Cognitive-behavioral-based physical therapy to enhance return to sport after anterior cruciate ligament reconstruction: An open pilot study.

Journal Article (Journal Article)

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.

Full Text

Duke Authors

Cited Authors

  • Coronado, RA; Sterling, EK; Fenster, DE; Bird, ML; Heritage, AJ; Woosley, VL; Burston, AM; Henry, AL; Huston, LJ; Vanston, SW; Cox, CL; Sullivan, JP; Wegener, ST; Spindler, KP; Archer, KR

Published Date

  • March 2020

Published In

Volume / Issue

  • 42 /

Start / End Page

  • 82 - 90

PubMed ID

  • 31954959

Electronic International Standard Serial Number (EISSN)

  • 1873-1600

Digital Object Identifier (DOI)

  • 10.1016/j.ptsp.2020.01.004


  • eng

Conference Location

  • England