About this trial
Following reconstruction of the anterior cruciate ligament (ACL), a standardized rehabilitation protocol is carried out by a physiotherapist. In France, a well-established rehabilitation consensus guides the first phase of 3 months postoperatively and patient compliance is generally excellent. The next phase should allow a return to sport (RTS) following a continuum depending on the objectives of the sport's patient, starting with a return to running activities (RTR) and a preparatory phase for a RTS which may be authorized at 6 months post-op.
This multicentre randomized control trial aims to evaluate the effectiveness of an individualized and optimized rehabilitation program guided by monthly assessments carried out by physiotherapists from the 3rd to the 6th month postoperatively to reduce the risk of new ACL injuries (operated or healthy knee), compared to standard management.
Eligibility criteria
Qualifiers
Affiliation to the French Social Security system
Patient who has had an ACL reconstruction regardless of the standard surgical technique used
Patient with a sports activity, pivot and/or contact (e.g. soccer, basketball, handball, rugby, judo...) and practiced in competition (Tegner sports activity scores >7 and Marx scores >11 before the accident.
Patient wishing to return to competitive sport
Disqualifiers
Contralateral or bilateral involvement or operated on for a re-injury of the ACL
Patients with a medical contraindication to the performance of one of the tests
Patients suffering from a neurological (motor and/or sensitive), vestibular or rheumatic pathology
Patient performing rehabilitation with a physiotherapist who does not wish to participate in the study.
Trial design
Treatments tested in this trial
- Usual rehabilitation
- Rehabilitation optimized
Treatment groups
Sponsors and collaborators
Centre Hospitalier Universitaire de Saint Etienne
Lead sponsor
Ministry of Health, France
Collaborator