Rogelio A Coronado1, Emma K Sterling2, Dana E Fenster2, Mackenzie L Bird2, Allan J Heritage3, Vickie L Woosley4, Alda M Burston2, Abigail L Henry2, Laura J Huston5, Susan W Vanston2, Charles L Cox2, Jaron P Sullivan2, Stephen T Wegener6, Kurt P Spindler7, Kristin R Archer8. 1. Department of Orthopaedic Surgery, Vanderbilt University Medical Center, Nashville, TN, USA; Center for Musculoskeletal Research, Vanderbilt University Medical Center, Nashville, TN, USA; Department of Physical Medicine and Rehabilitation, Vanderbilt University Medical Center, Nashville, TN, USA. 2. Department of Orthopaedic Surgery, Vanderbilt University Medical Center, Nashville, TN, USA. 3. Department of Psychology, Vanderbilt University, Nashville, TN, USA; Department of Psychology, Counseling & Family Science, Lipscomb University, Nashville, TN, USA. 4. Athletic Department, Vanderbilt University, Nashville, TN, USA. 5. Department of Orthopaedic Surgery, Vanderbilt University Medical Center, Nashville, TN, USA; Center for Musculoskeletal Research, Vanderbilt University Medical Center, Nashville, TN, USA. 6. Department of Physical Medicine and Rehabilitation, Johns Hopkins Medicine, Baltimore, MD, USA. 7. Department of Orthopaedic Surgery, The Cleveland Clinic Foundation, Cleveland, OH, USA. 8. Department of Orthopaedic Surgery, Vanderbilt University Medical Center, Nashville, TN, USA; Center for Musculoskeletal Research, Vanderbilt University Medical Center, Nashville, TN, USA; Department of Physical Medicine and Rehabilitation, Vanderbilt University Medical Center, Nashville, TN, USA; Osher Center for Integrative Medicine, Vanderbilt University Medical Center, Nashville, TN, USA. Electronic address: kristin.archer@vumc.org.
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.
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.
Authors: Garrett S Bullock; Timothy C Sell; Ryan Zarega; Charles Reiter; Victoria King; Hailey Wrona; Nilani Mills; Charlotte Ganderton; Steven Duhig; Anu Räisäsen; Leila Ledbetter; Gary S Collins; Joanna Kvist; Stephanie R Filbay Journal: Sports Med Date: 2022-08-13 Impact factor: 11.928
Authors: Rogelio A Coronado; Jordan A Bley; Laura J Huston; Jacquelyn S Pennings; Hiral Master; Emily K Reinke; Mackenzie L Bird; Erica A Scaramuzza; Christine M Haug; Shannon L Mathis; Susan W Vanston; Charles L Cox; Kurt P Spindler; Kristin R Archer Journal: Phys Ther Sport Date: 2021-06-02 Impact factor: 2.920
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