Safe Return to Play After ACL Reconstruction
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|ClinicalTrials.gov Identifier: NCT04827264|
Recruitment Status : Completed
First Posted : April 1, 2021
Last Update Posted : April 1, 2021
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."
|Condition or disease||Intervention/treatment|
|ACL Tear||Diagnostic Test: Safe Return to Play Following ACL Reconstruction Checklist|
|Study Type :||Observational|
|Actual Enrollment :||222 participants|
|Official Title:||Safe Return to Play Following ACL Reconstruction: Validation of a Return to Play Checklist|
|Actual Study Start Date :||February 20, 2016|
|Actual Primary Completion Date :||February 20, 2020|
|Actual Study Completion Date :||February 20, 2020|
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
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 Clinical Judgment
Participants will be evaluated prospectively for return to play following ACL reconstruction by testing with clinical judgement
- Return to Play [ Time Frame: 7 months ]Participants will be evaluated prior to returning to sports using the "return to play checklist
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04827264
|United States, Pennsylvania|
|Rothman Orthopaedic Institute|
|Philadelphia, Pennsylvania, United States, 19107|