• Phys Ther Sport · Mar 2020

    Randomized Controlled Trial

    Cognitive-behavioral-based physical therapy to enhance return to sport after anterior cruciate ligament reconstruction: An open pilot study.

    • Rogelio A Coronado, Emma K Sterling, Dana E Fenster, Mackenzie L Bird, Allan J Heritage, Vickie L Woosley, Alda M Burston, Abigail L Henry, Laura J Huston, Susan W Vanston, Charles L Cox, Jaron P Sullivan, Stephen T Wegener, Kurt P Spindler, and Kristin R Archer.
    • 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.
    • Phys Ther Sport. 2020 Mar 1; 42: 82-90.

    ObjectivesTo 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).DesignPilot study.SettingAcademic medical center.ParticipantsEight 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 MeasuresAt 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.ResultsSeven (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.ConclusionsA CBPT-ACLR program is feasible and acceptable for addressing psychological risk factors after ACLR.Copyright © 2020 Elsevier Ltd. All rights reserved.

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