- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06206200
The Effect of Cognitive Dual-task Rehabilitation on Arthrogenic Muscle Responses After ACL Reconstruction (AMIRA)
The Effect of Cognitive Dual-task Rehabilitation on Arthrogenic Muscle Responses After Anterior Cruciate Ligament Reconstruction: A Randomised Controlled Trial.
After anterior cruciate ligament reconstruction, altered muscle responses around the knee joint are seen, known as arthrogenic muscle responses (AMR). Despite their initially protective function, prolonged presence of these AMR may potentially lead to knee joint pathomechanics, which in turn could contribute to an increased risk of early knee osteoarthritis.
In this trial, the treatment effect of standard physiotherapy on long-term AMR will be compared to the effects of physiotherapy incorporating cognitive dual-task training. Based on earlier strong indications of supraspinal physiopathological mechanisms for AMR, our hypothesis is that exercise therapy combined with cognitive dual-task training will lead to a more natural and less anxious muscle control, thereby reducing AMR.
The presence of AMR will be evaluated 5 months post-operatively in ACL reconstructed patients. Patients who display AMR will be included in this randomized controlled trial. These individuals will be randomly assigned to one of the two treatment strategies and will undergo the respective therapy for six weeks (twice a week). Afterwards, the same test procedure conducted five months after the operation will be repeated two more times to assess the evolution of the AMR: at seven months post-operation to assess the training effect and at nine months post-operation to evaluate the retention of this effect.
Study Overview
Status
Conditions
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Evy Deschaumes, MSc
- Phone Number: +32 9 332 5503
- Email: evy.deschaumes@ugent.be
Study Contact Backup
- Name: Erik Witvrouw, prof. dr.
- Phone Number: +32 9 332 26 32
- Email: erik.witvrouw@ugent.be
Study Locations
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West-Vlaanderen
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Roeselare, West-Vlaanderen, Belgium, 8800
- Recruiting
- AZ Delta Roeselare (Campus Brugsesteenweg)
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Contact:
- Thomas Tampere, Dr.
- Phone Number: 051 23 63 70
- Email: sportr@azdelta.be
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- 18-40 years old.
- Having suffered an ACL rupture.
- Undergoing a surgical ACL reconstruction in the AZ Delta hospital in Roeselare (Campus Brugsesteenweg).
Exclusion Criteria:
- Revision ACL reconstruction.
- Other severe injuries to the lower limbs within the past year.
- Muscle or neurological disorders affecting lower limb functioning.
- Fibromyalgia or chronic fatigue syndrome.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Dual task training
Patients will recieve 12 sessions (2x/week) of standard of care exercise-based physiotherapy with implementation of cognitive dual task training.
This implies that the patients will perform cognitive tasks simultaneously during at least 50% of their physical rehabilitative exercises.
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Simultaneously performing cognitive tasks and motor rehabilitative exercises.
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Active Comparator: Standard of care physiotherapy
Patients will recieve 12 sessions (2x/week) of standard of care exercise-based physiotherapy without implementation of cognitive dual task training.
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The current best physical therapy treatment for patients with anterior cruciate ligament reconstruction based on existing scientific evidence.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Voluntary quadriceps activation
Time Frame: 5 months post ACL reconstruction (= prior to intervention); 7 months post ACL reconstruction (= after the intervention); 9 months post ACL reconstruction (= after a 2 month retention period)
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A force-based isometric biodex measurement using the interpolated twitch/superimposed burst technique.
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5 months post ACL reconstruction (= prior to intervention); 7 months post ACL reconstruction (= after the intervention); 9 months post ACL reconstruction (= after a 2 month retention period)
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Quadriceps and hamstrings activity / cocontraction during physical tasks
Time Frame: 5 months post ACL reconstruction (= prior to intervention); 7 months post ACL reconstruction (= after the intervention); 9 months post ACL reconstruction (= after a 2 month retention period)
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Electromyographical measurement of quadriceps and hamstrings activation during physical tasks.
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5 months post ACL reconstruction (= prior to intervention); 7 months post ACL reconstruction (= after the intervention); 9 months post ACL reconstruction (= after a 2 month retention period)
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Quadriceps and hamstrings strength
Time Frame: 5 months post ACL reconstruction (= prior to intervention); 7 months post ACL reconstruction (= after the intervention); 9 months post ACL reconstruction (= after a 2 month retention period)
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Measured on the biodex.
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5 months post ACL reconstruction (= prior to intervention); 7 months post ACL reconstruction (= after the intervention); 9 months post ACL reconstruction (= after a 2 month retention period)
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Kinesiophobia
Time Frame: 5 months post ACL reconstruction (= prior to intervention); 7 months post ACL reconstruction (= after the intervention); 9 months post ACL reconstruction (= after a 2 month retention period)
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Questioned using the Tampa Scale of Kinesiophobia (TSK).
Scores on the TSK range from 17 to 68, with higher scores indicating more kinesiophobia.
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5 months post ACL reconstruction (= prior to intervention); 7 months post ACL reconstruction (= after the intervention); 9 months post ACL reconstruction (= after a 2 month retention period)
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Patient reported knee function
Time Frame: 5 months post ACL reconstruction (= prior to intervention); 7 months post ACL reconstruction (= after the intervention); 9 months post ACL reconstruction (= after a 2 month retention period)
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Questioned using the Knee Injury and Osteoarthritis Outcome Score (KOOS).
Scores on the KOOS range from 0-100, with 0 representing the greatest possible problems in terms of knee function and 100 representing no problems.
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5 months post ACL reconstruction (= prior to intervention); 7 months post ACL reconstruction (= after the intervention); 9 months post ACL reconstruction (= after a 2 month retention period)
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Psychological readiness to return to sport
Time Frame: 5 months post ACL reconstruction (= prior to intervention); 7 months post ACL reconstruction (= after the intervention); 9 months post ACL reconstruction (= after a 2 month retention period)
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Questioned using the ACL-RSI.
Scores range from 0 to 100.
Higher scores indicate higher psychological readiness.
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5 months post ACL reconstruction (= prior to intervention); 7 months post ACL reconstruction (= after the intervention); 9 months post ACL reconstruction (= after a 2 month retention period)
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Subjective knee stability
Time Frame: 5 months post ACL reconstruction (= prior to intervention); 7 months post ACL reconstruction (= after the intervention); 9 months post ACL reconstruction (= after a 2 month retention period)
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Questioned using the first question of the Lysholm questionnaire.
Scores range from 0 to 25 with 25 indicating no symptoms of subjective instability.
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5 months post ACL reconstruction (= prior to intervention); 7 months post ACL reconstruction (= after the intervention); 9 months post ACL reconstruction (= after a 2 month retention period)
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Activity level
Time Frame: 5 months post ACL reconstruction (= prior to intervention); 7 months post ACL reconstruction (= after the intervention); 9 months post ACL reconstruction (= after a 2 month retention period)
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Questioned using the Tegner Score.
The scores range from 0 to 10, with higher scores indicating higher activity levels.
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5 months post ACL reconstruction (= prior to intervention); 7 months post ACL reconstruction (= after the intervention); 9 months post ACL reconstruction (= after a 2 month retention period)
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The amount of pain that the subjects experience.
Time Frame: 5 months post ACL reconstruction (= prior to intervention); 7 months post ACL reconstruction (= after the intervention); 9 months post ACL reconstruction (= after a 2 month retention period)
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Questioned using a Numeric Rating Scale.
The scores range between 0 and 10 with 10 0representing the highest level of pain.
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5 months post ACL reconstruction (= prior to intervention); 7 months post ACL reconstruction (= after the intervention); 9 months post ACL reconstruction (= after a 2 month retention period)
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Expectations regarding return to sport
Time Frame: 5 months post ACL reconstruction (= prior to intervention); 7 months post ACL reconstruction (= after the intervention); 9 months post ACL reconstruction (= after a 2 month retention period)
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Questioned using the Tegner Score: 'how active do you want to be at the end of your rehabilitation?'.
The scores range from 0 to 10, with higher scores indicating higher activity levels.
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5 months post ACL reconstruction (= prior to intervention); 7 months post ACL reconstruction (= after the intervention); 9 months post ACL reconstruction (= after a 2 month retention period)
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Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Jumping height in hop tests
Time Frame: 5 months post ACL reconstruction (= prior to intervention); 7 months post ACL reconstruction (= after the intervention); 9 months post ACL reconstruction (= after a 2 month retention period)
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Performance in single hop tests and a single leg drop-jump expressed by jump height in centimeters.
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5 months post ACL reconstruction (= prior to intervention); 7 months post ACL reconstruction (= after the intervention); 9 months post ACL reconstruction (= after a 2 month retention period)
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Duration of ground contact in hop tests
Time Frame: 5 months post ACL reconstruction (= prior to intervention); 7 months post ACL reconstruction (= after the intervention); 9 months post ACL reconstruction (= after a 2 month retention period)
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Performance in single hop tests and a single leg drop-jump expressed by the duration of ground contact.
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5 months post ACL reconstruction (= prior to intervention); 7 months post ACL reconstruction (= after the intervention); 9 months post ACL reconstruction (= after a 2 month retention period)
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Performance in the T-agility test
Time Frame: 5 months post ACL reconstruction (= prior to intervention); 7 months post ACL reconstruction (= after the intervention); 9 months post ACL reconstruction (= after a 2 month retention period)
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It will be measured how much time subjects require to complete a T-agility test.
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5 months post ACL reconstruction (= prior to intervention); 7 months post ACL reconstruction (= after the intervention); 9 months post ACL reconstruction (= after a 2 month retention period)
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Strength endurance during timed single leg step down and timed single leg squat
Time Frame: 5 months post ACL reconstruction (= prior to intervention); 7 months post ACL reconstruction (= after the intervention); 9 months post ACL reconstruction (= after a 2 month retention period)
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The strength endurance of the subjects will be evaluated by the amount of repetitions they can perform in a time span of 30 seconds.
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5 months post ACL reconstruction (= prior to intervention); 7 months post ACL reconstruction (= after the intervention); 9 months post ACL reconstruction (= after a 2 month retention period)
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Collaborators and Investigators
Sponsor
Collaborators
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 (Estimated)
Study Record Updates
Last Update Posted (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- ONZ-2023-0365
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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