Test of Return to Sport After ACL Reconstruction and Cognitive Task.

NCT06768957 | Completed

• 1 other identifier: 2024-A02038-39
• Study Type: interventional
• Target: 31
• Locations: 1 country
• Sites: 4

Brief Summary

After reconstruction of the anterior cruciate ligament, the aim for the vast majority of sportspeople is to return to the field. To date, 65% of patients who have undergone ACL rehabilitation return to their previous level, and 55% return to competition. To achieve this, physiotherapy sessions need to prepare the return to sport as well as possible, by simulating the cognitive demands (reading the game, double task, etc.) that might be encountered on the pitch. Tests to assess the athlete's performance do exist, in order to optimise this return to sport, but they do not include the cognitive tasks that are present in sport. The high cognitive demands of the sporting environment therefore justify the inclusion of cognitive tasks in these return to sport tests. The aim of this research is to assess the impact of the cognitive task on the performance of a return to sport test following ACL reconstruction. Patients who have undergone ACL reconstruction and healthy subjects will therefore be given a return to sport test called the 'Single Leg Hop for Distance' with and without a cognitive task in order to observe the influence of the cognitive task on the results of the hop. Including healthy subjects in this study will make it possible to study the impact of the cognitive task in these subjects, who have no neurophysiological dysfunction linked to ACL reconstruction. The aim of this study is therefore to try to develop the return to sport tests currently described in the literature by proposing a new, improved test that takes account of the cognitive dimension, which is omnipresent in the sporting environment.

Conditions

ACL Reconstruction; Cognitive Function; Single Leg Hop Firm Surface; Testing Effect of Intervention

Outcome Measures

Primary Outcomes (1)

• Assessing the impact of the cognitive task on quantitative performance (jumping distance measured in meters) after ACL reconstruction.

  Quantitative assessment of performance, using the Single Leg Hop for Distance, depending on whether or not a cognitive test is present. Measurement of jump distance in meters.

  10 weeks

Secondary Outcomes (3)

• Assessing the impact of the cognitive task on qualitative performance after ACL reconstruction with Qualitative Analysis of Single Leg Score.

  10 weeks

• Assess the impact of the cognitive task on qualitative jumping performance after ACL reconstruction and in healthy subjects, with Qualitative Analysis of Single Leg Score.

  10 weeks

• Assess the impact of the cognitive task on quantitative (distance measured in meters) jumping performance after ACL reconstruction and in healthy subjects.

  10 weeks

Study Arms (8)

Control group: SLHD then SLHD with cognitive task

EXPERIMENTAL

This control group, made up of healthy subjects, will perform a single leg hop for distance and then one week later will perform a single leg hop for distance plus a cognitive task. Intervention 1 administered : Other: Single leg hop for distance. Intervention 2 administered : Other: Single leg hop for distance plus cognitive task.

Other: Single leg hop for distance; Other: Single leg hop for distance plus cognitive task

Control group: SLHD with cognitive task then SLHD

EXPERIMENTAL

This control group, made up of healthy subjects, will perform a single leg hop for distance plus a cognitive task and then one week later will perform a single leg hop for distance. Intervention 1 administered : Other: Single leg hop for distance plus cognitive task Intervention 2 administered : Other: Single leg hop for distance

Other: Single leg hop for distance; Other: Single leg hop for distance plus cognitive task

Control group: SLHD then SLHD

EXPERIMENTAL

This control group, made up of healthy subjects, will perform a single leg hop for distance and then one week later will perform another single leg hop for distance. Intervention 1 administered : Other: Single leg hop for distance Intervention 2 administered : Other: Single leg hop for distance

Other: Single leg hop for distance

Control group: SLHD with cognitive task then SLHD with cognitive task

EXPERIMENTAL

This control group, made up of healthy subjects, will perform a single leg hop for distance plus a cognitive task and then one week later will perform another single leg hop for distance plus a cognitive task. Intervention 1 administered : Other: Single leg hop for distance plus cognitive task Intervention 2 administered : Other: Single leg hop for distance plus cognitive task

Other: Single leg hop for distance plus cognitive task

Test group: SLHD then SLHD with cognitive task

EXPERIMENTAL

This test group, made up of patients who have undergone ACL reconstruction, will perform a single leg hop for distance and then one week later will perform a single leg hop for distance plus a cognitive task. Intervention 1 administered : Other: Single leg hop for distance. Intervention 2 administered : Other: Single leg hop for distance plus cognitive task.

Other: Single leg hop for distance; Other: Single leg hop for distance plus cognitive task

Test group: SLHD with cognitive task then SLHD

EXPERIMENTAL

This test group, made up of patients who have undergone ACL reconstruction, will perform a single leg hop for distance plus a cognitive task and then one week later will perform a single leg hop for distance. Intervention 1 administered : Other: Single leg hop for distance plus cognitive task Intervention 2 administered : Other: Single leg hop for distance

Other: Single leg hop for distance; Other: Single leg hop for distance plus cognitive task

Test group: SLHD then SLHD

EXPERIMENTAL

This test group, made up of patients who have undergone ACL reconstruction, will perform a single leg hop for distance and then one week later will perform another single leg hop for distance. Intervention 1 administered : Other: Single leg hop for distance Intervention 2 administered : Other: Single leg hop for distance

Other: Single leg hop for distance

Test group: SLHD with cognitive task then SLHD with cognitive task

EXPERIMENTAL

This test group, made up of patients who have undergone ACL reconstruction, will perform a single leg hop for distance plus a cognitive task and then one week later will perform another single leg hop for distance plus a cognitive task. Intervention 1 administered : Other: Single leg hop for distance plus cognitive task Intervention 2 administered : Other: Single leg hop for distance plus cognitive task

Other: Single leg hop for distance plus cognitive task

Interventions

Single leg hop for distance OTHER

Patients will have to perform a Single leg hop for distance. A 10-minute warm-up is required beforehand, followed by three single-leg hop round trips over a distance of 6m to ensure that they are able to perform the exercise. You start on the healthy side to understand the principles and reassure yourself. The distance covered is measured. This tells us something about the strength of the lower limb. The landing should be assessed qualitatively. 1\. Patient balanced on 1 foot, hands crossed over shoulders. 2. Jump as far as possible. 3\. Stabilise 1 time, keeping hands on shoulders.

Control group: SLHD then SLHD; Control group: SLHD then SLHD with cognitive task; Control group: SLHD with cognitive task then SLHD; Test group: SLHD then SLHD; Test group: SLHD then SLHD with cognitive task; Test group: SLHD with cognitive task then SLHD

Single leg hop for distance plus cognitive task OTHER

Patients were asked to perform a single leg hop for distance in addition to a cognitive task. A 10-minute warm-up is required beforehand, followed by three single-leg hop round trips over a distance of 6m to ensure that they are able to perform the exercise. You start on the healthy side to understand the principles and reassure yourself. The distance covered is measured. This tells us something about the strength of the lower limb. The landing should be assessed qualitatively. 1. Patient balanced on 1 foot, hands crossed over shoulders. 2. Observe a sequence of 5 digits, appearing every 4 seconds, on the computer in front of you. 3. As soon as the 5th digit appears, jump as far as you can. 4. Stabilise 1 time, keeping your hands on your shoulders. 5. Replay the sequence of 5 numbers that appear on the screen, in reverse order.

Control group: SLHD then SLHD with cognitive task; Control group: SLHD with cognitive task then SLHD; Control group: SLHD with cognitive task then SLHD with cognitive task; Test group: SLHD then SLHD with cognitive task; Test group: SLHD with cognitive task then SLHD; Test group: SLHD with cognitive task then SLHD with cognitive task

Eligibility Criteria

• Age: 16 Years - 40 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Patients with an isolated, unilateral ACL rupture, corresponding to a first injury occurring without contact,
• Patients who have undergone surgical reconstruction using an autograft of the semitendinosus tendon alone, or an autograft of the semitendinosus tendon and gracilis, or BTB surgery,
• Patients at 6 +/- 1 months post-operative management,
• Patients aged between 16 and 40 included,
• Patients whose level of physical activity, assessed using the Tegner scale, is greater than or equal to 5.
• Patients with injuries associated with ACL rupture,
• Patients who have received conservative treatment or who have benefited from another surgical technique,
• Patients less than 5 months or more than 7 months post-operatively,
• Patients aged under 16 or over 40,
• Patients with a Tegner score of less than 5,
• Patients with recurrent homolateral or controlateral ACL rupture,
• Patients with an ACL rupture resulting from a direct or indirect impact injury mechanism.

You may not qualify if:

• Refusal to take part in the study,
• Withdrawal of the participant during the study,
• Loss of sight of the participant between the two weeks.
• Persons with no knee trauma in the six months prior to the start of the study,
• Persons between 16 and 40 years of age included,
• Persons whose level of physical activity, assessed using the Tegner scale, was greater than or equal to 5.
• Persons with knee lesions in the six months preceding the start of the study,
• Persons aged under 16 or over 40,
• Persons with a Tegner score strictly below 5.
• Refusal to take part in the study,
• Retraction of the participant during the study,
• Loss of vision between the two weeks,
• Knee trauma between the two weeks.

Sponsors & Collaborators

• Simon VALOT: lead

Study Sites (4)

Orthosport Centre

Domont, 95330, France

Location

Physiotherapy practice CESAL

Les Sables-d'Olonne, 85340, France

Location

Institut de Formation en Masso-Kinésithérapie du Centre Hospitalier Universitaire de Poitiers (physiotherapy training institute)

Poitiers, 86000, France

Location

Physiotherapy practice MADINI

Poitiers, 86000, France

Location

Related Publications (10)

• Parry GN, Herrington LC, Munro AG. Reliability and Measurement Error of the Qualitative Analysis of Single Leg Loading (QASLS) Tool For Unilateral Tasks. Int J Sports Phys Ther. 2023 Oct 1;18(5):1136-1146. doi: 10.26603/001c.88007. eCollection 2023.

  PMID: 37885771 BACKGROUND

• Li ZI, Green JS, Chalem I, Triana J, Rao N, Hughes AJ, Campbell KA, Jazrawi LM, Medvecky MJ, Alaia MJ. Patient-reported outcomes and return to pre-injury activities after surgical treatment of multi-ligamentous knee injuries in patients over 40-years-old: Average 5-years follow-up. Knee. 2024 Jan;46:89-98. doi: 10.1016/j.knee.2023.11.014. Epub 2023 Dec 8.

  PMID: 38070381 BACKGROUND

• Hecker A, Schmaranzer F, Huber C, Maurer J, Egli RJ, Eberlein SC, Klenke FM. Treatment of Knee Dislocation With Primary Repair and Suture Augmentation: A Viable Solution. Orthop J Sports Med. 2022 Nov 17;10(11):23259671221132555. doi: 10.1177/23259671221132555. eCollection 2022 Nov.

  PMID: 36425010 BACKGROUND

• Berk AN, Piasecki DP, Fleischli JE, Trofa DP, Saltzman BM. Trends in Patient-Reported Outcomes After Anterior Cruciate Ligament Reconstruction: A Systematic Review. Orthop J Sports Med. 2023 May 31;11(5):23259671231174472. doi: 10.1177/23259671231174472. eCollection 2023 May.

  PMID: 37284137 BACKGROUND

• Zhou W, Liu X, Hong Q, Wang J, Luo X. Association between passing return-to-sport testing and re-injury risk in patients after anterior cruciate ligament reconstruction surgery: a systematic review and meta-analysis. PeerJ. 2024 Apr 29;12:e17279. doi: 10.7717/peerj.17279. eCollection 2024.

  PMID: 38699196 BACKGROUND

• Aizawa JY, Hirohata K, Ohji S, Mitomo S, Ohmi T, Koga H, Yagishita K. Anterior Cruciate Ligament-Return to Sport after Injury (ACL-RSI) subcategories are affected by subjective running ability and medial single-leg hop distance in postreconstruction patients at 6 months. J Exp Orthop. 2024 Feb 3;11(1):e12004. doi: 10.1002/jeo2.12004. eCollection 2024 Jan.

  PMID: 38455451 BACKGROUND

• Measson MV, Ithurburn MP, Rambaud AJ. Intra-rater Reliability of a Qualitative Landing Scale for the Single-Hop Test: A Pilot Study. Int J Sports Phys Ther. 2022 Apr 1;17(3):493-500. doi: 10.26603/001c.33066. eCollection 2022.

  PMID: 35391866 BACKGROUND

• Kiani Haft Lang M, Mofateh R, Orakifar N, Goharpey S. Differences in Neurocognitive Functions Between Healthy Controls and Anterior Cruciate Ligament-Reconstructed Male Athletes Who Passed or Failed Return to Sport Criteria: A Preliminary Study. J Sport Rehabil. 2023 Apr 25;32(6):645-654. doi: 10.1123/jsr.2022-0288. Print 2023 Aug 1.

  PMID: 37185456 BACKGROUND

• Riera J, Forelli F, Coulondre C, Rambaud A. Fiche pratique du " Single Hop Test ". J Traumatol Sport. 1 mars 2023;40(1):46-8.

  BACKGROUND

• Kotsifaki R, Korakakis V, King E, Barbosa O, Maree D, Pantouveris M, Bjerregaard A, Luomajoki J, Wilhelmsen J, Whiteley R. Aspetar clinical practice guideline on rehabilitation after anterior cruciate ligament reconstruction. Br J Sports Med. 2023 May;57(9):500-514. doi: 10.1136/bjsports-2022-106158. Epub 2023 Feb 2.

  PMID: 36731908 BACKGROUND

Study Officials

• Simon SV VALOT

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Principal Investigator

Model Details: Two groups are present in parallel: * A control group (healthy volunteers). * A test group (patients who have undergone ACL reconstruction). Several sub-groups are present within these groups in order to carry out a crossover study.

Study Record Dates

• First Submitted: December 30, 2024
• First Posted: January 10, 2025
• Study Start: January 8, 2025
• Primary Completion: March 28, 2025
• Study Completion: April 2, 2025
• Last Updated: April 9, 2025

Record last verified: 2025-04

Locations

FR (4)