Longitudinal Changes in Psychosocial Factors and Their Association With Knee Pain and Function After Anterior Cruciate Ligament Reconstruction

Chmielewski, Terese L.; Zeppieri, Giorgio; Lentz, Trevor A.; Tillman, Susan M.; Moser, Michael W.; Indelicato, Peter A.; George, Steven Z.

doi:10.2522/ptj.20100277

Cited by 132 publications

(137 citation statements)

References 40 publications

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“…Including the use of Tampa Scale of Kinesiophobia (TSK-11) [57] will allow the rehabilitation team to identify those individuals with high fear of movement and thus warrant a modification to the therapeutic approach. Through delaying the progression through the protocol, providing education to improve patient self-efficacy, and incorporating neuromuscular re-education techniques such as perturbation training may benefit the patient who exhibits high fear [58,59]. Kinesiophobia and pain catastrophizing are two psychological factors which have been shown to be strongly correlated with lack of return to sport [55].…”

Section: Fearmentioning

confidence: 99%

Prevention and Management of Post-operative Complications Following ACL Reconstruction

Eckenrode

Carey

Sennett

et al. 2017

Curr Rev Musculoskelet Med

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Purpose of Review The goal of this paper is to review the current management and prevention of post-operative complications after anterior cruciate ligament (ACL) reconstruction. Trends in rehabilitation techniques will be presented, in addition to suggestions for interventions and expected milestones in ACL reconstruction recovery. Recent Findings ACL reconstruction protocols have evolved to more of a criterion-based progression rather than a tissuehealing time frame. Given the evolution of ACL surgical reconstruction techniques and rehabilitation protocols, the risk of post-operative complications can arise both early and late in the recovery process. This paper will discuss the role of preventative measures as it applies to the post-operative patient with ACL reconstruction. Summary Short-term complications following ACL reconstruction include infection and deficits to knee motion and strength, whereas long-term complications include secondary ACL injury to either the involved or contralateral knee and lack of ability to return to high-level sports following this procedure. Future research should continue to address the multifactorial causes of secondary ACL injury and limited ability of patients to return to high level activities.

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Section: Fearmentioning

confidence: 99%

Prevention and Management of Post-operative Complications Following ACL Reconstruction

Eckenrode

Carey

Sennett

et al. 2017

Curr Rev Musculoskelet Med

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“…We think that a phenomenon of ''overprotection'' of the knee joint develops after surgery on the IL. Psychological factors, such as the fear of reinjury, have been shown to limit the extent of functional recovery after ACL reconstruction 12,22 and, therefore, may limit knee-joint extension. During dynamic movements and given the anatomic constraint, 23 antagonist muscles play the role of ''brakes'' against the movement to protect the joint.…”

Section: Joint Kinematicsmentioning

confidence: 99%

Motion Alterations After Anterior Cruciate Ligament Reconstruction: Comparison of the Injured and Uninjured Lower Limbs During a Single-Legged Jump

Fontenay

Argaud

Blache

et al. 2014

Journal of Athletic Training

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Context: Asymmetries subsist after anterior cruciate ligament reconstruction (ACL-R), and it is unclear how lower limb motion is altered in the context of a dynamic movement.Objective: To highlight the alterations observed in the injured limb (IL) during the performance of a dynamic movement after ACL-R.Design: Cross-sectional study. Setting: Research laboratory. Patients or Other Participants: A total of 11 men (age ¼ 23.3 6 3.8 years, mass ¼ 81.2 6 17.0 kg) who underwent ACL-R took part in this study 7.3 6 1.1 months (range ¼ 6-9 months) after surgery.Intervention(s): Kinematic and kinetic analyses of a singlelegged squat jump were performed. The uninjured leg (UL) was used as the control variable.Main Outcome Measure(s): Kinematic and kinetic variables.Results: Jump height was 24% less for the IL than the UL (F 1,9 ¼ 23.3, P ¼ .001), whereas the push-off phase duration was similar for both lower limbs (P ¼ .96). Knee-joint extension (F 1,9 ¼ 11.4, P ¼ .009), and ankle plantar flexion (F 1,9 ¼ 22.6, P ¼ .001) were less at takeoff for the IL than the UL. The hip angle at takeoff was not different between lower limbs (P ¼ .09). We found that total moment was 14% less (F 1,9 ¼ 11.1, P ¼ .01) and total power was 35% less (F 1,9 ¼ 24.2, P ¼ .001) for the IL than the UL. Maximal hip (P ¼ .09) and knee (P ¼ .21) power was not different between legs. The IL had 34% less maximal ankle power (F 1,9 ¼ 11.3, P ¼ .009) and 31% less angular velocity of ankle plantar flexion (F 1,9 ¼ 17.8, P ¼ .004) than the UL.Conclusions: At 7.3 months after ACL-R, motion alterations were present in the IL, leading to a decrease in dynamic movement performance. Enhancing the tools for assessing articular and muscular variables during a multijoint movement would help to individualize rehabilitation protocols after ACL-R.Key Words: knee, dynamic movement, hop test, rehabilitation Key PointsKinematic and kinetic alterations were demonstrated in the injured leg at 7.3 months after anterior cruciate ligament reconstruction. These alterations led to decreased jump height during a single-legged squat jump in the injured leg. Enhancing tools for assessing articular and muscular variables during a multijoint movement would help to individualize rehabilitation protocols after anterior cruciate ligament reconstruction.

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“…Prior studies have reported an association between postoperative self-efficacy and improved functional recovery outcomes among individuals who have undergone hip or knee replacement. 29,31,43 Increased self-efficacy for rehabilitation has been shown to contribute to improved knee function following ACL reconstruction 6 and knee replacement surgery. 23 In the present case, at 9 months post BMAC surgery knee self-efficacy was lower than females 4 months post ACL reconstruction 41 SER score only indicated a moderate belief in ability to perform activities in rehabilitation.…”

Section: Discussionmentioning

confidence: 99%

“…29,37 The SER was designed specifically for patients undergoing lower limb orthopaedic surgery 45 and has been used in ligament reconstruction 6 and joint replacement 23 but it has not been previously used in a knee osteochondral repair population. The mean SER scores are shown in Figure 2.…”

Section: Self-efficacy For Rehabilitation Outcomes Scale (Ser)mentioning

confidence: 99%

Return to running following knee osteochondral repair using an anti-gravity treadmill: A case report

Hambly

Poomsalood

Mundy

2017

Physical Therapy in Sport

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Longitudinal Changes in Psychosocial Factors and Their Association With Knee Pain and Function After Anterior Cruciate Ligament Reconstruction

Cited by 132 publications

References 40 publications

Prevention and Management of Post-operative Complications Following ACL Reconstruction

Prevention and Management of Post-operative Complications Following ACL Reconstruction

Motion Alterations After Anterior Cruciate Ligament Reconstruction: Comparison of the Injured and Uninjured Lower Limbs During a Single-Legged Jump

Return to running following knee osteochondral repair using an anti-gravity treadmill: A case report

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