PRePPeD - Physiotherapy Rehabilitation Post Patellar Dislocation

• Research type

  Research Study

• Full title

  Supervised versus self-managed rehabilitation for people after acute patellar dislocation: a multicentre external pilot randomised controlled trial and qualitative study

• IRAS ID

  312280

• Contact name

  Colin Forde

• Contact email

  colin.forde@ndorms.ox.ac.uk

• Sponsor organisation

  University of Oxford / Research Governance, Ethics and Assurance

• ISRCTN Number

  ISRCTN14235231

• Duration of Study in the UK

  2 years, 0 months, 12 days

• Research summary

  Kneecap (patellar) dislocations mainly affect teenagers and young adults. To help recovery, patients are normally referred to physiotherapy. Despite this, some patients experience ongoing problems. The best physiotherapy treatment for this injury is unclear. Finding out the best physiotherapy treatment could improve patients’ recovery.

  Aim:
  We want to compare two physiotherapy treatments to find out which is better for people with a kneecap dislocation. This requires carrying out a large study. To decide if a large study would work, we will compare these treatments in this smaller study.

  Methods:
  We aim to recruit at least 50 patients, aged 14 years or older, with a recent kneecap dislocation from at least 3 hospitals in England.

  Participants will be randomly allocated to either:

  1. “Self-managed rehabilitation”: 1 session with a physiotherapist who will provide advice and exercises to help participants recover. Participants will then manage their own recovery by following advice and exercise videos on a website.
  2. “Supervised rehabilitation”: 4-6 physiotherapy sessions over a maximum of 6 months. Physiotherapists will use the additional sessions to tailor advice and exercises to participants’ individual needs. Physiotherapists will also use strategies to help participants do their exercises.

  We will measure recovery by asking participants to complete online questionnaires when they enter the study, then 3, 6 and 9 months later.

  We will interview up to 20 patients, including patients who declined study participation, to understand their experience of recovery and study participation (if applicable).

  We will decide if a large study will work by assessing:
  • how many patients who can take part, agree to take part
  • the number of patients who agree to take part each month
  • how many physiotherapy sessions participants attend
  • how many participants return completed questionnaires
  • what participants think of the study

  Funding: National Institute for Health and Care Research Doctoral Fellowship

• REC name

  East of Scotland Research Ethics Service REC 1

• REC reference

  22/ES/0035

• Date of REC Opinion

  23 Aug 2022

• REC opinion

  Favourable Opinion