1. The effect of factors from different time points on psychological readiness following ACL reconstruction.
- Author
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Hopper HM, Bruce Leicht AS, Thompson XD, Gwathmey FW, Miller MD, Werner BC, Brockmeier SF, Diduch DR, and Hart JM
- Subjects
- Humans, Male, Female, Cross-Sectional Studies, Young Adult, Adult, Adolescent, Time Factors, Recovery of Function, Anterior Cruciate Ligament Reconstruction rehabilitation, Anterior Cruciate Ligament Reconstruction psychology, Return to Sport, Anterior Cruciate Ligament Injuries surgery, Anterior Cruciate Ligament Injuries psychology
- 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., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 Elsevier Ltd. All rights reserved.)
- Published
- 2024
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