]>
IRCT20090301001722N21 IRCT 2019-11-09 Tehran University of Medical Sciences Effects of Hydrotherapy on proprioception after Anterior Cruciate Ligament Reconstruction Effects of Aquatic Exercises on Knee proprioception and Altered Motor Control of the Knee Muscles after Anterior Cruciate Ligament Reconstruction 2020-01-09 anticipated 34 Complete https://irct.ir/trial/41731 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: The patients will be randomly divided into two groups by a closed envelope method. The allocation of the subjects will be concealed by using sequentially numbered, sealed and opaque envelopes. On the first day of treatment, the envelope allocated will be opened by the participant. N/A anterior cruciate ligament. Intervention 1: Intervention group 1: hydrotherapy. All subjects will undergo 2 sessions of proprioception aquatic exercises for 6 weeks. Each hydrotherapy session will be last 30-45 minutes consisting of three parts: warm-up, main practice, and cooling down. The pool water temperature will be ranged from 28° to 30° C. During the exercises, the individual will be asked to remain at a depth where the water is between the waist and the sternum. The hydrotherapy intervention will be conducted in a professional swimming pool equipped with all needed equipment for aquatic exercises. The main exercises will be done according to individual ability and the patient's response to training. The progression of the training protocol as following: 1- Single leg stance with eyes open. 2- Single leg stance with eyes closed.3- Single leg stance with leg swing and eyes open. 4- Single leg stance with leg swing and eyes closed. 5- Single leg squat with eyes open. 6- Single leg squat with eyes closed.7- Rollover walking back and forth on Foam Roll. 8- Rollover walking forward with crossed arms. Intervention 2: Intervention group 2: land therapy. The proprioception exercises applied to land group will be identical in terms of type, intensity and duration to those exercises applied to hydrotherapy group. The leg that will undergo training is the injured leg and must be wearing a sneaker during the exercises, with the knee semi-flexed at approximately 30°. In addition, the individual will not be allowed to support by the contralateral limb or hands. If the subjects lost their balance, they will be asked to lean on the contralateral limb. All patients in both groups are going to begin the same conventional rehabilitation protocol according to evidence-based rehabilitation accelerated protocol by Van Grinsven 2010. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is No more information
public Mohammad Reza Hadian Rasanani
School of Rehabilitation of Tehran University of Medical Sciences, Piche Shemiran, Enghelab Ave, Tehran, Iran
Tehran Iran (Islamic Republic of) 1417614411 +98 21 8891 3469 hadianrs@sina.tums.ac.ir Tehran University of Medical Sciences scientific Mohammad-Reza Hadian Rasanani
School of Rehabilitation of Tehran University of Medical Sciences, Piche Shemiran, Enghelab Ave, Tehran, Iran
Tehran Iran (Islamic Republic of) 1417614411 +98 21 8891 3469 hadianrs@sina.tums.ac.ir Tehran University of Medical Sciences Iran (Islamic Republic of) Aged between 18 and 35 years Undergone a unilateral ACL reconstruction No history or signs of injury in the contralateral knee 9 weeks after ACLR ROM is greater than 100° flexion and complete extension (zero degrees) Reconstruction using STG autograft No previous history of lower limb surgery before the lesion and absence of neurological disorders 18 years 35 years Both Inability to understand and/or perform the required maneuvers fear of water uncontrolled epilepsy chlorine sensitivity infected open faecal incontinence myocardial infarction S83.51 Sprain of anterior cruciate ligament of knee Rehabilitation Rehabilitation Intervention group 1: hydrotherapy. All subjects will undergo 2 sessions of proprioception aquatic exercises for 6 weeks. Each hydrotherapy session will be last 30-45 minutes consisting of three parts: warm-up, main practice, and cooling down. The pool water temperature will be ranged from 28° to 30° C. During the exercises, the individual will be asked to remain at a depth where the water is between the waist and the sternum. The hydrotherapy intervention will be conducted in a professional swimming pool equipped with all needed equipment for aquatic exercises. The main exercises will be done according to individual ability and the patient's response to training. The progression of the training protocol as following: 1- Single leg stance with eyes open. 2- Single leg stance with eyes closed.3- Single leg stance with leg swing and eyes open. 4- Single leg stance with leg swing and eyes closed. 5- Single leg squat with eyes open. 6- Single leg squat with eyes closed.7- Rollover walking back and forth on Foam Roll. 8- Rollover walking forward with crossed arms. Intervention group 2: land therapy. The proprioception exercises applied to land group will be identical in terms of type, intensity and duration to those exercises applied to hydrotherapy group. The leg that will undergo training is the injured leg and must be wearing a sneaker during the exercises, with the knee semi-flexed at approximately 30°. In addition, the individual will not be allowed to support by the contralateral limb or hands. If the subjects lost their balance, they will be asked to lean on the contralateral limb. All patients in both groups are going to begin the same conventional rehabilitation protocol according to evidence-based rehabilitation accelerated protocol by Van Grinsven 2010. Knee joint position sense. Timepoint: pre and post-test. Method of measurement: Biodex Isokinetic System. Voluntary response index analysis. Timepoint: pre and post-test. Method of measurement: Surface EMG by Biometrics (Ltd) data Log. Knee function. Timepoint: pre and post-test. Method of measurement: international knee documentation committee questionnaire (IKDC). Vice chancellor for research of Tehran University of Medical Sciences Approved 2019-09-29 Ethics committee of Tehran University of Medical Sciences 6th floor, Tehran University of Medical Science building, Ghods Ave., Keshavarz blvd., Tehran, Iran Tehran Tehran Iran (Islamic Republic of)