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

Rogelio A. Coronado; Emma K. Sterling; Dana E. Fenster; Mackenzie L. Bird; Allan J. Heritage; Vickie L. Woosley; Alda M. Burston; Abigail L. Henry; Laura J. Huston; Susan W. Vanston; Charles L. Cox; Jaron P. Sullivan; Stephen T. Wegener; Kurt P. Spindler; Kristin R. Archer

doi:10.1016/j.ptsp.2020.01.004

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

Rogelio A. Coronado, Emma K. Sterling, Dana E. Fenster, Mackenzie L. Bird, Allan J. Heritage, Vickie L. Woosley, Alda M. Burston, Abigail L. Henry, Laura J. Huston, Susan W. Vanston, Charles L. Cox, Jaron P. Sullivan, Stephen T. Wegener, Kurt P. Spindler, Kristin R. Archer

School of Medicine

Research output: Contribution to journal › Article › peer-review

4 Scopus citations

Abstract

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.

Original language	English (US)
Pages (from-to)	82-90
Number of pages	9
Journal	Physical Therapy in Sport
Volume	42
DOIs	https://doi.org/10.1016/j.ptsp.2020.01.004
State	Published - Mar 2020

Keywords

Anterior cruciate ligament
Cognitive behavioral therapy
Psychological adaptation
Rehabilitation
Return to sport
Telemedicine

ASJC Scopus subject areas

Physical Therapy, Sports Therapy and Rehabilitation
Orthopedics and Sports Medicine

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10.1016/j.ptsp.2020.01.004

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Coronado, R. A., Sterling, E. K., Fenster, D. E., Bird, M. L., Heritage, A. J., Woosley, V. L., Burston, A. M., Henry, A. L., Huston, L. J., Vanston, S. W., Cox, C. L., Sullivan, J. P., Wegener, S. T., Spindler, K. P., & Archer, K. R. (2020). Cognitive-behavioral-based physical therapy to enhance return to sport after anterior cruciate ligament reconstruction: An open pilot study. Physical Therapy in Sport, 42, 82-90. https://doi.org/10.1016/j.ptsp.2020.01.004

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 2020, 'Cognitive-behavioral-based physical therapy to enhance return to sport after anterior cruciate ligament reconstruction: An open pilot study', Physical Therapy in Sport, vol. 42, pp. 82-90. https://doi.org/10.1016/j.ptsp.2020.01.004

@article{99a3868af5fa40888c9eb3c541bf9417,

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

abstract = "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.",

keywords = "Anterior cruciate ligament, Cognitive behavioral therapy, Psychological adaptation, Rehabilitation, Return to sport, Telemedicine",

author = "Coronado, {Rogelio A.} and Sterling, {Emma K.} and Fenster, {Dana E.} and Bird, {Mackenzie L.} and Heritage, {Allan J.} and Woosley, {Vickie L.} and Burston, {Alda M.} and Henry, {Abigail L.} and Huston, {Laura J.} and Vanston, {Susan W.} and Cox, {Charles L.} and Sullivan, {Jaron P.} and Wegener, {Stephen T.} and Spindler, {Kurt P.} and Archer, {Kristin R.}",

note = "Funding Information: This study was supported in part by an American Orthopaedic Society for Sports Medicine / Aircast Foundation Return to Play Grant. Publisher Copyright: {\textcopyright} 2020 Elsevier Ltd",

year = "2020",

month = mar,

doi = "10.1016/j.ptsp.2020.01.004",

language = "English (US)",

volume = "42",

pages = "82--90",

journal = "Physical Therapy in Sport",

issn = "1466-853X",

publisher = "Elsevier BV",

}

TY - JOUR

T1 - Cognitive-behavioral-based physical therapy to enhance return to sport after anterior cruciate ligament reconstruction

T2 - An open pilot study

AU - Coronado, Rogelio A.

AU - Sterling, Emma K.

AU - Fenster, Dana E.

AU - Bird, Mackenzie L.

AU - Heritage, Allan J.

AU - Woosley, Vickie L.

AU - Burston, Alda M.

AU - Henry, Abigail L.

AU - Huston, Laura J.

AU - Vanston, Susan W.

AU - Cox, Charles L.

AU - Sullivan, Jaron P.

AU - Wegener, Stephen T.

AU - Spindler, Kurt P.

AU - Archer, Kristin R.

PY - 2020/3

Y1 - 2020/3

N2 - 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.

AB - 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.

KW - Anterior cruciate ligament

KW - Cognitive behavioral therapy

KW - Psychological adaptation

KW - Rehabilitation

KW - Return to sport

KW - Telemedicine

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U2 - 10.1016/j.ptsp.2020.01.004

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C2 - 31954959

AN - SCOPUS:85077929951

SN - 1466-853X

VL - 42

SP - 82

EP - 90

JO - Physical Therapy in Sport

JF - Physical Therapy in Sport

ER -

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

Abstract

Keywords

ASJC Scopus subject areas

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