Comparison of Video Based Phone App vs. Supervised Preoperative Exercise for ACL Reconstruction

Condition(s) studied

Investigational drug(s) / intervention(s)

Mobile App Exercise Program: A 4-week progressive home exercise program delivered via a smartphone app. It focuses on range of motion, edema control, strengthening, and balance exercises.

Supervised Physiotherapy: A 4-week in-clinic exercise program supervised by a physiotherapist, including the same exercises as the app group

Study summary

The goal of this clinical trial is to learn if using a phone app for exercises is as effective as working with a physical therapist before anterior cruciate ligament knee surgery. It will also check if exercising before surgery helps patients recover better compared to those who do not follow a specific exercise plan. The main questions it aims to answer are:

* Does the phone app help patients improve their knee strength and movement as well as seeing a physical therapist?
* Do patients who exercise before surgery have a better recovery after surgery than those who do not?

Researchers will compare the phone app group to a physical therapist group and a group with no specific exercise plan to see which method works best.

Participants will:

* Follow an exercise plan for 4 weeks before their surgery (either using the app, with a therapist, or no specific plan).
* Visit the clinic for check-ups before starting the exercises, right before the surgery, and 6 months after the surgery.
* Complete simple tests and surveys to measure their knee health.

Eligibility

Primary outcome measure(s)

• Isometric Quadriceps Muscle Strength — Baseline, Preoperative (Week 4), and Postoperative (Month 6)
  Muscle strength will be measured using a hand-held dynamometer (Newton). Measurements will be taken at 30 and 70 degrees of knee flexion. The highest value of 3 trials will be recorded.
• Isometric Hamstring Muscle Strength — Baseline, Preoperative (Week 4), and Postoperative (Month 6).
  Muscle strength will be measured using a hand-held dynamometer (Newton) at 35 and 60 degrees of flexion

Trial sites (1)

More Dr. Lutfi Kirdar Kartal Training and Research Hospital trials in Turkey