Adherence to Rehabilitation after Anterior Cruciate Ligament Reconstructive Surgery: Implications for Outcome

2005 ◽  
Vol 14 (3) ◽  
pp. 202-214 ◽  
Author(s):  
Tania Pizzari ◽  
Nicholas F. Taylor ◽  
Helen McBurney ◽  
Julian A. Feller
Keyword(s):  
Anterior Cruciate Ligament ◽  
Outcome Measures ◽  
Reconstructive Surgery ◽  
Cruciate Ligament ◽  
Negative Relationship ◽  
Exercise Adherence ◽  
Self Report ◽  
Home Exercise ◽  
Exercise Regimen ◽  
Anterior Cruciate

Objective:To investigate the relationship between adherence to rehabilitation and outcome after reconstructive surgery of the anterior cruciate ligament (ACL).Design:A prospective cohort study with adherence to rehabilitation evaluated over 8 weeks correlated with outcomes at 9 and 12 months postsurgery.Participants:68 patients who had undergone ACL-reconstructive surgery.Main Outcome Measures:Adherence was measured to and during appointments and by a self-report diary of home exercise. Outcomes were measured by 6 knee-function scales and 2 hop tests.Results:There was a significant relationship between home-exercise adherence and many outcomes for participants under 30 years of age (rs= .33-.44). For participants age 30 and over there was a negative relationship between home-exercise adherence and outcome. There were no significant relationships between adherence to and during physical therapy appointments and outcome after ACL-reconstructive surgery.Conclusion:Participants under 30 years of age who adhered to their home-exercise regimen had better functional outcome, whereas adherent participants age 30 and over experienced worse outcome with better home-exercise adherence.

Psychological Skills and Adherence to Rehabilitation after Reconstruction of the Anterior Cruciate Ligament

2001 ◽  
Vol 10 (3) ◽  
pp. 165-172 ◽  
Author(s):  
Carrie B. Scherzer ◽  
Britton W. Brewer ◽  
Allen E. Cornelius ◽  
Judy L. Van Raalte ◽  
Albert J. Petitpas ◽  
...  
Keyword(s):  
Anterior Cruciate Ligament ◽  
Outcome Measures ◽  
Goal Setting ◽  
Patient Adherence ◽  
Cruciate Ligament ◽  
Home Exercise ◽  
Psychological Skills ◽  
Self Talk ◽  
Self Reports ◽  
Anterior Cruciate

Objective:To examine the relationship between self-reported use of psychological skills and rehabilitation adherence.Design:Prospective correlational design.Setting:Outpatient physical-therapy clinic specializing in sports medicine.Patients:Fifty-four patients (17 women and 37 men) undergoing rehabilitation after anterior-cruciate-ligament reconstruction.Main Outcome Measures:An abbreviated version of the Sports Injury Survey (Ievleva & Orlick, 1991) was administered approximately 5 weeks after surgery to assess use of goal setting, imagery, and positive self-talk. Four adherence measures were obtained during the remainder of rehabilitation: attendance at rehabilitation sessions, practitioner ratings of patient adherence at rehabilitation sessions, patient self-reports of home exercise completion, and patient self-reports of home cryotherapy completion.Results:Goal setting was positively associated with home exercise completion and practitioner adherence ratings. Positive self-talk was positively correlated with home exercise completion.Conclusions:Use of certain psychological skills might contribute to better adherence to sport-injury rehabilitation protocols.

Minimizing Tourniquet Pressure in Pediatric Anterior Cruciate Ligament Reconstructive Surgery

2009 ◽  
Vol 29 (3) ◽  
pp. 275-280 ◽  
Author(s):  
Christopher W. Reilly ◽  
James A. McEwen ◽  
Lise Leveille ◽  
Angeliki Perdios ◽  
Kishore Mulpuri
Keyword(s):  
Anterior Cruciate Ligament ◽  
Reconstructive Surgery ◽  
Cruciate Ligament ◽  
Anterior Cruciate

scholarly journals Outcomes in Anterior Cruciate Ligament Reconstruction Surgery

2016 ◽  
Vol 1 (s2) ◽  
pp. 19-22
Author(s):  
Mihai Roman ◽  
Radu Prejbeanu ◽  
Andrei-Marian Feier ◽  
Octav Russu ◽  
Adrian Todor ◽  
...  
Keyword(s):  
Anterior Cruciate Ligament ◽  
Anterior Cruciate Ligament Reconstruction ◽  
Reconstructive Surgery ◽  
Therapeutic Approach ◽  
Ligament Reconstruction ◽  
Cruciate Ligament ◽  
Subjective Evaluation ◽  
Cruciate Ligament Reconstruction ◽  
Reconstruction Surgery ◽  
Anterior Cruciate

AbstractImproving the outcomes in reconstructive surgery of the anterior cruciate ligament (ACL) requires a rigorous and permanent assessment of specific parameters. Therefore, we can increase the degree of reproducibility of the procedure and identify particular aspects in order to achieve an adequate and individualized therapeutic approach for each case. In order to accomplish this goal, the use of complex means (scores) of quantifying results is required. That includes objective means of verifying the parameters in knee surgery, and a subjective evaluation of the patient in order to compare the results.

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