Focused shock wave therapy to help recovery after ACL surgery
Official title: Effectiveness of Focused Extracorporeal Shock Wave Therapy Applied as an Addition to Conventional Physiotherapy Program After Anterior Cruciate Ligament Reconstruction
Run by Biruni University · NCT06688344 · Data updated 2026-11-12
This program will test whether adding a weekly low‑intensity focused shock wave treatment to standard physiotherapy helps adults aged 18–45 regain strength, motion, balance, and reduce pain after ACL reconstruction with a hamstring graft.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 45 Years |
| Sex | All |
| Enrollment | 32 (estimated) |
| Sponsor | Biruni University Academic / other |
| Locations | 1 site (Istanbul) |
| Status | Recruiting |
| Started | December 1, 2024 |
| Main results expected | December 1, 2026 |
| Study ends | May 1, 2027 |
| Registry record updated | December 19, 2025 |
| Trial ID | NCT06688344 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18–45 with a unilateral, isolated ACL rupture reconstructed using a hamstring graft and no major comorbidities are the intended participants.
✕Probably not a fit
Patients with previous knee injuries or ACL revision, systemic inflammatory or metabolic bone diseases, recent intra‑articular injections, vascular problems in the leg, cognitive impairment, or outside the age range are unlikely to qualify or benefit from this protocol.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Adults with a unilateral, isolated ACL rupture repaired with a hamstring graft receive a conventional physiotherapy program twice weekly. Participants are assigned to receive either conventional physiotherapy alone, conventional physiotherapy plus low‑intensity focused extracorporeal shock wave therapy once weekly, or a sham procedure alongside physiotherapy. Outcomes measured include muscle strength, postural balance, range of motion, pain scores, and functional status. The protocol tests whether adding fESWT provides measurable recovery benefits over physiotherapy alone.
Why it matters
Potential benefit: If successful, adding focused shock wave therapy could speed functional recovery and reduce pain after ACL reconstruction when combined with standard physiotherapy.
How similar studies have gone: ESWT has shown benefits for various tendon and soft‑tissue problems, but focused ESWT specifically for recovery after ACL reconstruction has limited direct evidence and remains relatively novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age between 18 and 45 years * Unilateral ACL rupture * Isolated ACL injury * Hamstring graft Exclusion Criteria: * Previous knee injury and anterior cruciate ligament revision * Synovitis, stiffness, tension * History of systemic diseases such as rheumatoid arthritis, osteoarthritis, osteoporosis * Presence of tumor * Deep vein thrombosis or vascular pathology in the lower extremity * RA or accompanying comorbidities * Having had intra-articular injection within 6 months * Cognitive impairment
Where it's running
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Istanbul Faculy of Medicine-Department of Sports Medicine
Istanbul, Turkey (Türkiye) Recruiting
Study contacts
- Study coordinator: Berivan Beril Kılıç, Asst. Prof.
- Email: berilk@biruni.edu.tr
- Phone: +905069496158
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Plyometric training added to standard rehab after ACL reconstruction
This study tests whether adding plyometrics to the usual rehab after ACL reconstruction helps improve leg strength and function in adults aged 18–40.
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Isokinetic vs Plyometric Training After ACL Reconstruction
This trial tests whether isokinetic or plyometric training, added after standard rehab, best improves strength, function, and patient-reported outcomes in adults 18–40 after ACL reconstruction.
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ACL reconstruction using the Over-The-Top technique with either metal staples or soft anchors
This study tests whether using a suture-based fixation (soft anchors) during OTT ACL reconstruction works as well as metal staples for graft stability in adults aged 18–50.
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Arthroscopic ACL reconstruction with peroneus longus graft with or without a platelet-rich plasma (PRP) injection
This test sees if a single 4 ml intra-articular PRP injection given during ACL reconstruction with a peroneus longus graft helps adults (18–50) with isolated ACL tears recover better over 12 months.
-
Movement-related fear after ACL reconstruction: general kinesiophobia versus task-specific sport fear
This trial will test whether visual and imagined movement exposures reveal task-specific fear versus general kinesiophobia in people aged 18–35 recovering from ACL reconstruction.
-
ACL reconstruction with lateral extra‑articular tenodesis (LET): clinical and biomechanical outcomes
This project will see if adding lateral extra‑articular tenodesis (LET) to ACL reconstruction changes knee stability and recovery in adults 18–50 who receive gracilis and semitendinosus grafts.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.