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IRCT20221214056821N1 IRCT 2023-01-07 Khyber Medical University Rehabilitation for anterior cruciate ligament reconstruction patients The effectiveness of early phase rehabilitation on outcomes of anterior cruciate ligament reconstruction in patients of tertiary care hospitals of Peshawar 2022-12-20 anticipated 40 Complete https://irct.ir/trial/67511 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Subjects will be randomly assigned to one of two groups using sealed envelope method: one (the experimental group) receiving the intervention, and the other (the comparison group or control) receiving an alternative (conventional) treatment, Blinding description: Due to nature of study, it will not be feasible to blind therapist and subjects. However, assessor, who will assess pre and post measurements, will be blinded. 3 ACL reconstruction rehabilitation. Intervention 1: Intervention group: Heel slides (slider board), Supine with legs up wall heels slides with gravity assisted, Bike pendulums: high seat circles forward and backward full circles lower seat Sitting passive leg extension with roll under heel OR prone leg hangs off end of bed Seated calf stretch with towel, knee bent (soleus), knee straight (gastrocnemius), Seated hamstring stretch (back straight), Quadriceps and hamstring co-contraction, Quadriceps isometrics in standing, sitting, lying +/– muscle stimulation or biofeedback, Sit to stand progress by gradually decreasing height of seat, Static lunge forward/side, Mini wall squat (30°), Side lying abduction and adduction, Gluteal squeezes supine or standing, Prone hip extension, Standing hip flexion and extension, abduction/adduction, Ankle pumping +/– with leg elevation, Standing calf raises with and without support, Single leg stance 30 to 60 seconds, Wobble boards with support (table, bars, poles) through full ROM: side to side, forward and backward, Weight shifting: side to side and forward and backward, Progress from 2 crutches to 1, always maintaining normal walking pattern, Ice 15-25 minutes, Interferential current therapy (pain relief), Muscle Stimulation. Intervention 2: Control group: Icing 10-15 minutes, Gluteal squeezes supine or standing, Prone hip extension, standing hip flexion and extension, abduction and adduction, Ankle pumping +/– with leg elevation, standing calf raises with/without support, Single leg stance 30-60 seconds. No - There is not a plan to make this available Justification or reason for not sharing IPD is The institute as well as my patients I am working with is not allowing me to share data
public Mashal Gul
N Canal Rd, Abdarra, Peshawar, Khyber Pakhtunkhwa
Peshawar Pakistan 25000 +92 91 9331105 mashal.gul@ncs.edu.pk NCS University System scientific Sarmad Saeed Khattak
XCRP+W7C, 5-B/2 Shaukat Khanum Rd, Phase 5 Hayatabad, Peshawar, Khyber Pakhtunkhwa
Peshawar Pakistan 25100 +92 91 5838666 sarmad.saeed@rmi.edu.pk Rehman Medical Institute, Peshawar Pakistan Patient underwent through ACL reconstruction surgery using hamstring and peroneus longus graft Both males and females, aged 18 to 40 years 18 years 40 years Both Patients with medial collateral ligament injuries, meniscal injuries & infections. Patients with known neurological diseases Patients with known cognitive impairment S83.50 Sprain of unspecified cruciate ligament of knee Rehabilitation Rehabilitation Intervention group: Heel slides (slider board), Supine with legs up wall heels slides with gravity assisted, Bike pendulums: high seat circles forward and backward full circles lower seat Sitting passive leg extension with roll under heel OR prone leg hangs off end of bed Seated calf stretch with towel, knee bent (soleus), knee straight (gastrocnemius), Seated hamstring stretch (back straight), Quadriceps and hamstring co-contraction, Quadriceps isometrics in standing, sitting, lying +/– muscle stimulation or biofeedback, Sit to stand progress by gradually decreasing height of seat, Static lunge forward/side, Mini wall squat (30°), Side lying abduction and adduction, Gluteal squeezes supine or standing, Prone hip extension, Standing hip flexion and extension, abduction/adduction, Ankle pumping +/– with leg elevation, Standing calf raises with and without support, Single leg stance 30 to 60 seconds, Wobble boards with support (table, bars, poles) through full ROM: side to side, forward and backward, Weight shifting: side to side and forward and backward, Progress from 2 crutches to 1, always maintaining normal walking pattern, Ice 15-25 minutes, Interferential current therapy (pain relief), Muscle Stimulation. Control group: Icing 10-15 minutes, Gluteal squeezes supine or standing, Prone hip extension, standing hip flexion and extension, abduction and adduction, Ankle pumping +/– with leg elevation, standing calf raises with/without support, Single leg stance 30-60 seconds. Lower Extremity Function. Timepoint: Baseline Assessment and Assessment after 2 weeeks of intervention. Method of measurement: Lower Extremity Function Score. Pain. Timepoint: Baseline Assessment and Assessment after 2 weeks of intervention. Method of measurement: Numeric Pain rating Scale. Range of motion. Timepoint: Baseline Assessment and Assessment after 2 weeks of intervention. Method of measurement: Goniometer. Khyber Medical University Approved 2021-10-19 AS&RB (Advanced Studies & Research Board) and ethical committee of Khyber Medical University Phase 5 Hayatabad Peshawar Khyber Pukhtoonkhawa Pakistan