Safe Return to Play After ACL Reconstruction

NCT04827264 | Completed

• 1 other identifier: KFREE16D.026
• Study Type: observational
• Target: 222
• Locations: 1 country
• Sites: 1

Brief Summary

Recent studies report that as few as 44% of athletes undergoing ACL reconstruction were able to return to their prior level of competitive level of sports. Early return may predispose an individual to re-injury including graft re-tear, meniscal tears, chondral injuries, and contralateral knee injuries. Criteria governing clearance to return to sports after ACL reconstruction has been traditionally defined using time from surgery and one or two objective criteria, often solely isokinetic quad/hamstring strength. Several studies have suggested that historical criteria used to assess readiness to return to play (RTP) are insufficient in identifying individuals at risk of a re-injury. They advocate for additional functional and dynamic testing, which may better reflect the complex kinematics required in high level athletic competition. We previously developed a "Safe Return to Play Following ACL Reconstruction Checklist" based on a systematic review of the literature and expert survey. Seven objective measures were developed as part of the checklist. The checklist is performed by a certified physical therapist trained in these performance tests. The purpose of this study is to validate the utility of our "Return to Play Checklist" by evaluating our patients prospectively for return to play following ACL reconstruction by comparing a cohort of patient undergoing testing with the checklist versus "clinical judgement."

Conditions

ACL Tear

Outcome Measures

Primary Outcomes (1)

• Return to Play

  Participants will be evaluated prior to returning to sports using the "return to play checklist

  7 months

Study Arms (2)

Return to Play Testing using Checklist

Participants will be evaluated prospectively for return to play following ACL reconstruction by testing with the "Safe return to play following ACL reconstruction checklist"

Diagnostic Test: Safe Return to Play Following ACL Reconstruction Checklist

Return to Play Testing using Clinical Judgment

Participants will be evaluated prospectively for return to play following ACL reconstruction by testing with clinical judgement

Interventions

Safe Return to Play Following ACL Reconstruction Checklist DIAGNOSTIC_TEST

All participants who have undergone primary ACL reconstruction will receive PT evaluation using our "Return to Play Checklist" at 7 months post-op, prior to return to sports

Return to Play Testing using Checklist

Eligibility Criteria

• Age: 15 Years - 35 Years
• Sex: all
• Age Groups: Child (0-17), Adult (18-64)
• Sampling Method: Non-Probability Sample

Study Population

Participants ages 15-35 who have undergone primary ACL reconstruction at Rothman Orthopaedics

You may qualify if:

• All patients ages 15-35 undergoing primary ACL reconstruction

You may not qualify if:

• patients who are undergoing revision ACL surgery

Sponsors & Collaborators

• Rothman Institute Orthopaedics: lead

Study Sites (1)

Rothman Orthopaedic Institute

Philadelphia, Pennsylvania, 19107, United States

Location

MeSH Terms

Conditions

Anterior Cruciate Ligament Injuries

Condition Hierarchy (Ancestors)

Knee Injuries; Leg Injuries; Wounds and Injuries

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: March 31, 2021
• First Posted: April 1, 2021
• Study Start: February 20, 2016
• Primary Completion: February 20, 2020
• Study Completion: February 20, 2020
• Last Updated: April 1, 2021

Record last verified: 2021-03

Locations

US (1)