intervention Type BEHAVIORAL

Supervised Physiotherapy

A 4-week in-clinic exercise program supervised by a physiotherapist, including the same exercises as the app group

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Patients with a diagnosed unilateral Anterior Cruciate Ligament (ACL) rupture
* Patients scheduled for ACL reconstruction surgery.
* Age between 18 and 45 years.
* Patients willing to participate and sign the informed consent form.

Exclusion Criteria

* Patients with multiple ligament injuries (e.g., combined ACL and PCL/MCL injury).
* Patients with bilateral ACL injuries.
* Presence of accompanying fractures around the knee joint.
* Presence of active infection.
* Patients who refuse surgery or withdraw consent.
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Dr. Lutfi Kirdar Kartal Training and Research Hospital

OTHER_GOV

Sponsor Role lead

Responsible Party

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Ömer Hekim

Physiotherapist, PhD Candidate

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Kartal Dr. Lütfi Kırdar City Hospital

Istanbul, Kartal, Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Central Contacts

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Ömer Hekim, PT, MSc

Role: CONTACT

+905547538348

Facility Contacts

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Ömer Hekim, PT, MSc

Role: primary

+905547538348

Other Identifiers

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2025/23/1304

Identifier Type: -

Identifier Source: org_study_id

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