Optimized Rehabilitation After Anterior Cruciate Ligament Before Returning to Sport
Optimized Rehabilitation After Anterior Cruciate Ligament Reconstruction at the First Step of Return to Sport
Centre Hospitalier Universitaire de Saint Etienne
432 participants
Nov 14, 2022
INTERVENTIONAL
Conditions
Summary
Following reconstruction of the anterior cruciate ligament (ACL), a standardized rehabilitation protocol is carried out by a physiotherapist. In France, a well-established rehabilitation consensus guides the first phase of 3 months postoperatively and patient compliance is generally excellent. The next phase should allow a return to sport (RTS) following a continuum depending on the objectives of the sport's patient, starting with a return to running activities (RTR) and a preparatory phase for a RTS which may be authorized at 6 months post-op. This multicentre randomized control trial aims to evaluate the effectiveness of an individualized and optimized rehabilitation program guided by monthly assessments carried out by physiotherapists from the 3rd to the 6th month postoperatively to reduce the risk of new ACL injuries (operated or healthy knee), compared to standard management.
Eligibility
Inclusion Criteria5
- Affiliation to the French Social Security system
- Patient who has had an ACL reconstruction regardless of the standard surgical technique used
- Patient with a sports activity, pivot and/or contact (e.g. soccer, basketball, handball, rugby, judo...) and practiced in competition (Tegner sports activity scores >7 and Marx scores >11 before the accident.
- Patient wishing to return to competitive sport
- Consent signed by the patient
Exclusion Criteria6
- Contralateral or bilateral involvement or operated on for a re-injury of the ACL
- Patients with a medical contraindication to the performance of one of the tests
- Patients suffering from a neurological (motor and/or sensitive), vestibular or rheumatic pathology
- Patient performing rehabilitation with a physiotherapist who does not wish to participate in the study.
- Pregnant or breastfeeding woman
- Patient under guardianship or curators
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Interventions
Usual rehabilitation according to the practice of the "Haute Autorité de Santé" (HAS)
Rehabilitation optimized according to the study protocol
Locations(8)
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NCT05323474