Dietary Protein Intake and Rehabilitation From Anterior Cruciate Ligament Surgery



Status:Not yet recruiting
Conditions:Orthopedic
Therapuetic Areas:Orthopedics / Podiatry
Healthy:No
Age Range:16 - Any
Updated:3/13/2019
Start Date:March 2019
End Date:August 2021
Contact:Gary Miller, Ph.D.
Email:gdmiller@wakehealth.edu
Phone:(336) 758-1901

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The Effects of Providing Protein and Nutritional Guidance on Healing Times After ACL Surgery

Protein supplementation may promote increases in strength and hypertrophy in the context of
resistance training (RT) and reduce markers of inflammation, while sufficient levels of
protein are necessary for healing certain wounds and maintenance of muscle mass in a protein
depleted state. Protein supplementation could be useful to improve clinical outcomes.

Protein supplementation may promote increases in strength and hypertrophy in the context of
resistance training (RT) and reduce markers of inflammation, while sufficient levels of
protein are necessary for healing certain wounds and maintenance of muscle mass in a protein
depleted state. Despite this, no studies have investigated the role of protein provision in
the context of physical therapy (PT) or musculoskeletal rehabilitation, including following
surgical interventions. Survey data of Americans in the highest protein consuming age range
(19-30 year old consuming 91 g/kg body weight/day), show they have an adequate protein intake
to maintain nitrogen balance at baseline (85 g/kg). However, if patients under consume
protein, as apparent in older adults (mean intake of 66 g/kg) these individuals will require
more during times of tissue healing or could benefit with more in attempting to build back
their strength through RT or PT. Thus, protein supplementation could be useful to improve
clinical outcomes.

Inclusion Criteria:

- Participants with a complete ACL tear and received a hamstring autograft ACL repair
surgery (within 8 months of injury) and plan to complete physical therapy and follow
up treatment with WFBH at D1 outpatient rehabilitation

- Subjects must have a smartphone capable of running the nutrition tracking app (My
Fitness Pal)

Exclusion Criteria:

- Subjects must not have other ligamentous involvement, or complications during the
surgical procedure.

- They must not have had a concurrent meniscal repair (debridement is acceptable).

- They must not have post-operative limitations that interfere with rehabilitation.

- Patients determined by the referring surgeon to be poor candidates for the study for
any medical (including history of eating disorder, phenylketonuria, maple syrup urine
disease, food allergies, lactose intolerance, kidney or liver disease) or other
reasons that deem them inappropriate to complete the intervention (driving distance
from facility, work schedule that prohibits therapy treatments, dietary restrictions)
will be excluded.

- Females who are pregnant will not be permitted in the study.
We found this trial at
1
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Winston-Salem, North Carolina 27157
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Winston-Salem, NC
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