- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05578248
Andrews Return to Sport ACL Score
The Andrews Return to Sport ACL Score: A Developmental Study
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
One hundred pre-collegiate or collegiate athlete participants will be recruited for this study. The duration of the treatment plan will be 24 months. Each of the participants will be qualified for the study due to falling within all inclusion criterion and no exclusion criterion. The screening of the inclusion criterion will occur at visit one of the study. At this time, the AREF Research Team will review and collect informed consent from each participant. Visit two will occur three (3) months after each participant's ACL reconstruction surgery. At this time, an evaluation by the treating physician will occur along with functional movement assessment and MRI. Visit three will occur six (6) months after each participant's ACL reconstruction surgery. At this time, an evaluation by the treating physician will occur along with functional movement assessment and MRI. Visit four will occur nine (9) months after each participant's ACL reconstruction surgery. At this time, an medical evaluation by the treating leading physician will occur along with functional movement assessment and MRI. Visit five will occur twelve (12) months after each participant's ACL reconstruction surgery. At this time, an evaluation by the treating physician will occur along with functional movement assessment and MRI. Visit six will occur eighteen (18) months after each participant's ACL reconstruction surgery. At this time, an evaluation by the treating physician will occur along with functional movement assessment and MRI. Visit seven will occur twenty-four (24) months after each participant's ACL reconstruction surgery. At this time, an evaluation by the treating physician will occur along with functional movement assessment and MRI. At each time point, the treating physician or the therapist performing the functional movement assessment can choose to limit the functional movement assessment if there are concerns that the patient may not be ready for the expected load of one or more elements of the functional movement assessment.
At each monthly time point after ACL reconstruction, patient reported outcomes will be collected by the research team to assist in assessing the overall health and confidence in return to sport for each athlete. The following patient reported outcomes will be collected in written or electronic format after informed consent has been obtained from each participant: Sports Participation, Reinjury, Tampa Kinesiophobia Scale, IKDC, PROMIS, SANE.
Study Type
Enrollment (Anticipated)
Contacts and Locations
Study Contact
- Name: Jessi Truett, MA, BCBA
- Phone Number: (850) 916-8570
- Email: jessica.truett@andrewsref.org
Study Contact Backup
- Name: Chandler Bridges, MS
- Phone Number: (850) 916-8584
- Email: chandler.bridges@andrewsref.org
Study Locations
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-
Florida
-
Gulf Breeze, Florida, United States, 32561
- Recruiting
- Andrews Research and Education Foundation
-
Contact:
- Chandler Bridges, MS
- Phone Number: 8509168584
- Email: chandler.bridges@andrewsref.org
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Age 14-24 years
- Require ACL reconstruction surgery
- No other ligament injury which would require repair or reconstruction to lower extremity is present as assessed by treating physician
- Exhibits desire to return to pre-injury competitive level
- Assessed to be in good physical health condition by the treating physician
Exclusion Criteria:
- Requires more than one ACL reconstruction surgery at time of screening
- Has comorbid lower extremity diagnoses which would impede return to sport as assessed by the treating physician
- Does not desire to return to pre-injury competitive sport level
Study Plan
How is the study designed?
Design Details
- Observational Models: Cohort
- Time Perspectives: Prospective
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
|---|---|
|
Collegiate Athletes
Group designated for collegiate athletes; see protocol for treatment plan
|
Non-invasive imaging technology that produces three-dimensional detailed anatomical images
Surgical procedure to repair damaged or severed anterior cruciate ligament in the knee
|
|
Pre-collegiate Athletes
Group designated for pre-collegiate, or high school-age, athletes; see protocol for treatment plan
|
Non-invasive imaging technology that produces three-dimensional detailed anatomical images
Surgical procedure to repair damaged or severed anterior cruciate ligament in the knee
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Tampa Scale for Kinesiophobia
Time Frame: Through study completion, an average of 1 year
|
Measurement to determine the physical and pyschological effects on the rehabilitation of an injured athlete; 17-question survey with a total score calculated after inversion of the individual scores of items 4, 8, 12, and 16 (all questions are scored on a scale of 1-4 points).
|
Through study completion, an average of 1 year
|
|
Sports Participation Assessment
Time Frame: Through study completion, an average of 1 year
|
Quantifies the participant's participation in sports activity during the rehabilitation period
|
Through study completion, an average of 1 year
|
|
Reinjury Assessment
Time Frame: Through study completion, an average of 1 year
|
Monthly questionnaire to assess the rate of reinjury during rehabilitation process
|
Through study completion, an average of 1 year
|
|
International Knee Documentation Committee Subjective Knee Evaluation Form (IKDC)
Time Frame: Every month, up to 1 year; assessing for change
|
19-question form that will contribute to comprehensive data set by evaluating confidence in perfomance
|
Every month, up to 1 year; assessing for change
|
|
Patient Reported Outcomes Measurement Information Systems (PROMIS)
Time Frame: Every month, up to 1 year; assessing for change
|
Assesses overall health functioning and rehabilitation levels of each participant; required to ensure that a comprehensive assessment of overall functioning is reviewed.
Scores range from 20 to 80, with 50 representing the average for the general population, and increases in this number over 50 represent standard deviation, and thus represent slow recovery progress in this study
|
Every month, up to 1 year; assessing for change
|
|
Single Assessment Numeric Evaluation (SANE)
Time Frame: Every month, up to 1 year; assessing for change
|
Single question PRO with a rating of 0-100 for each participant to score their current functioning in comparison to their pre-injury level of function
|
Every month, up to 1 year; assessing for change
|
Collaborators and Investigators
Collaborators
Publications and helpful links
General Publications
- Ardern CL, Taylor NF, Feller JA, Webster KE. Fifty-five per cent return to competitive sport following anterior cruciate ligament reconstruction surgery: an updated systematic review and meta-analysis including aspects of physical functioning and contextual factors. Br J Sports Med. 2014 Nov;48(21):1543-52. doi: 10.1136/bjsports-2013-093398. Epub 2014 Aug 25.
- Grindem H, Snyder-Mackler L, Moksnes H, Engebretsen L, Risberg MA. Simple decision rules can reduce reinjury risk by 84% after ACL reconstruction: the Delaware-Oslo ACL cohort study. Br J Sports Med. 2016 Jul;50(13):804-8. doi: 10.1136/bjsports-2016-096031. Epub 2016 May 9.
- Griffin LY, Agel J, Albohm MJ, Arendt EA, Dick RW, Garrett WE, Garrick JG, Hewett TE, Huston L, Ireland ML, Johnson RJ, Kibler WB, Lephart S, Lewis JL, Lindenfeld TN, Mandelbaum BR, Marchak P, Teitz CC, Wojtys EM. Noncontact anterior cruciate ligament injuries: risk factors and prevention strategies. J Am Acad Orthop Surg. 2000 May-Jun;8(3):141-50. doi: 10.5435/00124635-200005000-00001.
- Gianotti SM, Marshall SW, Hume PA, Bunt L. Incidence of anterior cruciate ligament injury and other knee ligament injuries: a national population-based study. J Sci Med Sport. 2009 Nov;12(6):622-7. doi: 10.1016/j.jsams.2008.07.005. Epub 2008 Oct 2.
- Lundberg M, Styf J, Jansson B. On what patients does the Tampa Scale for Kinesiophobia fit? Physiother Theory Pract. 2009 Oct;25(7):495-506. doi: 10.3109/09593980802662160.
- Brodke DJ, Saltzman CL, Brodke DS. PROMIS for Orthopaedic Outcomes Measurement. J Am Acad Orthop Surg. 2016 Nov;24(11):744-749. doi: 10.5435/JAAOS-D-15-00404.
- Lohmander LS, Englund PM, Dahl LL, Roos EM. The long-term consequence of anterior cruciate ligament and meniscus injuries: osteoarthritis. Am J Sports Med. 2007 Oct;35(10):1756-69. doi: 10.1177/0363546507307396. Epub 2007 Aug 29.
- Bodor M. Quadriceps protects the anterior cruciate ligament. J Orthop Res. 2001 Jul;19(4):629-33. doi: 10.1016/S0736-0266(01)00050-X.
- Boyle, M. & Galway, B.(n.d.). Evidence-based Clinical Protocols: Anterior Cruciate Ligament Injury & Reconstruction. Biodex Medical Systems, Inc.
- Creighton DW, Shrier I, Shultz R, Meeuwisse WH, Matheson GO. Return-to-play in sport: a decision-based model. Clin J Sport Med. 2010 Sep;20(5):379-85. doi: 10.1097/JSM.0b013e3181f3c0fe.
- Davies GJ, McCarty E, Provencher M, Manske RC. ACL Return to Sport Guidelines and Criteria. Curr Rev Musculoskelet Med. 2017 Sep;10(3):307-314. doi: 10.1007/s12178-017-9420-9.
- Gokeler A, Welling W, Zaffagnini S, Seil R, Padua D. Development of a test battery to enhance safe return to sports after anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc. 2017 Jan;25(1):192-199. doi: 10.1007/s00167-016-4246-3. Epub 2016 Jul 16.
- Jordan MJ, Morris N, Lane M, Barnert J, MacGregor K, Heard M, Robinson S, Herzog W. Monitoring the Return to Sport Transition After ACL Injury: An Alpine Ski Racing Case Study. Front Sports Act Living. 2020 Mar 3;2:12. doi: 10.3389/fspor.2020.00012. eCollection 2020.
- Manske, R. & Reiman, M. (2013). Functional Performance Testing for Power and Return to Sport. Athletic Training. Functional Testing in Human Performance. DOI: 10.1177/1941738113479925
- Miller RP, Kori S, Todd D. The Tampa Scale: a measure of kinesiophobia. Clin J Pain. 1991;7(1):51-52.
- O'Connor CM, Ring D. Correlation of Single Assessment Numeric Evaluation (SANE) with other Patient Reported Outcome Measures (PROMs). Arch Bone Jt Surg. 2019 Jul;7(4):303-306.
- Wilk KE, Macrina LC, Cain EL, Dugas JR, Andrews JR. Recent advances in the rehabilitation of anterior cruciate ligament injuries. J Orthop Sports Phys Ther. 2012 Mar;42(3):153-71. doi: 10.2519/jospt.2012.3741. Epub 2012 Feb 29.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
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
- Return to Sport
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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