INDividualised EXercise for Kneecap Dislocations (INDEX-KD)

City, University of London

Status

Completed

Conditions

Patella Dislocation Recurrent

Patella Dislocation

Treatments

Other: Individualised exercise

Study type

Interventional

Funder types

Other

Identifiers

NCT03798483

251913 (Other Identifier)

MRes/18-19/04/2

Details and patient eligibility

About

This study is a feasibility study. It will assess areas of uncertainty relating to the implementation of an individualised exercise programme for patients with a recent kneecap dislocation. This will help determine if a future larger study is feasible, and inform the design and conduct of future research that would aim to optimise outcomes after a kneecap dislocation.

Full description

The investigators aim to recruit 15 adult participants with a recent, first-time or recurrent kneecap dislocation, from an acute hospital. Participants will receive up to 6 physiotherapy sessions over 3 months. The investigator's exercise programme aims to improve leg muscle strength and facilitate a return to the participant's usual activities. This may include activities such as hopping and changing direction which differentiates it from other programmes. Participants will be required to perform the exercise programme 3 times a week independently. Strategies to increase adherence to the exercise programme will also be used. This study is part of a Masters in Clinical Research funded by the National Institute for Health Research

Enrollment

15 patients

Sex

All

Ages

16+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

First time or recurrent lateral patella dislocation meeting the diagnostic criteria of 1) requiring reduction by paramedics or 2) diagnosed by a member of the trauma and orthopaedic team.

Exclusion criteria

Concurrent anterior cruciate ligament or posterior cruciate ligament injury confirmed by negative Lachman's and posterior drawer test or confirmed by Magnetic Resonance Imagery (MRI); medial collateral and lateral collateral ligament injury requiring application of a hinged knee brace or surgical repair; concomitant injury that would prohibit participation in the exercise intervention
> 4 weeks from injury to presentation to acute care (ED or trauma services)
Unable to give written informed consent
Previous surgery on the affected knee
Presence of fracture on plain radiograph including osteochondral fractures
Medial patellar dislocation
Considered inappropriate for referral to physiotherapy (by member of trauma and orthopaedic team assessing the patient)
History of severe neuromuscular or congenital disorders
Patients referred for orthopaedic opinion who are subsequently listed for surgery prior to completion of the study intervention
Unable to understand written or spoken English
Unable to attend physiotherapy sessions at the John Radcliffe trauma outpatient physiotherapy department