Utilization of Rehabilitation Prior to Surgery Among Patients With Anterior-cruciate Ligament Knee Injury

Overview

This research aims to assess physiotherapy utilization in the treatment of patients with an anterior-cruciate ligament knee injury, when delivered before their surgery (prehab), and its potential effects on absence from work, and patients global health consumptions (before and after the surgery).

Full Title of Study: “Utilization of Rehabilitation Prior to Surgery Among Patients With Anterior-cruciate Ligament Knee Injury: a Retrospective Review of the French National Health Database (Prehab-ACL)”

Study Type

  • Study Type: Observational
  • Study Design
    • Time Perspective: Other
  • Study Primary Completion Date: June 1, 2023

Detailed Description

Based on the codes generated from French National health database, patients with prehab (+post-surgery rehabilitation) will be compared to patients receiving only post-surgery rehabilitation

Interventions

  • Behavioral: Rehabilitation before knee surgery (prehab)
    • Physiotherapy strategies for preparing the patient awaiting the surgical procedure
  • Behavioral: Post-surgery rehabilitation
    • Physiotherapy strategies to manage post-surgery recovery

Arms, Groups and Cohorts

  • Prehab
    • Patients awaiting a knee surgical procedure, and after the surgery
  • Control
    • Patients after the surgery

Clinical Trial Outcome Measures

Primary Measures

  • Consumption of physiotherapy services
    • Time Frame: – 3 months up to surgery
    • Total number of sessions, frequency (/week)
  • Consumption of physiotherapy services
    • Time Frame: from surgery up to 18 months later
    • Total number of sessions, frequency (/week)
  • Absence from work
    • Time Frame: – 3 months up to surgery
    • Number of days
  • Absence from work
    • Time Frame: from surgery up to 18 months later
    • Number of days

Secondary Measures

  • Health consumption 1
    • Time Frame: – 3 months up to surgery
    • Appointments to MD, nurses (total number)
  • Health consumption 1
    • Time Frame: from surgery up to 18 months later
    • Appointments to MD, nurses (total number)
  • Health consumption 2
    • Time Frame: – 3 months up to surgery
    • Drugs and medical imaging (total number)
  • Health consumption 2
    • Time Frame: from surgery up to 18 months later
    • Drugs and medical imaging (total number)
  • Health consumption 3
    • Time Frame: from surgery up to 18 months later
    • Hospital stay (number, length)
  • Health consumption 4
    • Time Frame: from surgery up to 18 months later
    • Re-injury (surgery, number)

Participating in This Clinical Trial

Inclusion Criteria

  • First episod of ACL-surgery Exclusion Criteria:

  • No history or previous ACL-surgery – No rehabilitation after surgery

Gender Eligibility: All

Minimum Age: 18 Years

Maximum Age: N/A

Are Healthy Volunteers Accepted: No

Investigator Details

  • Lead Sponsor
    • Nantes University Hospital
  • Provider of Information About this Clinical Study
    • Sponsor
  • Overall Contact(s)
    • Guillaume LE SANT, Assistant professor | PhD, PT, 251795192, guillaume.le-sant@univ-nantes.fr

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