Early Range of Motion Exercise for Patellar Dislocation
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial explores whether adolescents with a first-time dislocated kneecap heal better with a brace or by moving their knee early. It compares two methods: using a knee immobilizer for two weeks versus starting physical therapy immediately, allowing early knee movement (known as Early Range of Motion). Ideal participants are teens who recently experienced their first kneecap dislocation and feel knee instability, as if it might pop out. They should have been referred to a specific sports medicine clinic within 10 days of injury and be able to engage in a 3-month rehab program. The study aims to identify the best approach for faster and more effective recovery. As an unphased trial, it offers participants the opportunity to contribute to important research that could improve recovery methods for future patients.
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications. However, it mentions that participants should be free of certain co-morbidities that could limit rehabilitation, so it's best to discuss your specific medications with the trial team.
What prior data suggests that this early range of motion exercise is safe for patellar dislocation?
Research shows that starting gentle movement exercises soon after a kneecap dislocation is generally safe and well-received. Studies have found that early physical therapy can improve knee function and mobility. This approach often results in higher patient satisfaction.
Few reports of problems have emerged from starting these exercises early, suggesting they are a promising recovery option. Patients often regain full movement and experience less swelling, indicating a safe recovery.12345Why are researchers excited about this trial?
Researchers are excited about early range of motion exercises for patellar dislocation because these exercises allow patients to start moving their knee and begin physical therapy immediately after the injury, unlike the standard treatment of immobilization with a knee brace. This approach aims to maintain joint flexibility and muscle strength, potentially speeding up recovery and reducing stiffness. By allowing early movement, patients might experience quicker rehabilitation and a faster return to normal activities compared to the traditional method of keeping the knee immobilized for several weeks.
What evidence suggests that early range of motion is effective for patellar dislocation?
Research has shown that starting gentle knee movements soon after a kneecap dislocation can be beneficial. In this trial, participants in the "Early range of motion" arm will move their knee and begin outpatient physical therapy immediately. Studies have found that patients who start moving their knee early recover better and faster within four weeks compared to those who keep their knee still. Early movement improves flexibility and strength, leading to a quicker recovery. This approach aims to keep the knee moving to prevent stiffness and speed up healing. Based on these findings, early movement is a promising way to enhance recovery after a knee dislocation.16789
Who Is on the Research Team?
Scott McKay, MD
Principal Investigator
Baylor College of Medicine
Are You a Good Fit for This Trial?
This trial is for male and female adolescents aged 11-17 who have experienced their first knee cap dislocation. They should be free of serious health issues that could interfere with rehabilitation, able to follow a 3-month rehab protocol, and must not require surgery for any associated knee injuries.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants receive either a knee immobilizer for 2 weeks followed by physical therapy or start physical therapy immediately
Follow-up
Participants are monitored for recovery progress and effectiveness of treatment
What Are the Treatments Tested in This Trial?
Interventions
- Early Range of Motion
Find a Clinic Near You
Who Is Running the Clinical Trial?
Baylor College of Medicine
Lead Sponsor