Effects of Contralateral Strength Training on Postoperative Strength Deficits in the Immobilized Lower Extremity

NYU Langone Health

Status: Enrolling

Conditions: Meniscus; Detachment, Current Injury

Treatments: Other: Standard of Care Rehabilitation; Other: Experimental Strength Training

Study type: Interventional

Funder types: Other

Identifiers

NCT03650374

18-01100

Details and patient eligibility

About

This is a prospective, randomized controlled trial that will enroll patients undergoing unilateral meniscal root repair or meniscus transplant. The objective of this study is to determine if immediate postoperative strength training of the contralateral (non-surgical) lower extremity reduces postoperative loss of strength in an immobilized lower extremity.

After the completion of surgery, patients will be randomized to either the experimental treatment (Group 1) or control group (Group II)for postoperative rehabilitation.

Full description

Group I will receive knee flexion and extension strength training exercises for the contralateral (non-operative) lower extremity in addition to standard of care postoperative rehabilitation. The experimental strength training will be performed with moderate resistance and will require moderate effort. Exercises will include unilateral leg presses, lunges, step ups, and step downs. These exercises are performed as standard of care but are not typically introduced into the physical therapy regimen until 10-12 weeks postoperatively. In the experimental group, these exercises will be introduced starting with the first postoperative physical therapy session, but only for the contralateral (non-operative) leg.

Enrollment: 50 estimated patients

Sex: All

Ages: 18 to 90 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patient is indicated for meniscal root repair
• Patient is indicated for meniscus transplant
• Patient is at least 18 years of age
• Patient is expected to survive at least 1 year beyond surgery
• Patient has intact lower extremities bilaterally
• Patient is willing to participate by complying with pre-and post-operative visit requirements
• Patient is willing and able to review and sign a study informed consent form

Exclusion criteria

• Lower extremity musculoskeletal defects
• Systemic neuromuscular disorders
• Failure to complete pre-operative BIDOEX strength assessment
• Failure to complete pre-operative self-assessment score intake forms

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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50 participants in 2 patient groups

Group 1

Active Comparator group

Description:

standard of care postoperative rehabilitation.

Treatment:

Other: Standard of Care Rehabilitation

Group 2

Experimental group

Description:

experimental strength training

Treatment:

Other: Experimental Strength Training