RecruitingNot ApplicableNCT05323474

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


Sponsor

Centre Hospitalier Universitaire de Saint Etienne

Enrollment

432 participants

Start Date

Nov 14, 2022

Study Type

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

Min Age: 18 YearsMax Age: 25 Years

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

OTHERUsual rehabilitation

Usual rehabilitation according to the practice of the "Haute Autorité de Santé" (HAS)

OTHERRehabilitation optimized

Rehabilitation optimized according to the study protocol


Locations(8)

Medipole de Savoie

Challes-les-Eaux, France

Clinique de Domont Ortholab

Domont, France

Centre Hospitalier de Firminy

Firminy, France

Clinique de La Sauvegarde

Lyon, France

Hopital de La Croix Rousse

Lyon, France

Hôpital Lyon Sud

Lyon, France

CHU de Saint-Etienne

Saint-Etienne, France

Hôpital de la Tour

Geneva, Switzerland

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NCT05323474