The effect of factors from different time points on psychological readiness following ACL reconstruction
The purpose of this study was to examine factors correlated with psychological readiness to return to activity after ACLR. cross sectional study. controlled laboratory. 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 afte...
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| Veröffentlicht in: | Physical therapy in sport 2024-05, Vol.67, p.161-166 |
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| creator | Hopper, Haleigh M. Bruce Leicht, Amelia S. Thompson, Xavier D. Gwathmey, F. Winston Miller, Mark D. Werner, Brian C. Brockmeier, Stephen F. Diduch, David R. Hart, Joseph M. |
| description | The purpose of this study was to examine factors correlated with psychological readiness to return to activity after ACLR.
cross sectional study.
controlled laboratory.
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.
ACL Return to Sport Index (ACL-RSI).
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, |
| doi_str_mv | 10.1016/j.ptsp.2024.05.002 |
| format | Article |
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cross sectional study.
controlled laboratory.
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.
ACL Return to Sport Index (ACL-RSI).
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).
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.
•Higher pain and kinesiophobia were associated with lower psychological readiness.•Higher activity level was correlated with increased psychological readiness to RTA.•Factors from time of testing were most correlated with psychological readiness.•Efforts to increase psychological readiness should be directed towards rehab.</description><identifier>ISSN: 1466-853X</identifier><identifier>ISSN: 1873-1600</identifier><identifier>EISSN: 1873-1600</identifier><identifier>DOI: 10.1016/j.ptsp.2024.05.002</identifier><identifier>PMID: 38823214</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>ACL ; Cartilage ; Clinical outcomes ; Exercise ; Joint and ligament injuries ; Knee ; Lower extremity muscle testing ; Pain ; Patients ; Psychological readiness ; Questionnaires ; Return to sport ; Surgery ; Surgical outcomes ; Symmetry</subject><ispartof>Physical therapy in sport, 2024-05, Vol.67, p.161-166</ispartof><rights>2024 Elsevier Ltd</rights><rights>Copyright © 2024 Elsevier Ltd. All rights reserved.</rights><rights>2024. Elsevier Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c265t-7b5e0788292b307163b2ef9645150d8a10f7745dca98de0133662c08cb25cf053</cites><orcidid>0009-0000-6262-3703 ; 0000-0002-7956-2123 ; 0000-0003-1732-9251</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/3065270728?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>315,781,785,3551,27929,27930,46000,64390,64392,64394,72474</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38823214$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hopper, Haleigh M.</creatorcontrib><creatorcontrib>Bruce Leicht, Amelia S.</creatorcontrib><creatorcontrib>Thompson, Xavier D.</creatorcontrib><creatorcontrib>Gwathmey, F. Winston</creatorcontrib><creatorcontrib>Miller, Mark D.</creatorcontrib><creatorcontrib>Werner, Brian C.</creatorcontrib><creatorcontrib>Brockmeier, Stephen F.</creatorcontrib><creatorcontrib>Diduch, David R.</creatorcontrib><creatorcontrib>Hart, Joseph M.</creatorcontrib><title>The effect of factors from different time points on psychological readiness following ACL reconstruction</title><title>Physical therapy in sport</title><addtitle>Phys Ther Sport</addtitle><description>The purpose of this study was to examine factors correlated with psychological readiness to return to activity after ACLR.
cross sectional study.
controlled laboratory.
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.
ACL Return to Sport Index (ACL-RSI).
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).
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.
•Higher pain and kinesiophobia were associated with lower psychological readiness.•Higher activity level was correlated with increased psychological readiness to RTA.•Factors from time of testing were most correlated with psychological readiness.•Efforts to increase psychological readiness should be directed towards rehab.</description><subject>ACL</subject><subject>Cartilage</subject><subject>Clinical outcomes</subject><subject>Exercise</subject><subject>Joint and ligament injuries</subject><subject>Knee</subject><subject>Lower extremity muscle testing</subject><subject>Pain</subject><subject>Patients</subject><subject>Psychological readiness</subject><subject>Questionnaires</subject><subject>Return to sport</subject><subject>Surgery</subject><subject>Surgical outcomes</subject><subject>Symmetry</subject><issn>1466-853X</issn><issn>1873-1600</issn><issn>1873-1600</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kUtr3DAUhUVpaV79A10UQTfd2LmSLNkD3YShLxjoJoXshC1fZTTYkivJCfn30TBpF110JXHvdw6Xcwh5z6BmwNT1oV5yWmoOvKlB1gD8FTlnXSsqpgBel3-jVNVJcXdGLlI6ALCyEG_Jmeg6Ljhrzsn-do8UrUWTabDU9iaHmKiNYaajK_OIPtPsZqRLcD4nGjxd0pPZhyncO9NPNGI_Oo-pqMI0hUfn7-nNdlfmJviU42qyC_6KvLH9lPDdy3tJfn39crv9Xu1-fvuxvdlVhiuZq3aQCG05b8MHAS1TYuBoN6qRTMLY9Qxs2zZyNP2mGxGYEEpxA50ZuDQWpLgkn06-Swy_V0xZzy4ZnKbeY1iTFqBEo1inREE__oMewhp9ue5ISd5Cy7tC8RNlYkgpotVLdHMfnzQDfexBH_SxB33sQYPUpYci-vBivQ4zjn8lf4IvwOcTgCWLB4dRJ-PQGxxdyS3rMbj_-T8DYkKZQA</recordid><startdate>20240501</startdate><enddate>20240501</enddate><creator>Hopper, Haleigh M.</creator><creator>Bruce Leicht, Amelia S.</creator><creator>Thompson, Xavier D.</creator><creator>Gwathmey, F. Winston</creator><creator>Miller, Mark D.</creator><creator>Werner, Brian C.</creator><creator>Brockmeier, Stephen F.</creator><creator>Diduch, David R.</creator><creator>Hart, Joseph M.</creator><general>Elsevier Ltd</general><general>Elsevier Limited</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0009-0000-6262-3703</orcidid><orcidid>https://orcid.org/0000-0002-7956-2123</orcidid><orcidid>https://orcid.org/0000-0003-1732-9251</orcidid></search><sort><creationdate>20240501</creationdate><title>The effect of factors from different time points on psychological readiness following ACL reconstruction</title><author>Hopper, Haleigh M. ; Bruce Leicht, Amelia S. ; Thompson, Xavier D. ; Gwathmey, F. Winston ; Miller, Mark D. ; Werner, Brian C. ; Brockmeier, Stephen F. ; Diduch, David R. ; Hart, Joseph M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c265t-7b5e0788292b307163b2ef9645150d8a10f7745dca98de0133662c08cb25cf053</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>ACL</topic><topic>Cartilage</topic><topic>Clinical outcomes</topic><topic>Exercise</topic><topic>Joint and ligament injuries</topic><topic>Knee</topic><topic>Lower extremity muscle testing</topic><topic>Pain</topic><topic>Patients</topic><topic>Psychological readiness</topic><topic>Questionnaires</topic><topic>Return to sport</topic><topic>Surgery</topic><topic>Surgical outcomes</topic><topic>Symmetry</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hopper, Haleigh M.</creatorcontrib><creatorcontrib>Bruce Leicht, Amelia S.</creatorcontrib><creatorcontrib>Thompson, Xavier D.</creatorcontrib><creatorcontrib>Gwathmey, F. Winston</creatorcontrib><creatorcontrib>Miller, Mark D.</creatorcontrib><creatorcontrib>Werner, Brian C.</creatorcontrib><creatorcontrib>Brockmeier, Stephen F.</creatorcontrib><creatorcontrib>Diduch, David R.</creatorcontrib><creatorcontrib>Hart, Joseph M.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Physical therapy in sport</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hopper, Haleigh M.</au><au>Bruce Leicht, Amelia S.</au><au>Thompson, Xavier D.</au><au>Gwathmey, F. Winston</au><au>Miller, Mark D.</au><au>Werner, Brian C.</au><au>Brockmeier, Stephen F.</au><au>Diduch, David R.</au><au>Hart, Joseph M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The effect of factors from different time points on psychological readiness following ACL reconstruction</atitle><jtitle>Physical therapy in sport</jtitle><addtitle>Phys Ther Sport</addtitle><date>2024-05-01</date><risdate>2024</risdate><volume>67</volume><spage>161</spage><epage>166</epage><pages>161-166</pages><issn>1466-853X</issn><issn>1873-1600</issn><eissn>1873-1600</eissn><abstract>The purpose of this study was to examine factors correlated with psychological readiness to return to activity after ACLR.
cross sectional study.
controlled laboratory.
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.
ACL Return to Sport Index (ACL-RSI).
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).
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.
•Higher pain and kinesiophobia were associated with lower psychological readiness.•Higher activity level was correlated with increased psychological readiness to RTA.•Factors from time of testing were most correlated with psychological readiness.•Efforts to increase psychological readiness should be directed towards rehab.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>38823214</pmid><doi>10.1016/j.ptsp.2024.05.002</doi><tpages>6</tpages><orcidid>https://orcid.org/0009-0000-6262-3703</orcidid><orcidid>https://orcid.org/0000-0002-7956-2123</orcidid><orcidid>https://orcid.org/0000-0003-1732-9251</orcidid></addata></record> |
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| ispartof | Physical therapy in sport, 2024-05, Vol.67, p.161-166 |
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| language | eng |
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| source | Access via ScienceDirect (Elsevier); ProQuest Central UK/Ireland |
| subjects | ACL Cartilage Clinical outcomes Exercise Joint and ligament injuries Knee Lower extremity muscle testing Pain Patients Psychological readiness Questionnaires Return to sport Surgery Surgical outcomes Symmetry |
| title | The effect of factors from different time points on psychological readiness following ACL reconstruction |
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