The effect of prehabilitation on the outcome of anterior cruciate ligament reconstruction

ISRCTN ISRCTN60779921
DOI https://doi.org/10.1186/ISRCTN60779921
Secondary identifying numbers N/A
Submission date
12/01/2011
Registration date
31/01/2011
Last edited
30/07/2013
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Injury, Occupational Diseases, Poisoning
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Mr Shahril Shaarani
Scientific

Cappagh National Orthopaedic Hospital
Finglas
Dublin
11
Ireland

Study information

Study designSingle surgeon multicentre prospective randomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleThe effect of prehabilitation on the outcome of anterior cruciate ligament reconstruction: a two centre prospective, single surgeon, randomly allocated study
Study objectivesTo determine whether prehabilitation would result in equal quadriceps strength 3 month post anterior cruciate ligament (ACL) reconstruction.

As of 20/09/2011 the anticipated end date for this trial has been extended from 30/06/2011 to 30/06/2012.
Ethics approval(s)1. Cappagh National Orthopaedic Hospital Research Ethics Committee approved on the 1st December 2009 (ref: JOB.10.2009.28)
2. Sports Surgery Clinic Research and Ethics Committee approved on the 8th February 2010
Health condition(s) or problem(s) studiedAnterior cruciate ligament tear
InterventionThis interventional trial will recruit 30 patients: 15 in the prehabilitation exercise group, 15 control patients recieving standard pre- and post-operative care. The prehabilitation group will recieve 6 weeks pre-operative physiotherapy programme comprising of 2 gym and 2 home sessions per week.
Intervention typeOther
Primary outcome measure1. Isokinetic quadriceps strength testing
2. Magnetic resonance imaging cross-sectional area of the quadriceps (MRI CSA)
3. Physical performance test: single leg hop test and in-line lunge
4. Disease specific questionnaire: Modified Cincinnatti Knee Score, Tegner Lysholm Knee Score, Tegnaer Activity Scale
5. Muscle biopsy of quadriceps: looking for down-regulation of muscle atrophy genes and up-regulation in IGF-1 pathways in muscle hypertrophy
Patients will undergo all the above test at time of recruitment, 6 weeks post exercise and 3 months postoperatively.

6. Time to return to sports activities
Secondary outcome measures1. To determine the effect of a pre-operative exercise programme on isokinetic hamstring strength
2. To assess the validity, reliability and responsiveness of:
2.1. Isokinetic dynamometry
2.2. Physical performance tests
2.3. Questionnaires
Overall study start date13/01/2011
Completion date30/06/2012

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexMale
Target number of participants30
Key inclusion criteria1. Patients with isolated anterior cruciate ligament tear
2. Males aged 18 - 40 years
Key exclusion criteria1. Patients with age less than 18 or over 40 years
2. Patients living outside Greater Dublin area (for practical reasons regarding exercise supervision)
3. Patients with associated fractures, meniscal repair and collateral ligament injury
4. Patients with co-morbidities (contra-indication to relatively high physical exertion)
Date of first enrolment13/01/2011
Date of final enrolment30/06/2012

Locations

Countries of recruitment

  • Ireland

Study participating centre

Cappagh National Orthopaedic Hospital
Dublin
11
Ireland

Sponsor information

Cappagh National Orthopaedic Hospital (Ireland)
Hospital/treatment centre

Finglas
Dublin
11
Ireland

Website http://www.cappagh.ie
ROR logo "ROR" https://ror.org/03vc5bf16

Funders

Funder type

Other

Investigator initated and funded (Ireland)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/09/2013 Yes No