关键词: ACL reconstruction Anterior cruciate ligament Tele-rehabilitation

Mesh : Humans Anterior Cruciate Ligament Reconstruction / rehabilitation methods Telerehabilitation Single-Blind Method Range of Motion, Articular Treatment Outcome Adult Male Female Young Adult Home Care Services Randomized Controlled Trials as Topic Anterior Cruciate Ligament Injuries / surgery rehabilitation Muscle Strength Adolescent

来  源:   DOI:10.1186/s13018-024-04871-0   PDF(Pubmed)

Abstract:
BACKGROUND: Our study aims to assess the effectiveness of multicomponent supervised tele-rehabilitation compared to home-based self-rehabilitation management in patients following anterior cruciate ligament reconstruction (ACLR).
METHODS: The current study is designed as a single-center, single-blinded, randomized controlled, two-arm trial. Participants will be randomized and allocated at a 1:1 ratio into either a multicomponent supervised tele-rehabilitation group or a home-based self-rehabilitation group. All participants receive uniform preoperative education through the HJT software. Participants in the intervention group undergo multicomponent supervised tele-rehabilitation, while those in the control group follow a home-based self-rehabilitation program. All the participants were assessed and measured for the included outcomes at the outpatient clinic before the procedure, and in 2, 4, 8, 12, and 24 weeks after ACLR by two assessors. The primary outcome was the percentage of patients who achieve a satisfactory active ROM at the 12 weeks following the ACLR. The satisfactory active ROM was also collected at 2, 4, 8, and 24 weeks after ACLR. The secondary outcomes were active and passive range of motion (ROM), pain, muscle strength, and function results.
BACKGROUND: Ethical approval has been obtained from the West China Hospital Ethics Committee (approval number 2023-1929, December 2023). The trial has been registered on ClinicalTrials.gov (registration number NCT06232824, January 2024).
摘要:
背景:我们的研究旨在评估在前交叉韧带重建(ACLR)后患者中,与基于家庭的自我康复管理相比,多组分监督远程康复的有效性。
方法:当前研究设计为单中心,单盲,随机对照,双臂审判。参与者将被随机分配并以1:1的比例分配到多组分监督的远程康复组或基于家庭的自我康复组。所有参与者都通过HJT软件接受统一的术前教育。干预组的参与者接受多组分监督远程康复,而对照组则遵循以家庭为基础的自我康复计划。手术前在门诊对所有参与者进行评估和测量所包括的结果,在ACLR后2、4、8、12和24周,由两名评估员进行。主要结果是在ACLR后12周达到令人满意的活动ROM的患者百分比。在ACLR后2、4、8和24周也收集了令人满意的活性ROM。次要结果是主动和被动运动范围(ROM),疼痛,肌肉力量,和函数结果。
背景:已获得华西医院伦理委员会的伦理批准(批准号2023-1929,2023年12月)。该试验已在ClinicalTrials.gov上注册(注册号NCT06232824,2024年1月)。
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