- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05323474
Optimized Rehabilitation After Anterior Cruciate Ligament Before Returning to Sport (ORACL-Run)
Optimized Rehabilitation After Anterior Cruciate Ligament Reconstruction at the First Step of Return to Sport
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.
Study Overview
Status
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Thomas NERI, MD
- Phone Number: +33 (0)4 77 12 08 26
- Email: thomas.neri@chu-st-etienne.fr
Study Contact Backup
- Name: GREGORY MOREL, physio
- Phone Number: +33 (0)4 77 12 94 55
- Email: gregory.morel@chu-st-etienne.fr
Study Locations
-
-
-
Challes-les-Eaux, France, 73000
- Recruiting
- Médipôle de Savoie
-
Principal Investigator:
- Claire Coulondre, physio
-
Domont, France, 95330
- Not yet recruiting
- Clinique de Domont Ortholab
-
Contact:
- Email: florian.forelli.mk@gmail.com
-
Principal Investigator:
- Florian FORELLI, Physio
-
Firminy, France
- Not yet recruiting
- Centre Hospitalier de Firminy
-
Principal Investigator:
- Jacques Gaetan, physio
-
Lyon, France, 69000
- Not yet recruiting
- Clinique de la Sauvegarde
-
Principal Investigator:
- Benoit Pairot de Fontenay, Physio
-
Lyon, France, 69000
- Not yet recruiting
- Hopital de la Croix Rousse
-
Principal Investigator:
- CLEMENT CHOMMY, PHYSIO
-
Saint-Étienne, France, 42055
- Recruiting
- CHU de SAINT-ETIENNE
-
Sub-Investigator:
- Hugo MORON, Physio
-
Principal Investigator:
- Grégory MOREL, Physio
-
-
-
-
-
Geneve, Switzerland
- Not yet recruiting
- Hôpital de La Tour
-
Principal Investigator:
- François FOURCHET, Physio
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- 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
- Consent signed by the patient
Exclusion Criteria:
- 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.
- Pregnant or breastfeeding woman
- Patient under guardianship or curators
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Standard rehabilitation
Classical rehabilitation carried out by a physiotherapist with an evaluation at 6 months post-surgery to authorize the return to sport.
|
Usual rehabilitation according to the practice of the "Haute Autorité de Santé" (HAS)
|
Active Comparator: Optimized rehabilitation
Classical rehabilitation carried out by a physiotherapist + expert physiotherapist performing monthly clinical and functional assessments with recommendations for exercises and running program sent to the physiotherapist.
|
Rehabilitation optimized according to the study protocol
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of patients with at least one new ACL injury
Time Frame: At 24 months post surgery
|
A re-rupture of the operated ACL or a rupture on the contralateral side, objectified by a Lachman test performed with the absence of a "firm" stop, and a difference in laxity measured with an arthrometer ( >3 mm for the KT-1000 ™ or >3 mm for the GNRB® or >5 mm for the Telos™ ) and by an MRI diagnosing an ACL rupture.
|
At 24 months post surgery
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of patients meeting all the criteria necessary for authorization to return to their usual sports activities
Time Frame: At 6 months post surgery
|
The criteria are :
|
At 6 months post surgery
|
Number of patients with at least one post-surgical complication
Time Frame: At 24 months post surgery
|
Post-surgical complications are :
|
At 24 months post surgery
|
Number of patients with <10% asymmetry in running biomechanical parameters
Time Frame: At 6 month post surgery
|
Asymmetry <10% in biomechanical running parameters (stride length or stiffness coefficient of each lower limb)
|
At 6 month post surgery
|
Collaborators and Investigators
Collaborators
Investigators
- Study Chair: Thomas NERI, MD, CHU de SAINT-ETIENNE
- Study Chair: ALEXANDRE RAMBAUD, Physio, CHU de SAINT-ETIENNE
- Principal Investigator: Grégory MOREL, Physio, CHU de SAINT-ETIENNE
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 20PH282
- 2022-A00287-36 (Other Identifier: ANSM)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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