INDEX-KD: INDividualised EXercise for Kneecap Dislocations V_1.0
Research type
Research Study
Full title
Individualised exercise for adults with an acute lateral patellar dislocation: a feasibility study.
IRAS ID
251913
Contact name
Alison Welton
Contact email
Sponsor organisation
City, University of London
Duration of Study in the UK
0 years, 8 months, 27 days
Research summary
INDEX-KD: INDividualised EXercise for Kneecap Dislocations
Background
Kneecap dislocations are a relatively common knee injury. They occur most often in adolescents, during sports and activities that involve changing direction. Common problems after this injury include reduced activity levels, an increased risk of osteoarthritis of the kneecap joint and persistent feelings of kneecap instability. After this injury, 20-50% of patients will suffer another dislocation.There is a lack of evidence to support any one treatment for this condition but to help recover most patients are referred for physiotherapy. The most effective form of physiotherapy is still unknown, due to a lack of research comparing different types of exercise programmes for this condition. Determining the optimal rehabilitation programme to help recover after a kneecap dislocation may improve the poor outcomes after this injury.
Aims
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.Research plan
We 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. Our 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.REC name
West of Scotland REC 5
REC reference
18/WS/0211
Date of REC Opinion
7 Nov 2018
REC opinion
Favourable Opinion