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Titre : | Cognitive-behavioral-based physical therapy to enhance return to sport after anterior cruciate ligament reconstruction: An open pilot study (2020) |
Auteurs : | Rogelio A. Coronado ; Emma K. Sterling ; Dana E. Fenster ; et al. |
Type de document : | Article |
Dans : | Physical therapy in sport (Vol. 42, March 2020) |
Article en page(s) : | p. 82-90 |
Note générale : | https://doi.org/10.1016/j.ptsp.2020.01.004 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Adaptation psychologique ; Réadaptation ; Reconstruction du ligament croisé antérieur ; Retour au sport ; Télémédecine ; Thérapies comportementales et cognitives |
Résumé : |
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. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S1466853X19305309#! |