The effect of factors from different time points on psychological readiness following ACL reconstruction

IF 2.2 3区医学 Q1 REHABILITATION Physical Therapy in Sport Pub Date : 2024-05-01 DOI:10.1016/j.ptsp.2024.05.002

Haleigh M. Hopper , Amelia S. Bruce Leicht , Xavier D. Thompson , F. Winston Gwathmey , Mark D. Miller , Brian C. Werner , Stephen F. Brockmeier , David R. Diduch , Joseph M. Hart

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引用次数: 0

Abstract

Objective

The purpose of this study was to examine factors correlated with psychological readiness to return to activity after ACLR.

Design

cross sectional study.

Setting

controlled laboratory.

Participants

164 patients (82 M/82 F, 22.5 ± 8.9yr, 171.6 ± 11.0 cm, 77.4 ± 18.6 kg, 8.6 ± 3.4 months post-ACLR) participated in this study after a primary, isolated, and uncomplicated ACLR.

Main outcome measures

ACL Return to Sport Index (ACL-RSI).

Results

ACL-RSI scores demonstrated a weak positive correlation with activity level at the time of injury and a fair positive correlation with activity level at the time of post-operative testing (p-values: 0.004, <0.001). ACL-RSI scores showed a statistically significant fair negative correlation with pain and a moderate negative correlation with kinesiophobia during rehabilitation (p-values: <0.001, <0.001). There was no statistical significance between ACL-RSI and the surgical variables (p-value range: 0.10–0.61).

Conclusions

Outcomes from testing during postoperative rehabilitation were most correlated with psychological readiness to return to activity after ACLR. Increased pain and kinesiophobia were associated with a decreased psychological readiness. Increased activity level prior to injury and activity level at the time of testing during rehabilitation were both correlated with increased psychological readiness. Psychological readiness to return to activity may need to be customized based on potentially modifiable patient-specific factors during the post-operative rehabilitation.

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不同时间点的因素对前交叉韧带重建后心理准备的影响

本研究旨在探讨前交叉韧带置换术（ACLR）后恢复活动的心理准备相关因素。结果ACL-RSI评分与受伤时的活动水平呈弱正相关，与术后测试时的活动水平呈中度正相关（P值：0.004，<0.001）。ACL-RSI 评分与疼痛呈统计学意义上的相当负相关，与康复期间的运动恐惧呈中度负相关（p 值：<0.001, <0.001）。前交叉韧带损伤（ACL-RSI）与手术变量之间没有统计学意义（p 值范围：0.10-0.61）。疼痛加剧和运动恐惧与心理准备度降低有关。受伤前活动量的增加和康复测试时活动量的增加都与心理准备度的增加有关。恢复活动的心理准备度可能需要根据患者在术后康复过程中可能存在的特定因素进行调整。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Physical Therapy in Sport 医学-康复医学

CiteScore

4.50

自引率

8.30%

发文量

125

审稿时长

39 days

期刊介绍： Physical Therapy in Sport is an international peer-reviewed journal that provides a forum for the publication of research and clinical practice material relevant to the healthcare professions involved in sports and exercise medicine, and rehabilitation. The journal publishes material that is indispensable for day-to-day practice and continuing professional development. Physical Therapy in Sport covers topics dealing with the diagnosis, treatment, and prevention of injuries, as well as more general areas of sports and exercise medicine and related sports science. The journal publishes original research, case studies, reviews, masterclasses, papers on clinical approaches, and book reviews, as well as occasional reports from conferences. Papers are double-blind peer-reviewed by our international advisory board and other international experts, and submissions from a broad range of disciplines are actively encouraged.