Telerehabilitation for ACL Reconstruction Rehabilitation

Overseen By Jacob Daniels, DPT, EdD

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: University of Mississippi Medical Center

Disqualifiers: Visual impairment, No phone access, Advised against therapy, others

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

Compensation: Varies

Number of Visits: Unknown

15 Participants Needed

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial examines the effectiveness of the telehealth platform WizeCare for individuals recovering from ACL (anterior cruciate ligament) reconstruction surgery. The goal is to determine if patients can easily access physical therapy through online sessions until they can visit a therapist in person. This approach is particularly beneficial for those in rural areas with limited access to physical therapy. Individuals who have undergone ACL surgery and possess a phone with data capabilities may be suitable participants. The study will assess whether this online method helps patients adhere to their therapy schedules and improves their recovery. As an unphased trial, it offers a unique opportunity for patients to contribute to innovative healthcare solutions that could enhance recovery experiences for many.

Do I need to stop 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 healthcare provider.

What prior data suggests that this telerehabilitation method is safe for ACL reconstruction rehabilitation?

Research has shown that telerehabilitation, such as WizeCare, is generally safe and well-received by individuals recovering from ACL (anterior cruciate ligament) surgery. Studies suggest that patients using these online rehab platforms often achieve good results. For instance, one study found that telerehabilitation led to better short-term recovery compared to traditional in-person rehab during the COVID-19 pandemic.

Another study highlighted that telerehabilitation can assist patients who have difficulty accessing in-person services. While the effectiveness of these programs is often emphasized, safety remains a major focus. Encouragingly, the reviewed studies reported no major safety issues or negative events, which reassures those considering this treatment option. ^{1 2 3 4 5}

Why are researchers excited about this trial?

Researchers are excited about telerehabilitation for ACL reconstruction recovery because it offers a unique approach compared to traditional in-person physical therapy. This method uses telehealth technology, allowing patients to receive rehabilitation services remotely, which can be more convenient and accessible, especially for those with transportation challenges or busy schedules. Additionally, telerehabilitation can provide real-time feedback and personalized adjustments to therapy programs, potentially improving adherence and outcomes. By leveraging digital tools, it aims to make recovery more flexible and tailored to individual needs, which could enhance overall patient satisfaction and success.

What evidence suggests that telerehabilitation is effective for ACL reconstruction rehabilitation?

Research has shown that rehab exercises through video calls can be as effective as clinic visits for people recovering from ACL surgery. In this trial, participants will receive telerehabilitation services using the WizeCare platform. Studies have found that patients using video calls for rehab attended most of their scheduled sessions. This approach helps patients adhere to their therapy plans, even if they live far from a clinic. New digital tools, like virtual reality, also make home rehab a practical option. Overall, telerehabilitation offers a promising way to support recovery after ACL surgery, especially for those who can't easily access in-person care. ^{3 5 6 7 8}

Are You a Good Fit for This Trial?

This trial is for individuals who have had surgery to repair their anterior cruciate ligament (ACL) and are starting rehabilitation. It's designed to help those in rural areas or with limited access to in-person therapy by using a telehealth platform called WizeCare.

Inclusion Criteria

I am a candidate for ACL reconstruction surgery.

Exclusion Criteria

Does not own or have consistent access to a phone with data capabilities

My vision is worse than 20/200 even with glasses or contacts.

I may be removed from the study if not suited for telehealth therapy.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Telehealth Rehabilitation

Participants receive telehealth rehabilitation services until they can see an in-person physical therapist

Up to 1 year

Telehealth sessions as needed

In-person Physical Therapy

Participants transition to in-person physical therapy with a therapist of their choice

Variable, based on individual needs

Follow-up

Participants are monitored for satisfaction and adverse events through surveys

1 year

What Are the Treatments Tested in This Trial?

Interventions

• WizeCare

Trial Overview The study is testing the use of WizeCare, a software intended as a medical device, for home-based telerehabilitation. The aim is to see if it can improve access to physical therapy services post-orthopedic surgery through remote sessions until patients can visit therapists in person.

How Is the Trial Designed?

Group I: Telerehabilitation Experimental Treatment 1 Intervention

Patient participants will receive telehealth rehabilitation services Provider participants will be providing the physical therapy services.

Who Is Running the Clinical Trial?

University of Mississippi Medical Center

Lead Sponsor

Trials

185

Recruited

200,000+

Citations

1. pubmed.ncbi.nlm.nih.gov pubmed.ncbi.nlm.nih.gov/40725532/

Telerehabilitation After Anterior Cruciate Ligament ... The aim of this study is to compare the effectiveness of remotely supervised rehabilitation with traditional supervised rehabilitation after ...

2. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC10927236/

Telerehabilitation to Address the Rehabilitation Gap in ... Patients completed a mean of 52% of their visits in the first 6 weeks, 75% in the first 10 weeks, and 90% in the first 16 weeks after surgery. Prior ...

3. journals.sagepub.com journals.sagepub.com/doi/10.1177/23259671241271729

Effectiveness of In-Home, Augmented Reality–Based ... New digital technology–based rehabilitation may be a viable option for patients after anterior cruciate ligament reconstruction (ACLR), with ...

4. clinicaltrials.gov clinicaltrials.gov/study/NCT06232824

Tele-rehabilitation After Anterior Cruciate Ligament ... The investigators aims to evaluate the effect of multicomponent supervised tele-rehabilitation, compared to home-based self-rehabilitation, ...

5. formative.jmir.org formative.jmir.org/2020/9/e19296/

Telerehabilitation to Address the Rehabilitation Gap in ... This study aims to understand the opinions of patients who have undergone ACL surgery and rehabilitation on the use of telerehabilitation as part of ACL care.

6. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC12294812/

Telerehabilitation After Anterior Cruciate Ligament ... The aim of this study is to compare the effectiveness of remotely supervised rehabilitation with traditional supervised rehabilitation after ...

7. clinicaltrials.gov clinicaltrials.gov/study/NCT04541940

TeleRehabilitation Following ACL Reconstruction The purpose of the proposed study is to evaluate telerehabilitation vs. in-person rehabilitation following ACL reconstruction. Objectives include assess return ...

8. mdpi.com mdpi.com/2077-0383/12/14/4865

Postoperative Rehabilitation after Anterior Cruciate ... Telerehabilitation after ACLR seems to provide a superior short-term outcome compared to hospital-based rehabilitation during the COVID-19 pandemic.