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Trial registered on ANZCTR
Registration number
ACTRN12613000157774
Ethics application status
Approved
Date submitted
7/02/2013
Date registered
8/02/2013
Date last updated
27/09/2019
Date data sharing statement initially provided
27/09/2019
Date results provided
27/09/2019
Type of registration
Prospectively registered
Titles & IDs
Public title
The effect of anterior cruciate ligament injury on skeletal muscle function, contractile proteins and inflammation
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Scientific title
Skeletal muscle biopsy to evaluate Na+, K+, and ATPase content in young ACL injured participants
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Secondary ID [1]
281917
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Nil
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Universal Trial Number (UTN)
U1111-1139-3325
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Anterior cruciate ligament injury
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Condition category
Condition code
Musculoskeletal
288669
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0
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Other muscular and skeletal disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
No drug intervention involved.
Muscle sample taken via muscle biopsy with a Bergstrom needle from the vastus lateralis of both injured and uninjured legs of patients undergoing ACL reconstructive surgery. The biopsy procedure takes less than 5 minutes on each leg.
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Intervention code [1]
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Early detection / Screening
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Comparator / control treatment
Muscle sample from the vastus lateralis of only the dominant leg using a Bergstrom needle in asymptomatic BMI and age matched controls.
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Control group
Active
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Outcomes
Primary outcome [1]
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Muscle Na+,K+ ATPase transport protein content. Measured using radioactive labelled ouabain binding site content for total functional Na+,K+ ATPase content, and western blotting for indivividual isoform content.
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Assessment method [1]
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Timepoint [1]
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Immediately before the commencement of ACL reconstructive surgery.
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Primary outcome [2]
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Muscle function (strength and balance). Isometric strength measured using a portable force transducer strapped to a chair at 90 degree knee flexion.
Balance will be assessed using a force platform which can calculate the average velocity of the participant's centre of pressure.
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Assessment method [2]
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Timepoint [2]
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Approximately 1-2 weeks before ACL reconstructive surgery.
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Secondary outcome [1]
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Muscle inflammatory factors (IL-6, TNF alpha). This will be assessed using a Multiplex suspension array system (Bio-Rad).
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Assessment method [1]
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Timepoint [1]
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Immediately before ACL reconstructive surgery.
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Eligibility
Key inclusion criteria
ACL group:
1. Scheduled for ACL reconstructive surgery.
2. Between 18-35 years of age
3. BMI <30
Control Group:
1. Free from lower limb injury
2. Between 18-35 years of age
3. BMI <30
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Minimum age
18
Years
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Maximum age
35
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
ACL group:
Not between 18-35 years of age.
Any metabolic or cardiovascular diseases which impact on physical activity prior to ACL injury.
Control group
Not between 18-35 years of age
Any metabolic or cardiovascular diseases which impact on physical activity levels
Recent lower limb joint injury
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Study design
Purpose of the study
Diagnosis
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
No randomization or blinding of participants as those with ACL injury are undergoing a process to obtain a muscle sample in order to characterize biochemical effects on muscle due to ACL injury. Not a treatment intervention.
ACL injured group: Participants are approached by the researcher after they have set a date for ACL reconstructive surgery and asked if they would be interested in voluntary research investigating the muscular effects of ACL injury.
Controls: Asmyptomatic controls recruited from the student population at Victoria University.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
No randomisation as explained above; not testing an any intervention.
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Other
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Other design features
Control group recruited after ACL group to match BMI and age.
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
Strength, balance, and factors investigated in skeletal muscle will be compared via mixed linear modelling. This allows comparison between injured and uninjured legs, as well as between ACL injury and control participants. Pearson's correlation will be used to test association between strength and balance with muscle biochemical factors such as Na+/K+ ATPase.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
4/03/2013
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Actual
4/03/2013
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Date of last participant enrolment
Anticipated
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Actual
1/12/2014
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Date of last data collection
Anticipated
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Actual
1/12/2015
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Sample size
Target
80
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Accrual to date
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Final
12
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
558
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St Vincents & Mercy Private Hospital - Mercy campus - East Melbourne
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Recruitment postcode(s) [1]
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3002 - East Melbourne
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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Victoria University
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Address [1]
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Cnr. Ballarat and Gordon St
Footscray
Victoria
3011
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Country [1]
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Australia
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Primary sponsor type
University
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Name
Victoria University
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Address
Cnr. Ballarat and Gordon St
Footscray
Victoria
3011
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
285477
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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St. Vincent's Hospital Human Research Ethics Committee A
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Ethics committee address [1]
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41 Victoria Parade Fitzroy VIC 3065
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
288772
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Approval date [1]
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29/10/2012
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Ethics approval number [1]
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142/12
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Ethics committee name [2]
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Victoria University Human Research Ethics Committee
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Ethics committee address [2]
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Cnr. Ballarat and Gordon Rd. Footscray Victoria 3011
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Ethics committee country [2]
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Australia
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Date submitted for ethics approval [2]
288773
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Approval date [2]
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07/02/2013
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Ethics approval number [2]
288773
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12/343
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Summary
Brief summary
Damage to the Anterior cruciate ligament (ACL), a ligament vital for the stability of the knee joint, affects the ability to perform daily activities and physical exercise. The reduced physical activity caused by knee injury can cause changes in the muscle of the leg, causing decreased muscle strength, size and endurance. This study proposes to test the effect of ACL injury (knee injury) on muscle on a microscopic or molecular level, and investigate how such molecular changes in the muscle can affect knee function. A second aim of the study is to investigate the role of inflammation in the knee joint and how it affects leg strength and physical activity levels. This will be achieved by measuring strength, balance, physical activity levels, and muscle samples in patients undergoing ACL reconstructive surgery compared to a matched control group. It is hypothesized that after acute ACL trauma, functional changes in quality of life and muscle function of the injured limb will be associated with adverse changes in knee extensor muscle contractility on a biochemical level.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Prof Michael McKenna
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Address
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Professor Michael McKenna
Acting Director
Institute of Sport, Exercise and Active Living (ISEAL)
PO BOX 14428
Melbourne
VIC 8001
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Country
37702
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Australia
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Phone
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61 3 9919 4499
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
37703
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Michael McKenna
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Address
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Professor Michael McKenna
Acting Director
Institute of Sport, Exercise and Active Living (ISEAL)
PO BOX 14428
Melbourne
VIC 8001
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Country
37703
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Australia
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Phone
37703
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61 3 9919 4499
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Fax
37703
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Email
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[email protected]
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Contact person for scientific queries
Name
37704
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Michael McKenna
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Address
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Professor Michael McKenna
Acting Director
Institute of Sport, Exercise and Active Living (ISEAL)
PO BOX 14428
Melbourne
VIC 8001
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Country
37704
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Australia
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Phone
37704
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61 3 9919 4499
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Fax
37704
0
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Email
37704
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
Group results published in de-identified manner; See Perry et al., 2015 in Physiological Reports.
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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