Cognitive-behavioral-based physical therapy to enhance return to sport after anterior cruciate ligament reconstruction: An open pilot study
2020
Abstract Objectives To describe feasibility, adherence, acceptability, and outcomes of a cognitive-behavioral-based physical therapy (CBPT-ACLR) intervention for improving postoperative recovery after anterior cruciate ligament reconstruction (ACLR). Design Pilot study. Setting Academic medical center. Participants Eight patients (mean age [SD] = 20.1 [2.6] years, 6 females) participated in a 7-session telephone-based CBPT-ACLR intervention beginning preoperatively and lasting 8 weeks after surgery. Main outcome measures At 6 months, patients completed Knee Injury and Osteoarthritis Outcome Score (KOOS) sports/recreation and quality of life (QOL) subscales, International Knee Documentation Committee (IKDC), Tampa Scale of Kinesiophobia (TSK), Pain Catastrophizing Scale (PCS), and Knee Self-Efficacy Scale (K-SES), return to sport (Subjective Patient Outcome for Return to Sports), and satisfaction. Minimal clinically important difference (MCID) was used for meaningful change. Results Seven (88%) patients completed all sessions. Seven (88%) patients exceeded MCID on the TSK, 6 (75%) on the PCS, 5 (63%) on the KOOS sports/recreation subscale, 4 (50%) on the IKDC, and 3 (38%) on the KOOS QOL subscale. Three (38%) patients returned to their same sport at the same level of effort and performance. All patients were satisfied with their recovery. Conclusions A CBPT-ACLR program is feasible and acceptable for addressing psychological risk factors after ACLR.
Keywords:
- Pain catastrophizing
- Kinesiophobia
- Physical therapy
- Minimal clinically important difference
- Physical medicine and rehabilitation
- Osteoarthritis
- Cognition
- Medicine
- Anterior cruciate ligament reconstruction
- Quality of life
- Psychological risk factors
- Cognitive behavioral therapy
- Rehabilitation
- Anterior cruciate ligament
- Psychological adaptation
- Correction
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