Early Range of Motion Exercise for Patellar Dislocation

Overseen By Mitzi Wiggin

Age: < 18

Sex: Any

Trial Phase: Academic

Sponsor: Baylor College of Medicine

Disqualifiers: Fracture, Osteochondral defect, others

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: Unknown

Duration: 2 weeks

60 Participants Needed

Trial Summary

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 data supports the effectiveness of the treatment Early Range of Motion for patellar dislocation?

The research suggests that a structured rehabilitation program, which includes stages for recovering joint motion and flexibility, can help reduce the risk of recurring dislocations and improve functional recovery after a first-time patellar dislocation. This implies that early range of motion exercises, as part of such a program, may be beneficial in the recovery process. ^{1 2 3 4 5}

Is early range of motion exercise safe for patellar dislocation?

The safety of early range of motion exercises for patellar dislocation is supported by a specific patellar protection program that includes controlled exercises and rehabilitation phases, which are generally considered safe and are part of conservative treatment methods. ^{6 7 8 9 10}

How does the Early Range of Motion treatment for patellar dislocation differ from other treatments?

The Early Range of Motion treatment for patellar dislocation is unique because it focuses on starting movement exercises soon after the injury, which can help improve joint flexibility and muscle strength more quickly compared to traditional methods that may delay movement. This approach aims to enhance recovery and reduce the risk of future dislocations by promoting early rehabilitation. ^{1 2 4 7 11}

What is the purpose of this trial?

Do teen-age patients with a dislocated knee cap do better with or without a brace?

Research Team

Scott McKay, MD

Principal Investigator

Baylor College of Medicine

Eligibility Criteria

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

I don't have health issues that would stop me from undergoing rehabilitation.

I have experienced my first kneecap dislocation or partial dislocation.

I feel pain when my knee is tested for instability and have tenderness on the inside of my kneecap.

Exclusion Criteria

I need surgery for a knee issue like a fracture or ligament problem.

Timeline

Screening

Participants are screened for eligibility to participate in the trial

1-2 weeks

Treatment

Participants receive either a knee immobilizer for 2 weeks followed by physical therapy or start physical therapy immediately

2 weeks

Weekly outpatient physical therapy visits

Follow-up

Participants are monitored for recovery progress and effectiveness of treatment

4 weeks

Treatment Details

Interventions

• Early Range of Motion

Trial Overview The study is testing whether teenagers with a dislocated kneecap recover better with early range of motion exercises compared to using a brace. The focus is on the effectiveness of immediate rehabilitation without immobilization.

Participant Groups

Group I: Early range of motion Experimental Treatment 1 Intervention

Patients in this group will be allowed to move the knee and start outpatient physical therapy and treatment immediately.

Group II: Immobilization Active Control 1 Intervention

Patients in this group will be given a knee immobilizer to wear for 2 weeks and then receive outpatient physical therapy evaluation and treatment

Who Is Running the Clinical Trial?

Baylor College of Medicine

Lead Sponsor

Trials

1,044

Recruited

6,031,000+

References

1. Netherlands pubmed.ncbi.nlm.nih.gov

Rehabilitation following first-time patellar dislocation: a randomised controlled trial of purported vastus medialis obliquus muscle versus general quadriceps strengthening exercises. [2022]

2. Germany pubmed.ncbi.nlm.nih.gov

MPFL reconstruction results in lower redislocation rates and higher functional outcomes than rehabilitation: a systematic review and meta-analysis. [2022]

3. India pubmed.ncbi.nlm.nih.gov

Restorative effects of exercise rehabilitation and bracing on females with lateral displacement of patella. [2021]

4. Germany pubmed.ncbi.nlm.nih.gov

First patellar dislocation: from conservative treatment to return to sport. [2020]

5. China pubmed.ncbi.nlm.nih.gov

[Arthroscopic treatment of acute patellar dislocation]. [2011]

6. England pubmed.ncbi.nlm.nih.gov

Is an individually tailored programme of intense leg resistance and dynamic exercise acceptable to adults with an acute lateral patellar dislocation? A feasibility study. [2021]

7. Germany pubmed.ncbi.nlm.nih.gov

[Functional treatment method following patellar dislocations]. [2019]

8. United States pubmed.ncbi.nlm.nih.gov

Epidemiology and natural history of acute patellar dislocation. [2022]

9. England pubmed.ncbi.nlm.nih.gov

Acute dislocation of the patella. A prospective review of operative treatment. [2020]

10. United States pubmed.ncbi.nlm.nih.gov

Lateral patellofemoral ligament reconstruction to restore functional capacity in patients previously undergoing lateral retinacular release. [2020]

11. India pubmed.ncbi.nlm.nih.gov

Atraumatic Extra-articular Patellar Dislocation with Vertical Axis Rotation: A Case Study. [2020]