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Anterior Cruciate Ligament ReconstructionNCT05929118

The Effect of Aquatic Rehabilitation on Knee Function in Anterior Cruciate Ligament Reconstruction Patients.

A study testing Aquatic Rehabilitation and Land-based Rehabilitation in people with Anterior Cruciate Ligament Reconstruction and Hydrotherapy, run by Beijing Sport University at 1 site in China.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The goal of this clinical trial is to compare the applicability and effectiveness of an aquatic rehabilitation training program with a conventional land-based rehabilitation program in terms of lower extremity biomechanics and knee function in Anterior Cruciate Ligament Reconstruction (ACLR) patients. Read more about this study

Who is it for?
Ages 18 to 50 years
What is being tested?
Aquatic Rehabilitation and Land-based Rehabilitation
Could I receive a placebo?
No, everyone receives an active treatment
How many people
20 participants
Where
1 siteChina
Study dates
1 Nov 2020to 3 Feb 2023
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 50 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Patients 4-8 weeks after unilateral ACL reconstruction surgery, or combined meniscus removal or resection, or 6-10 weeks after combined meniscus suturing after unilateral ACL reconstruction;
  • No other lower extremity injury in the last 3 months, except for meniscal injury.

Who cannot join

  • Contraindications related to underwater conditions such as open wounds, infectious diseases, history of neurological diseases (stroke, degenerative diseases of the central or peripheral nervous system, etc.), and being on psychotropic or anti-hypertensive drugs;
  • Fear of water and inability to comply with experimental arrangements;
  • History of ACL reconstruction surgery on the contralateral lower extremity and not more than half a year ago.

Trial locations and contacts

1 site in 1 country.

China1 site
  • Beijing Sport University

    Beijing, Beijing Municipality, 100084

Other trials in China

About this study

Official title: The Impact of Aquatic Rehabilitation on Gait and Muscle Function in Patients After Anterior Cruciate Ligament Reconstruction.

The goal of this clinical trial is to compare the applicability and effectiveness of an aquatic rehabilitation training program with a conventional land-based rehabilitation program in terms of lower extremity biomechanics and knee function in Anterior Cruciate Ligament Reconstruction (ACLR) patients. The main questions it aims to answer are:

  • Does aquatic rehabilitation accelerate the recovery of gait symmetry and muscle function in patients after ACLR?
  • Previous studies have not uncovered the training characteristics of aquatic rehabilitation, which allow for training movements that cannot be performed on land, and it is unknown whether these different training movement characteristics are more effective for patients with ACLR.

Participants were randomly divided into an aquatic rehabilitation group (AR) and a land-based rehabilitation group (LR), and each group performed 70-90 minutes of training per session for a total of 6 sessions. This included warm-up activities, mobility training, strength training, functional exercises, and finishing activities. Each training session was conducted 1-2 days apart, 2-3 sessions per week, and the training was completed within 2-3 weeks.

Read the detailed description

The experimental procedures of this study included collecting basic information about the subjects (age, height, weight, injury history, and surgery) and assessing muscle properties, degree of knee swelling, thigh circumference, knee flexion mobility, balance ability, gait, and the IKDC2000 score. Post-intervention testing was performed with the same testing procedures as the pre-intervention testing. The IKDC score was assessed again for one year after the intervention.

The results of all outcomes measured before and after the intervention were analyzed and calculated using IBM SPSS Statistics 26.0. The data were tested for normality using the Shapiro-Wilk test. For data conforming to a normal distribution, results are expressed as mean (Mean) and standard deviation (SD). An independent-samples t-test was used to compare whether there was a statistically significant difference in baseline and post-intervention values between the two intervention groups, and a paired-samples t-test was used to test whether there was a statistically significant difference before and after the intervention within each group. For data that did not conform to a normal distribution, results are expressed as median and interquartile range (IQR). The Mann-Whitney U test was used to compare baseline and post-intervention values between the two intervention groups, and the Wilcoxon signed-rank test was used to examine whether there was a statistically significant difference before and after the intervention within each group. Statistical significance was set at P < 0.05, and P < 0.01 was considered highly significant.

Being tested
Aquatic Rehabilitation, Land-based Rehabilitation

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Aquatic RehabilitationOther

    Reviewing the existing literature studies and related books, and combining the post-operative rehabilitation process of ACLR with the opinions of experts from the China Aquatic Rehabilitation Association, the Aquatic rehabilitation program of this study was designed.

  • Land-based RehabilitationOther

    Peking University Third Hospital Anterior Cruciate Ligament (ACL) Postoperative Rehabilitation Guidelines.

Study groups in NCT05929118
Study groupRoleWhat they receive
Aquatic RehabilitationExperimentalEach group performed 70-90 minutes per session for a total of 6 interventions, all of which included warm-up activities, mobility training, strength training, functional exercise, and finishing activities. Each training was conducted 1-2 days apart, 2-3 times per week, and the training was completed within 2-3 weeks.
Receives: Other: Aquatic Rehabilitation
Land-based RehabilitationExperimentalEach group performed 70-90 minutes per session for a total of 6 interventions, all of which included warm-up activities, mobility training, strength training, functional exercise, and finishing activities. Each training was conducted 1-2 days apart, 2-3 times per week, and the training was completed within 2-3 weeks.
Receives: Other: Land-based Rehabilitation

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Stride Length Change

    Kinovea 0.8.15 software was used for gait video calibration to analyze and calculate the stride length, which is the longitudinal linear distance between two consecutive heel touches on the same side of the foot during walking. The time, place, and testers of the test were kept consistent.

    Measured: Each subject was tested before the first intervention training and after the sixth intervention training (on average 2-3 weeks after the first intervention).

  2. Step Length Change

    Kinovea 0.8.15 software was used to calibrate the gait video to analyze and calculate the step length, which is the longitudinal linear distance between two points when the left and right heels touch the ground during walking. The time, place, and testers of the test were kept consistent.

    Measured: Each subject was tested before the first intervention training and after the sixth intervention training (on average 2-3 weeks after the first intervention).

  3. Stride Length Time Change

    Kinovea 0.8.15 software was used to calibrate the gait video to analyze and calculate the stride length, which is the time between two consecutive landings on the same side of the heel during walking. The time, place, and testers of the test were kept consistent.

    Measured: Each subject was tested before the first intervention training and after the sixth intervention training (on average 2-3 weeks after the first intervention).

  4. Step Length Time Change

    Kinovea 0.8.15 software was used to calibrate the gait video to analyze and calculate the step length time, which is the time between the two points where the left and right heels touch the ground during walking. The time, place, and testers of the test were kept consistent.

    Measured: Each subject was tested before the first intervention training and after the sixth intervention training (on average 2-3 weeks after the first intervention).

  5. Single Support Phase Change

    Kinovea 0.8.15 software was used to calibrate the gait video to analyze and calculate the single support phase, which is the time between the toe of one foot leaving the ground and the foot following the ground on that side during walking. The time, place, and testers of the test were kept consistent.

    Measured: Each subject was tested before the first intervention training and after the sixth intervention training (on average 2-3 weeks after the first intervention).

  6. Oscillation Frequency Change

    Oscillation Frequency (Hz) is the intrinsic pressure of the muscle, that is, the pressure carried by the muscle itself in the relaxed state or in the absence of voluntary contraction, and represents the muscle tone. The time, place, and testers of the test were kept consistent.

    Measured: Each subject was tested before the first intervention training and after the sixth intervention training (on average 2-3 weeks after the first intervention).

  7. Mechanical Stress Relaxation Time Change

    Mechanical Stress Relaxation Time (MSRT) is the time required for the muscle to return from its deformed state to its original state after active contraction or withdrawal of external pressure. The time, place, and testers of the test were kept consistent.

    Measured: Each subject was tested before the first intervention training and after the sixth intervention training (on average 2-3 weeks after the first intervention).

  8. Creep Change

    Creep (Deborah number) is the ratio of the mechanical stress release time to the time required for the muscle to reach maximum deformation by external force, SRT and Creep represent muscle viscosity. The time, place, and testers of the test were kept consistent.

    Measured: Each subject was tested before the first intervention training and after the sixth intervention training (on average 2-3 weeks after the first intervention).

  9. Range of Motion Change

    Active and passive Range of Motion in knee flexion. The time, place, and testers of the test were kept consistent.

    Measured: Each subject was tested before the first intervention training and after the sixth intervention training (on average 2-3 weeks after the first intervention).

  10. 2000 IKDC Subjective Knee Evaluation Form Change

    2000 IKDC Subjective Knee Evaluation Form is divided into three modules: knee symptoms (7 questions), motor activity (10 questions) and self-functional score (2 questions), where knee symptoms include frequency and degree of pain, stiffness, swelling, locking and instability; motor activity includes activity level, going up and down stairs, squatting, kneeling straight down, sitting and standing up with bent knees, running, jumping and landing on the affected limb, and quick starts and stops; and self-functional score includes pre-injury and current self-functional scores, graded from unable to perform daily activities (0 points) to unrestricted daily activities (10 points). The time, place, and testers of the test were kept consistent.

    Measured: Each subject was tested before the first intervention training and after the sixth intervention training (on average 2-3 weeks after the first intervention). Follow-up was performed again one year after the end of the intervention using the IKDC score.

  11. Stiffness Change

    Stiffness indicates the resistance of a muscle to contraction or to an external force that deforms its initial shape. The time, place, and testers of the test were kept consistent.

    Measured: Each subject was tested before the first intervention training and after the sixth intervention training (on average 2-3 weeks after the first intervention).

  12. Decrement Value Change

    The Decrement (Dec) value represents a muscle's ability to return to its initial shape after the reduction or removal of an external force, with muscle elasticity being inversely proportional to the Dec value. A lower Dec value indicates greater muscle elasticity. The time, place, and testers of the test were kept consistent.

    Measured: Each subject was tested before the first intervention training and after the sixth intervention training (on average 2-3 weeks after the first intervention).

Secondary outcomes (2)
  1. Degree of Knee Swelling Change

    The circumference of the knee joint was measured with a soft tape to indicate the degree of swelling of the knee joint. The subject was placed in a supine position with the lower extremities in a slightly flexed and relaxed position, and the hands were placed naturally on the side of the body. The medial and lateral femoral condyles were used as the midline of the knee joint, and the circumference of the knee joint enclosed by this midline was measured and recorded with the upper edge of the soft dipstick to reflect the swelling of the knee joint. The swelling effect of the intervention was reflected by the change in the circumference of the knee before and after training, and the difference in circumference between the two sides could reflect the degree of swelling. The time, place, and testers of the test were kept consistent.

    Measured: Each subject was tested before the first intervention training and after the sixth intervention training (on average 2-3 weeks after the first intervention).

  2. Thigh Muscle Atrophy Change

    Thigh circumference can indirectly indicate the strength of the knee flexor and extensor muscles by indirectly reflecting the cross-sectional area of the thigh muscles, so the circumference of the thigh at 10 cm above the patella was measured with a soft dermatome to reflect the muscle strength of the thigh, and the resulting atrophy index was calculated to reflect the degree of atrophy of the thigh. The time, place, and testers of the test were kept consistent.

    Measured: Each subject was tested before the first intervention training and after the sixth intervention training (on average 2-3 weeks after the first intervention).

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted3 Jul 2023
  2. Study start1 Nov 2020
  3. Primary completion15 Dec 2022
  4. Study completion3 Feb 2023

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Participant
Enrolment
20 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05929118
Sponsor's protocol ID
2022158H
Status last verified
Jan 2025
First submitted
11 May 2023
Last updated
5 Jan 2026
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Aquatic Rehabilitation and Land-based Rehabilitation in people with Anterior Cruciate Ligament Reconstruction and Hydrotherapy, run by Beijing Sport University at 1 site in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 5 Jan 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Stride Length Change (time frame: Each subject was tested before the first intervention training and after the sixth intervention training (on average 2-3 weeks after the first intervention).). The study lists 12 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 Jan 2026.

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