Predictors of adherence to home rehabilitation exercises following anterior cruciate ligament reconstruction.

Objective We sought to describe the presentation of external head and neck lymphedema in patients treated for head and neck cancer and examine their initial response to complete decongestive therapy. Study Design Case series with chart review. Setting MD Anderson Cancer Center, Houston, TX. Subjects and Methods Patients evaluated for head and neck cancer at MD Anderson Cancer Center after treatment 01/2007-01/2013 were retrospectively reviewed. Response to complete decongestive therapy was evaluated per changes in lymphedema severity rating or surface tape measures. Predictors of therapy response were examined using regression models. Results 1,202 patients were evaluated. Most patients (62%) had soft, reversible pitting edema (MDACC Stage 1b). Treatment response was evaluated in 733 patients after receiving therapy; 439 (60%) improved after complete decongestive therapy. Treatment adherence independently predicted complete decongestive therapy response (p<0.001). Conclusions These data support the effectiveness of a head and neck cancer-specific regimen of lymphedema therapy for cancer patients with external head and neck lymphedema. Our findings suggest that head and neck lymphedema is distinct from lymphedema that affects other sites, requiring adaptations in traditional methods of management and measurement.

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“…18-21 Our results support these data. Our findings showed that patient adherence was significantly associated with treatment outcomes (p<0.001).…”

Section: Discussionsupporting

confidence: 85%

Lymphedema Outcomes in Patients with Head and Neck Cancer

Smith

Hutcheson²,

Little

et al. 2014

Otolaryngol.--head neck surg.

109

131

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“…LaMott 1994; Brewer & Petrie 1995;Petrie et al 1997a;Perna et al 1999); and (vii) examined groups of athletes that are homogeneous with respect to injury type, severity and prognosis (e.g. LaMott 1994; Ross & Berger 1996;Theodorakis et al 1996Theodorakis et al , 1997aTheodorakis et al , 1997bUdry 1997a;Morrey et al 1999;Brewer et al 2000aBrewer et al , 2000bBrewer et al , 2000cCupal & Brewer 2001); and (viii) used experimental research designs (e.g. Ross & Berger 1996;Theodorakis et al 1996Theodorakis et al , 1997aTheodorakis et al , 1997bCupal & Brewer 2001 To provide some structure for the voluminous amount of research that has been conducted on psychological factors in sports injury rehabilitation, two models are presented that describe the hypothesized relationships among psychological and other key variables in the sports injury rehabilitation process.…”

Section: Introductionmentioning

confidence: 99%

Psychological Factors in Sports Injury Rehabilitation

Brewer¹,

Cornelius²

2003

Rehabilitation of Sports Injuries: Scientific Basis

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Rehabilitation of sports injuries involves more than repairing the physical injury and regaining previous levels of physical performance. Optimizing injury rehabilitation also includes understanding the psychological impact of the injury on the athlete and how psychological factors may interact with the rehabilitation process. The purpose of this chapter is to review the research examining psychological factors related to sports injury rehabilitation.Major advances have been made in recent years in our understanding of the range of psychological factors associated with sports injury rehabilitation. In the early 1990s, Williams and Roepke et al. (1993) and Brewer (1994) made specific suggestions for improving the quality of psychological research on sports injury rehabilitation. Fortunately, many of these recommendations have been heeded. Specifically, responding to the recommendations made by Williams and Roepke, researchers have: (i) identified cognitive and emotional responses to injury that are characteristic of athlete populations (e.g. Leddy et al. and (vii) examined groups of athletes that are homogeneous with respect to injury type, severity and prognosis (e.g.

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“…17 Another study from the ACL literature reported that strong social support in adult patients was one of the major driving forces for compliance with physical therapy. 7 Furthermore, Podlog et al 38 examined return to sport after injury and rehabilitation and found that some of the most common issues facing athletes are feelings of isolation and insufficient social support. The role of support and encouragement from coaches, teammates, spouses, physicians, physical therapists, and athletic trainers alike should not be underestimated in the recovery of an athlete.…”

Section: Discussionmentioning

confidence: 99%

A Qualitative Assessment of Return to Sport After Hip Arthroscopy for Femoroacetabular Impingement

Tjong

Cogan

Riederman

et al. 2016

Orthopaedic Journal of Sports Medicine

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Background:Hip arthroscopy for femoroacetabular impingement (FAI) is known to produce excellent outcomes, yet some patients do not return to their preinjury level of sport participation. Much literature on return to sport has revolved around anterior cruciate ligament reconstruction and even shoulder instability, but none to date have used qualitative, semistructured patient interviews on patients with hip labral tears.Purpose:To understand the factors influencing the decision to return to sport after arthroscopic hip surgery for FAI.Study Design:Case series; Level of evidence, 4.Methods:An experienced interviewer conducted qualitative, semistructured interviews of patients aged 18 to 60 years who had arthroscopic hip surgery for FAI. All had preinjury participation in sport and a minimum 2-year follow-up with no revision surgery. Qualitative analysis was then performed to derive codes, categories, and themes. An assessment of preinjury and current sports participation by type, level of competition, and frequency along with patient-reported hip function was also obtained. In addition, current modified Harris Hip Score (mHHS), international Hip Outcome Tool (iHOT-12), Hip Outcome Score–sports-specific subscale (HOS-SSS), and a coping mechanism evaluation (Brief COPE) were also recorded.Results:A total of 23 patients were interviewed to reveal the overarching themes of internal motivation, external encouragement, and resetting expectations as the predominant factors influencing a patient’s decision to return to preinjury sport. Subjective outcome measurements (mHHS, iHOT-12, patient satisfaction) showed significant differences between patients who did and did not return to sport. Interestingly, the adaptive and maladaptive coping mechanisms matched and supported our themes in those patients who described fear and self-motivation as defining features influencing their cessation of or return to play, respectively.Conclusion:Self-motivation, aging, pain, encouragement from others, and adapting to physical limitations can largely affect a patient’s decision to return to sport after arthroscopic hip surgery for FAI. Innate coping mechanisms may also help to predict the course of and subsequently aid in a patient’s postoperative recovery.

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Predictors of adherence to home rehabilitation exercises following anterior cruciate ligament reconstruction.

Cited by 81 publications

References 72 publications

Lymphedema Outcomes in Patients with Head and Neck Cancer

Lymphedema Outcomes in Patients with Head and Neck Cancer

Psychological Factors in Sports Injury Rehabilitation

A Qualitative Assessment of Return to Sport After Hip Arthroscopy for Femoroacetabular Impingement

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