Physical Activity Prescription for Post-ACL Reconstruction Recovery

SW
Overseen ByStacey Wanlin
Age: 18 - 65
Sex: Any
Trial Phase: Academic
Sponsor: Western University, Canada
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores how a physical activity program might aid recovery after ACL surgery. It examines whether increased activity can prevent or delay arthritis, which often develops years after surgery and can cause pain and limit movement. The trial includes individuals who underwent ACL surgery as part of a specific study and are now returning for a follow-up visit. Participants will either follow a technology-based exercise plan (Physical Activity Intervention) or continue with their usual care to determine the best approach for joint health. As an unphased trial, this study allows participants to contribute to valuable research that could enhance recovery and joint health for future patients.

Do I need to stop taking my current medications for this trial?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.

What prior data suggests that this physical activity intervention is safe for post-ACL reconstruction recovery?

Research shows that exercise is generally safe and beneficial for people recovering from ACL surgery. Studies have found that exercise can enhance recovery for those with knee osteoarthritis, which presents challenges similar to those after ACL surgery. Importantly, patients who engaged in structured, high-intensity exercise after ACL surgery reported good results without major issues.

Exercise is typically safe and does not cause harm when performed correctly. Although specific data on negative effects of exercise after ACL surgery is lacking, current evidence supports its safety. Any exercise plan should be tailored to the individual and supervised by healthcare professionals to minimize the risk of injury.12345

Why are researchers excited about this trial?

Researchers are excited about the Physical Activity Prescription (PARx) because it introduces a tech-driven approach to boost recovery after ACL reconstruction. Unlike traditional rehabilitation methods that rely heavily on in-person sessions and generalized exercises, PARx uses personalized, technology-based physical activity programming. This innovative method aims to enhance patient engagement, tailor exercises to individual needs, and potentially speed up recovery times by leveraging digital tools. By integrating technology into the recovery process, the trial hopes to uncover more efficient and patient-friendly rehabilitation methods.

What evidence suggests that physical activity prescription is effective for post-ACL reconstruction recovery?

Research shows that exercise therapy can significantly aid recovery after ACL reconstruction surgery. Studies have found that specific exercise programs reduce pain and improve muscle strength and knee function. In this trial, participants in the Physical Activity Prescription (PARx) arm will receive technology-based physical activity programming. Meanwhile, those in the Usual Care arm will receive standard care without the additional physical activity intervention. Physical activity can lead to better patient-reported outcomes, especially in conditions like knee osteoarthritis, which can arise after ACL surgery. A regular physical activity plan might help maintain joint health by increasing activity levels, possibly preventing or delaying issues like post-traumatic osteoarthritis. Thus, planned physical activity could enhance recovery and support long-term knee health after surgery.14678

Who Is on the Research Team?

JT

Jane Thornton, MD PhD

Principal Investigator

Western University

Are You a Good Fit for This Trial?

This trial is for individuals who are 7 years post-ACL reconstruction surgery and part of the STAbiLiTY study. They must have internet and smartphone access, be stable enough to engage in physical activity, willing to follow up during the study period, and communicate in English.

Inclusion Criteria

Subjects following up for 7-year visits as part of the Standard ACL Reconstruction vs ACL + Lateral Extra-Articular Tenodesis Study (STAbiLiTY)

Exclusion Criteria

I cannot or do not want to commit to the study's follow-up schedule.
I am scheduled for a second surgery during the study.
I am unable to communicate in English.
See 2 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Baseline Assessment

Initial assessment of gait biomechanics and baseline measurements

1 week
1 visit (in-person)

Treatment

Participants receive technology-based physical activity programming or usual care

12 months
Monthly check-ins (virtual)

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks
1 visit (in-person)

What Are the Treatments Tested in This Trial?

Interventions

  • Physical Activity Intervention
Trial Overview The trial is testing a Physical Activity Prescription (PARx) intervention aimed at improving knee health after ACL reconstruction. It investigates whether regular prescribed exercise can prevent or delay osteoarthritis by promoting better cartilage health.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Active Control
Group I: Physical Activity Prescription (PARx)Experimental Treatment1 Intervention
Group II: Usual CareActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Western University, Canada

Lead Sponsor

Trials
270
Recruited
62,500+

Citations

The impact of exercise therapy on rehabilitation outcomes ...The study results show that WR training is the most effective in enhancing knee joint function and muscle strength post-ACL reconstruction.
2.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/39927331/
How effective is the addition of specific exercise therapy for ...Conclusion: Exercise therapy is effective in reducing pain, enhancing muscle strength, and improving knee function in ACL surgery patients.
Physical Activity Prescription for Post-ACL Reconstruction ...Physical activity has improved patient-reported outcomes across many different chronic diseases including knee osteoarthritis (OA), and physical activity ...
Do Recreational Athletes Benefit From a Structured, High ...Elite athletes typically benefit from structured postsurgery programs developed within their sport organizations, featuring tailored exercises ...
Effectiveness of psychological intervention following ...Very low-quality evidence suggests that psychological intervention following ACLR yields better short-term outcomes compared to standard rehabilitation.
ACL Reconstruction Rehabilitation: Clinical Data, Biologic ...Significant reinjury is common after ACLR; graft rupture and contralateral ACL rupture approaches 30% in athletes who return to level I activity. The striking ...
Objectively evaluated physical activity among individuals ...Conclusion Long-term after ACLR, participants undergoing ACL surgery were less physically active compared with their non-injured peers, and ...
STABILITY: Physical Activity Intervention at 7 Years Post- ...Physical activity has improved patient-reported outcomes across many different chronic diseases including knee osteoarthritis (OA), and physical ...
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